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There are 112 active trials for advanced/metastatic brain tumor.
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TrialFetch AI summary: This study enrolls female patients with triple negative, HER2+, or hormone receptor positive breast cancer and asymptomatic, measurable brain metastases, treating them with a personalized anti-HER2/HER3 dendritic cell vaccine (designed to enhance immune targeting of HER2/HER3-expressing cells) combined with the PD-1 inhibitor pembrolizumab. Eligible patients must have ECOG 0-1 and no immediate need for local brain therapy, leptomeningeal disease, or active autoimmune/infectious conditions.
ClinicalTrials.gov ID: NCT04348747
TrialFetch AI summary: Adults with advanced/metastatic breast, ovarian, or prostate cancer (including patients with known brain metastases), ECOG 0–1, and measurable disease receive oral DSB2455, a PARP1‑selective inhibitor aiming to exploit synthetic lethality in HR‑deficient tumors (e.g., BRCA/HRR alterations); prior first‑line PARP inhibitor exposure is allowed, but prior PARP1‑selective therapy is excluded. Single‑arm dose escalation/expansion evaluates safety and preliminary activity, with CNS penetration highlighted and mandatory biopsies required.
ClinicalTrials.gov ID: NCT06458712
TrialFetch AI summary: Adults with recurrent or refractory glioblastoma (supratentorial or infratentorial) post-surgery/biopsy and ≥40.05 Gy RT with concurrent temozolomide, KPS >60%, and no prior anti-angiogenic or CAR T therapy receive up to three weekly intraventricular infusions of autologous CAR T cells targeting B7-H3 (CD276). Therapy is delivered via the ventricular system to enhance CNS distribution; study focuses on safety, CRS/neurotoxicity, and preliminary antitumor activity.
ClinicalTrials.gov ID: NCT05366179
TrialFetch AI summary: Adults with recurrent/refractory EGFR-overexpressing high-grade gliomas (GBM, anaplastic astrocytoma/oligoastrocytoma) after Stupp protocol receive superselective intra-arterial cetuximab following mannitol BBB disruption plus hypofractionated re-irradiation. Cetuximab is an anti-EGFR IgG1 monoclonal antibody that blocks EGFR signaling and mediates ADCC; eligibility requires measurable disease and KPS ≥60%.
ClinicalTrials.gov ID: NCT02800486
TrialFetch AI summary: Adults with a single brain metastasis showing radiographic progression after prior SRS are randomized via an intraoperative pathology–guided algorithm to LITT (NeuroBlate MRI-guided thermal ablation) with or without hypofractionated re-irradiation if recurrent tumor, or to LITT plus steroids versus steroids alone if radiation necrosis. Designed to test local control after ablation in true recurrence and time to steroid independence in radiation necrosis.
ClinicalTrials.gov ID: NCT05124912
TrialFetch AI summary: Pediatric and young adult patients (12 months–22 years) with GD2-expressing CNS tumors—including diffuse midline glioma/high-grade glioma and select other high-grade brain tumors—receive lymphodepletion (cyclophosphamide/fludarabine) followed by autologous GD2-directed CAR T cells engineered with a constitutively active IL‑7 receptor (C7R) to enhance persistence. Cohort 1 gets initial IV CAR T then intracerebroventricular dosing via Ommaya/VP shunt; Cohort 2 (recurrent/progressive pontine HGG or H3K27-altered DMG) receives IV only.
ClinicalTrials.gov ID: NCT04099797
TrialFetch AI summary: Enrolling patients aged 2 to <25 years with centrally confirmed MAPK-activated WHO grade I–II pediatric low-grade glioma (including eligible glioneuronal/neuroepithelial tumors), across newly diagnosed and recurrent/progressive settings, with measurable/evaluable disease; excludes BRAF V600, NTRK/ALK/ROS1 fusions, IDH1/2, and significant ocular/cardiac/hepatic/pulmonary comorbidity. Investigational therapy is oral single-agent mirdametinib, a selective brain-penetrant MEK1/2 inhibitor targeting MAPK/ERK signaling, given BID in 28-day cycles; cohorts include MEK inhibitor–naïve and previously MEK-exposed patients.
ClinicalTrials.gov ID: NCT04923126
TrialFetch AI summary: Adults with recurrent supratentorial GBM post–surgery and temozolomide (KPS ≥60) receive intravenous RNA–lipid particle vaccines: three priming doses of pp65 mRNA-LP (targets CMV pp65, LAMP-enhanced MHC II presentation) followed by monthly doses combining pp65 mRNA with autologous tumor RNA; randomized to start priming before vs after biopsy/resection. Excludes prior bevacizumab and significant immunosuppression/autoimmunity; aims to assess feasibility, safety, and MTD.
ClinicalTrials.gov ID: NCT06389591
TrialFetch AI summary: Adults with recurrent high-grade glioma (IDH-mutant grade 3/4 astrocytoma or IDH-wildtype glioblastoma) after standard therapy, with tumors suitable for convection-enhanced delivery and meeting RANO progression and performance criteria. Single intratumoral infusion of 186Rhenium nanoliposomes via CED, a beta-emitting radiotherapeutic encapsulated in nanoliposomes to deliver localized high-dose radiation with imageable distribution (SPECT); excludes multifocal/leptomeningeal disease, infratentorial tumors, recent bevacizumab or radiation, and lesions risking ventricular/subarachnoid leak.
ClinicalTrials.gov ID: NCT01906385
TrialFetch AI summary: Enrolling children to young adults (ages 4–39) with recurrent/progressive high-grade primary CNS tumors or meningiomas that are SSTR-positive on DOTATATE PET (Krenning ≥2). Participants receive 177Lu-DOTATATE (Lutathera), a somatostatin receptor 2–targeted peptide receptor radionuclide therapy delivering beta-emitting 177Lu, IV every 8 weeks for up to 4 cycles.
ClinicalTrials.gov ID: NCT05278208