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OncoMatch/Clinical Trials/NCT07306299

A Phase I Clinical Trial of a mRNA Vaccine for Recurrent or Progressive High-grade Glioma

Is NCT07306299 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies Glioma-related multi-target mRNA vaccines for glioma, high grade.

Phase 1RecruitingSecond Affiliated Hospital, School of Medicine, Zhejiang UniversityNCT07306299Data as of May 2026

Treatment: Glioma-related multi-target mRNA vaccinesThis clinical trial is designed to evaluate the safety and efficacy of a universal mRNA vaccine targeting a panel of glioma-associated mutations in patients with recurrent or progressive high-grade glioma. The primary objectives are to address the following key questions: 1) Is the mRNA vaccine safe for this patient population? 2) Does the vaccine stimulate an anti-tumor immune response and promote tumor regression? Participants will receive the vaccine according to the following schedule: 1. one injection per week for four consecutive weeks, followed by one injection every four weeks for four cycles, and subsequently, one injection every 12 weeks for maintenance. 2. Safety and efficacy assessments, including detailed recording of adverse events and tumor growth evaluation, will be conducted at follow-up visits scheduled for weeks 6, 12, and months 6, 9, 12, 18, 24, and 36 post-treatment initiation.

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Extracted eligibility criteria

Cancer type

Glioblastoma

Biomarker criteria

Required: BRAF v600e

Required: EGFR viii

Required: H3F3A (H3 K27M) g34r

Required: H3F3A (H3 K27M) k27m

Required: HIST1H3B k27m

Required: IDH1 r132h

Required: PIK3CA h1047r

Disease stage

Required: Stage WHO GRADE III, WHO GRADE IV (WHO CNS)

Grade: 34 (WHO CNS)

CNS WHO Grade 3-4 glioma confirmed by post-surgical histopathology

Prior therapy

Min 1 prior line

Must have received: radiation therapy — standard therapy

progression per RANO criteria on MRI following standard therapy (radiotherapy plus temozolomide chemotherapy)

Must have received: cytotoxic chemotherapy (temozolomide) — standard therapy

progression per RANO criteria on MRI following standard therapy (radiotherapy plus temozolomide chemotherapy)

Lab requirements

Blood counts

ANC ≥1.5 × 10⁹/L; Platelet count ≥100 × 10⁹/L; Hemoglobin ≥90 g/L (without transfusion or hematopoietic growth factor support within 14 days)

Kidney function

Serum creatinine ≤1.5 × ULN OR estimated creatinine clearance ≥50 mL/min (Cockcroft-Gault)

Liver function

ALT ≤2.5 × ULN; AST ≤2.5 × ULN; TBIL ≤1.5 × ULN

Cardiac function

LVEF ≥50% without clinically significant pericardial effusion on echocardiogram; no clinically significant ECG abnormalities

Absence of significant bone marrow, cardiac, pulmonary, or renal dysfunction, defined as: Hematologic (without transfusion or hematopoietic growth factor support within 14 days): ANC ≥1.5 × 10⁹/L; Platelet count ≥100 × 10⁹/L; Hemoglobin ≥90 g/L. Hepatic Function: ALT ≤2.5 × ULN; AST ≤2.5 × ULN; TBIL ≤1.5 × ULN. Renal Function: Serum creatinine ≤1.5 × ULN OR estimated creatinine clearance ≥50 mL/min (Cockcroft-Gault). Coagulation: APTT ≤1.5 × ULN; INR ≤1.5 × ULN. Other: LVEF ≥50% without clinically significant pericardial effusion on echocardiogram; no clinically significant ECG abnormalities; Baseline oxygen saturation >92% on room air.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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