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There are 120 active trials for advanced/metastatic brain tumor.
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HealthScout AI summary: Adults with relapsed/refractory high-grade glioma (GBM, anaplastic astrocytoma/oligoastrocytoma), KPS ≥70, receive super-selective intraarterial bevacizumab 15 mg/kg after osmotic BBB disruption with IA mannitol, repeated at progression. One arm also adds standard biweekly IV bevacizumab 10 mg/kg between IA treatments; bevacizumab is an anti–VEGF-A monoclonal antibody inhibiting angiogenesis.
ClinicalTrials.gov ID: NCT01269853
HealthScout AI summary: Pediatric and young adult patients with recurrent/progressive high-grade glioma (excluding DIPG) ages 3–25 or osteosarcoma ages 3–39 (pulmonary-only recurrence or unresectable disease) receive an intravenous two-step RNA–lipid particle vaccine program: an off‑the‑shelf CMV pp65/LAMP primer (DP1) followed by a personalized product (DP2) combining pp65 with autologous tumor mRNA. The investigational RNA–LPs aim to activate innate sensors (e.g., RIG‑I) and antigen-presenting cells to broaden antitumor T‑cell responses; dosing is given every ~2 weeks during priming and early DP2, then monthly maintenance.
ClinicalTrials.gov ID: NCT05660408
HealthScout AI summary: Adults with recurrent WHO grade IV glioblastoma planned for repeat resection and re-irradiation receive neoadjuvant pembrolizumab (anti–PD-1 monoclonal antibody) combined with stereotactic radiation therapy, followed by surgery. Key exclusions include prior checkpoint inhibitor therapy, contraindication to re-irradiation, significant immunosuppression, or pembrolizumab hypersensitivity.
ClinicalTrials.gov ID: NCT04977375
HealthScout AI summary: Children and young adults (12 months–30 years) with GPC2-positive relapsed/refractory medulloblastoma or other eligible CNS embryonal tumors receive autologous GPC2-directed CAR T cells via intracerebroventricular infusions after fludarabine/cyclophosphamide lymphodepletion. GPC2-CAR T targets glypican-2 (oncofetal heparan sulfate proteoglycan) with locoregional delivery and intrapatient dose escalation over up to 8 cycles.
ClinicalTrials.gov ID: NCT07087002
HealthScout AI summary: Adults with recurrent or rare primary CNS tumors (e.g., GBM, diffuse midline glioma, ependymoma, medulloblastoma, atypical/anaplastic meningioma) after standard therapy receive oral ONC206 monotherapy. ONC206 is an imipridone that non-competitively antagonizes DRD2/DRD3 and allosterically hyperactivates mitochondrial ClpP, aiming to trigger integrated stress response and apoptosis; dose-escalation with food-effect/PK assessment and potential expansion at RP2D.
ClinicalTrials.gov ID: NCT04541082
HealthScout AI summary: Pediatric patients (12 months–21 years) with relapsed/refractory solid tumors or lymphoma, including CNS tumors; Phase 2 focuses on progressive/recurrent DIPG or other H3 K27–altered diffuse midline gliomas post-radiation. Single-arm IV CBL0137 (a FACT “chromatin-trapping” agent that activates p53, suppresses NF-κB, and induces interferon response) is given on Days 1 and 8 of 21-day cycles to define RP2D and assess antitumor activity.
ClinicalTrials.gov ID: NCT04870944
HealthScout AI summary: Adults with IDH–wild type recurrent/progressive malignant glioma (GBM or related high-grade gliomas) with a 1–2 cm non-eloquent, enhancing lesion receive stereotactic intratumoral injections of rQNestin34.5v.2 (CAN-3110), an oncolytic HSV-1 engineered for nestin-expressing glioma selectivity (ICP34.5 under nestin promoter; attenuated ICP6), with cohorts including single-dose, single-dose plus short-course cyclophosphamide pre-treatment, or repeat dosing. Key exclusions include multifocal/eloquent/brainstem disease, active infections or significant immunosuppression, recent anti-VEGF therapy, and inability to pause anticoagulation.
ClinicalTrials.gov ID: NCT03152318
HealthScout AI summary: For pediatric and adult patients with relapsed/refractory high-risk neuroblastoma/ganglioneuroblastoma or osteosarcoma, after standard therapies. Patients receive lymphodepleting cyclophosphamide/fludarabine followed by a single infusion of autologous GD2-directed CAR T cells engineered to co-express IL-15 (to enhance persistence/function) and an inducible caspase-9 safety switch.
ClinicalTrials.gov ID: NCT03721068
HealthScout AI summary: Adults with CNS tumors receiving radiotherapy: recurrent/relapsed GBM (IMRT 35 Gy/2 weeks) and newly diagnosed GBM with unmethylated MGMT (IMRT 60 Gy/6 weeks) are treated with concurrent oral AZD1390, a brain-penetrant ATM kinase inhibitor radiosensitizer; the closed arm previously enrolled patients with brain metastases not suitable for SRS. Key eligibility includes KPS ≥60 and MRI suitability; exclusions include strong CYP3A4 modulators and significant comorbidities.
ClinicalTrials.gov ID: NCT03423628
HealthScout AI summary: Children and young adults with newly diagnosed DIPG/brainstem glioma (pre‑radiation, biopsy‑amenable) or relapsed/refractory high‑risk neuroblastoma receive autologous tumor‑reactive T cells (TTRNA‑xALT), generated by priming patient T cells with total tumor RNA–loaded dendritic cells to create a broad, personalized antitumor T‑cell repertoire. Dose‑escalated infusions (3×10^6–3×10^8 cells/kg) assess safety/MTD, with manufacturing feasibility and clinical activity as secondary endpoints.
ClinicalTrials.gov ID: NCT04837547