Clinical trial · Interventional
Study of Repeat Intranodal Injections of Ad-ISF35
A Phase II Study of Repeat Intranodal Injections of Adenovirus-CD154 (Ad-ISF35) in Patients With Non-Hodgkin's Lymphoma (Follicular, Diffuse Large Cell, Mantle Cell and Small Lymphocytic Lymphoma/Chronic Lymphocytic Leukemia)
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): drug supply was no longer available
Summary
Brief summary (as posted)
This is a Phase II, open label, fixed dose, repeat injection, single institution study. Eligible subjects will receive up to six doses of Ad-ISF35 injected directly into a selected lymph node under ultrasound guidance. The primary goal is to determine and monitor clinical and biological responses in patients treated with repeat intranodal injections of Ad-ISF35.
Conditions
Conditions (6)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Chronic Lymphocytic Leukemia | Chronic Lymphocytic Leukemia | ONTOLOGY_EXACT | 0.98 |
| Diffuse Large Cell Lymphoma | — | UNRESOLVED | — |
| Follicular Lymphoma | Follicular Lymphoma | ONTOLOGY_EXACT | 0.98 |
| Mantle Cell Lymphoma | Mantle Cell Lymphoma | ONTOLOGY_EXACT | 0.98 |
| Non-Hodgkin's Lymphoma | Non-Hodgkin Lymphoma | ALIAS | 0.90 |
| Small Lymphocytic Lymphoma | Small Lymphocytic Lymphoma | ONTOLOGY_EXACT | 0.98 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| ISF35 | Biological | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Ad-ISF35
- description
- Ad-ISF35, intranodal injection, 3.3 x 10\^10 ISF35 viral particles, every 2-4 weeks up to six total injections.
- interventionNames
- Biological: ISF35
Primary outcomes (1)
- measure
- Overall Response Rate
- timeFrame
- 2 Years
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: SLL / CLL PATIENTS 1. Diagnosis of B-cell SLL/ CLL including * Lymphocytosis of monoclonal B-cells co-expressing ≥ one B-cell marker (CD19, CD20, or CD23) and CD5 in peripheral blood or lymph node AND * Bone marrow with ≥ 30% mononuclear cells having the SLL / CLL phenotype. 2. Presence of at least ONE single accessible AND palpable lymph node in the cervical, supraclavicular, axillary, or inguinal regions. The size of the lymph nodes must be larger than 2x2 cm in the horizontal and perpendicular axes. 3. Intermediate or High risk, poor prognosis SLL / CLL 4. Indication for treatment as defined by the NCI Working Group Guidelines: * Massive (i.e. \> 6 cm below the left costal margin) or progressive splenomegaly OR * Massive lymph nodes or nodal clusters (i.e. \> 10 cm in longest diameter), or progressive lymphadenopathy OR * Grade 2 or 3 fatigue OR * Fever ≥ 100.5˚F or night sweats for greater than 2 weeks without documented infection OR * Presence of weight loss ≥ 10% over the preceding 6 months OR * Progressive lymphocytosis with an increase of ≥ 50% over a 2-month period or an anticipated doubling time of less than 6 months. * Evidence of progressive marrow failure as manifested by the development of, or worsening of, anemia and / or thrombocytopenia. * Autoimmune anemia and / or thrombocytopenia poorly responsive to corticosteroid therapy. NHL PATIENTS 5. Non-Hodgkin's Lymphoma patients that have received at least one prior treatment (Antibodies and / or chemotherapy). Patients must have one of the following subtypes according to the WHO/REAL Classification\[1\]: follicular lymphoma, diffuse large cell lymphoma, mantle cell lymphoma and small lymphocytic lymphoma / chronic lymphocytic lymphoma. 6. Stage III or IV disease at any time in the past (Ann Arbor Staging System for Non-Hodgkin's Lymphomas). 7. Presence of at least ONE single accessible AND palpable lymph node in the cervical, supraclavicular, axillary, or inguinal regions. The size of the lymph nodes must be larger than 2x2 cm in the horizontal and perpendicular axes. ALL PATIENTS 8. Males and females 18 years of age and older 9. Laboratory parameters as specified below: * Hematologic: Hemoglobin ≥ 10 g/dL (may be post-transfusion); platelet count ≥ 50 x103/mm3 * Hepatic: Total Bilirubin \< 2 X ULN, and ALT and AST \< 2 x ULN * Renal: Creatinine ≤ 2 X ULN 10. ECOG Performance Status ≤ 2 11. Anticipated survival of at least 3 months 12. For men and women of child-producing potential, use of effective barrier contraceptive methods during the study and for one month following treatment. 13. Ability to understand the requirements of the study, provide written informed consent and authorization of use and disclosure of protected health information, and agree to abide by the study restrictions and return for the required assessments. 14. Negative test results for current/active infection with HIV-1, HIV-2, HTV-1, HTLV-2, hepatitis A, B, C within 30 days of registration. (Antibody, antigen and nucleic acid tests acceptable, depending on institutional standards.). 15. Subjects must give written informed consent to participate in this trial. Exclusion Criteria: 1. Pregnant or nursing women 2. Treatment with chemotherapy or monoclonal antibody within 28 days prior to entering the study. 3. Treatment with chemotherapy or monoclonal antibody during the time of participation in this trial. 4. Grade 3 or 4 cardiac disease as defined by the New York Heart Association Functional Classification 5. Severe or debilitating pulmonary disease (dyspnea at rest, significant shortness of breath, COPD). 6. Participation in any investigational drug study within 28 days prior to ISF35 administration. (Patient must have recovered from all acute effects of previously administered investigational agents). 7. Evidence of aggressive or highly aggressive lymphoma or Richter's transformation based on WHO/REAL classification criteria\[1\] 8. Any T cell lymphoma. 9. History of malignancy other than NHL or SLL/CLL or within five years of registration, except patients with adequately treated basal, squamous cell carcinoma or localized cervical cancer. 10. Active symptomatic fungal, bacterial and/or viral infection including active HIV or viral (A, B or C) hepatitis. 11. Any illness or condition that in the opinion of the Investigator may affect safety of treatment or evaluation of any the study's endpoints.
References
Publications (0)
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