City of Hope

City of Hope, a NCI-designated Comprehensive Cancer Center

Brain Tumor Clinical Trials and brain tumor studies at City of Hope, near Los Angeles, California.

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 Brain Tumor Clinical Trials

Neural Stem Cell Study 
Using neural stem cells to deliver therapy directly to the tumor
A landmark pilot study using neural stem cells (NSCs) to treat brain tumors is now being tested in patients who are 18 years or older and have a recurrent high-grade glioma. NSCs have the natural ability to rapidly home to malignancies, migrating to and distributing themselves within a tumor as well as tracking to other tumor sites within the brain. These genetically engineered NSCs contain an enzyme (CD, see figure 1) which converts a prodrug (5-FC) into an active chemotherapy drug (5-FU) to selectively kill rapidly dividing tumor cells, but leaving non-dividing healthy cells alone. This strategy is likely to have a large “bystander effect,” meaning that one NSC can kill off many surrounding tumor cells while minimizing toxicity to healthy tissues.


Localized production of chemotherapy (5-FU) by neural stem cells at sites of tumor cells

T cell Study
Rebooting the immune system to fight brain tumors
Brain tumor researchers at the City of Hope are currently conducting an immunotherapy study involving the use of a type of immune cell called a cytotoxic T lymphocyte that is engineered to destroy glioma cells. This is done by inserting a piece of DNA into the T cells that allows them to recognize and target glioma cells.  At the same time, these T cells are further modified so that they don’t express glucocorticoid receptors, and thus become resistant to dexamethasone (a drug commonly used to reduce swelling in the brain but can also interfere with the functioning of T cells). These genetically-modified T cells are given to patients, along with IL-2, which is a hormone normally produced by the body and helps the T cells to survive, allowing them to locate and attack the brain tumor.

For more information about these studies including eligibility criteria, please call: 866-235-3031.

For a summary of these studies including eligibility criteria, visit the City of Hope clinical trials website.