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Hochhalter et al.                                                                                                                                                                Association between HCMV and GBM

           Table 2: Clinical trials evaluating anti-human cytomegalovirus therapy
            Studies [ClinicalTrials.gov Identifier]  Sponsor                 Status            Completion date
            Autologous CMV-specific cytotoxic T cells for GBM   M.D. Anderson Cancer Center  Currently recruiting   2020**
            patients [NCT02661282] [79]                                      participants
            Vaccine therapy for the treatment of newly   University of Florida  Currently recruiting   2024**
            diagnosed GBM (ATTAC-II) [NCT02465268] [80]                      participants
            Peptide targets for glioblastoma against novel   Duke University Medical Center  Currently recruiting   2018**
            cytomegalovirus antigens (PERFORMANCE)                           participants
            [NCT02864368] [81]
            DC migration study for newly-diagnosed GBM   Duke University Medical Center  Currently recruiting   2020**
            (ELEVATE) [NCT02366728]  [82]                                    participants
            Nivolumab with DC vaccines for recurrent brain   Duke University Medical Center  Currently recruiting   2019**
            tumors (AVERT) [NCT02529072] [83]                                participants
            CMV-specific cytotoxic T lymphocytes expressing   Baylor College of Medicine  Ongoing, but not   2028**
            CAR targeting HER2 in patients with GBM (HERT-                   recruiting participants
            GBM) [NCT01109095] [84]
            Basiliximab in treating patients with newly diagnosed   Duke University Medical Center  Ongoing, but not   2018**
            GBM undergoing targeted immunotherapy and                        recruiting participants
            temozolomide-caused lymphopenia (REGULATe)
            [NCT00626483] [85]
            Vaccine therapy in treating patients with newly   Duke University Medical Center  Ongoing, but not   2018**
            diagnosed GBM (ATTAC) [NCT00639639] [86]                         recruiting participants
            Evaluation of recovery from drug-induced   Duke University Medical Center  Completed    2015
            lymphopenia using cytomegalovirus-specific T-cell
            adoptive transfer (ERaDICATe) [NCT00693095] [87]
            Peptide vaccine for glioblastoma against   University of Florida  Withdrawn             2014
            cytomegalovirus antigens (PERFORMANCE)
            [NCT01854099]  [78]
            Efficacy and safety of Valcyte® as an add-on   Karolinska University Hospital  Unknown*
            therapy in patients with malignant glioblastoma and
            CMV infection [NCT00400322] [88]
            A study using allogenic-CMV specific cells for GBM   Penn State University  Terminated  2011
            [NCT00990496] [76]
            Administration of CMV-specific cytotoxic T cells in   Baylor College of Medicine  Terminated  2012
            patients with GBM (COGLI) [NCT01205334] [77]
                                                                      [65]
           *Results of this study have been published in the International Journal of Cancer;  **estimated completion date; CMV: cytomegalovirus;
           GBM: glioblastoma multiforme; DC: dendritic cell
           M.D. Anderson Cancer Center and as of January 2017   study,  entitled  “Peptide  targets  for  glioblastoma
           is recruiting participants.  The goals of this combined   against novel cytomegalovirus antigens”, is currently
                                 [79]
           Phase I/II study is to determine the highest tolerable   recruiting participants as of December 2016.  The
                                                                                                        [81]
           dose of HCMV cytotoxic T lymphocytes (CTLs) that can   purpose of this phase I clinical trial is to determine
           be administered in combination with TMZ to patients   side effects related to the peptide-CMV vaccine and
           with GBM. The goal of the phase II component of this   assess the safety of a combination approach using the
           study is to identify if HCMV CTLs, when combined   peptide-CMV vaccine and TMZ in patients with newly
           with TMZ, is effective in controlling GBM and whether   diagnosed GBM who underwent a complete or partial
           this combination is safe for patients. There is a phase   surgical resection. In addition, another goal of this study
           II clinical trial being sponsored by the University of   is to identify the TMZ regimen schedule that yields the
           Florida entitled “A Phase II randomized, blinded, and   highest number of T cells secreting interferon-gamma
           placebo-controlled trial of CMV RNA-pulsed dendritic   in response to the peptide-CMV vaccine. Another study,
           cells with tetanus-diphtheria toxoid vaccine in patients   entitled “Evaluation of overcoming limited migration
           with  newly-diagnosed glioblastoma”  that is currently   and enhancing cytomegalovirus-specific dendritic cell
           recruiting participants as of January 2017.  The goal   vaccines with adjuvant  TEtanus pre-conditioning in
                                                 [80]
           of this study is to evaluate whether administration of   patients with newly-diagnosed glioblastoma”, is also
           HCMV  pp65-dendritic  cells  is  effective,  as  defined   currently recruiting participants as of June 2016.  This
                                                                                                        [82]
           by  a  change  in  mean  overall  survival  of  GBM   phase II clinical trial will determine the impact of pre-
           patients, if given in conjunction with stronger routine   conditioning with  Tetanus-Diphtheria (Td)  toxoid  on
           chemotherapy.                                      human  CMV  pp65-lysosomal-associated  membrane
                                                              protein (LAMP) mRNA-pulsed autologous dendritic
           Several Phase I and II clinical trials are being   cells (DCs).  This study will also assess the impact
           sponsored by Duke University Medical Center. One   of pre-conditioning with Td toxoid and/or basiliximab
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