- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00003469
Antineoplaston Therapy in Treating Children With Rhabdoid Tumor of the Central Nervous System
Phase II Study of Antineoplastons A10 and AS2-1 in Children With Rhabdoid Tumor of the Central Nervous System
RATIONALE: Current therapies for childhood Rhabdoid tumors provide limited benefit to the patient. The anti-cancer properties of Antineoplaston therapy suggest that it may prove beneficial in the treatment of childhood Rhabdoid tumors.
PURPOSE: This study is being performed to determine the effects (good and bad) that Antineoplaston therapy has on children (> 6 months of age) with Rhabdoid tumors.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
OVERVIEW: This is a single arm, open-label study in which children with Rhabdoid tumors receive gradually escalating doses of intravenous Antineoplaston therapy (Atengenal + Astugenal) until the maximum tolerated dose is reached. Treatment continues for at least 12 months in the absence of disease progression or unacceptable toxicity.
OBJECTIVES:
- To determine the efficacy of Antineoplaston therapy in children with a Rhabdoid tumor, as measured by an objective response to therapy (complete response, partial response or stable disease).
- To determine the safety and tolerance of Antineoplaston therapy in children with a Rhabdoid tumor.
- To determine objective response, tumor size is measured utilizing MRI scans, which are performed every 8 weeks for the first two years, every 3 months for the third and fourth years, every 6 months for the 5th and sixth years, and annually thereafter.
PROJECTED ACCRUAL: A total of 20-40 patients will be accrued to this study.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
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Texas
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Houston, Texas, Forenede Stater, 77055-6330
- Burzynski Clinic
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
DISEASE CHARACTERISTICS:
- Histologically confirmed Rhabdoid tumor of the central nervous system that is unlikely to respond to existing therapy and for which no curative therapy exists
- Measurable tumor by MRI scan performed within two weeks prior to study entry
- Tumor must be at least 5 mm
PATIENT CHARACTERISTICS:
Age:
- 6 months to 17 years
Performance status:
- Karnofsky 60-100%
Life expectancy:
- At least 2 months
Hematopoietic:
- WBC at least 2000/mm^3
- Platelet count greater than 50,000/mm^3
Hepatic:
- Bilirubin no greater than 2.5 mg/dL
- SGOT and SGPT no greater than 5 times upper limit of normal
- No hepatic failure
Renal:
- Creatinine no greater than 2.5 mg/dL
- No history of renal conditions that contraindicate high dosages of sodium
Cardiovascular:
- No uncontrolled hypertension
- No severe heart disease
- No history of congestive heart failure
- No history of other cardiovascular conditions that contraindicate high dosages of sodium
Pulmonary:
- No severe lung disease
Other:
- Not pregnant or nursing
- Fertile patients must use effective contraception during and for 4 weeks after study participation
- No serious active infections or fever
- No other serious concomitant disease
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- At least 4 weeks since prior immunotherapy and recovered
- No concurrent immunomodulating agents
Chemotherapy:
- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) and recovered
- No concurrent antineoplastic agents
Endocrine therapy:
- Concurrent corticosteroids for cerebral edema allowed (must be on a stable dose for at least 1 week before study entry)
Radiotherapy:
- At least 8 weeks since prior radiotherapy and recovered
Surgery:
- Not specified
Other:
- No prior antineoplaston treatment
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Antineoplaston terapi
Antineoplastonbehandling (Atengenal + Astugenal) ved IV-infusion hver fjerde time i mindst 12 måneder.
Forsøgspersoner får stigende doser af Atengenal og Astugenal, indtil den maksimalt tolererede dosis er nået.
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Children with a Rhabdoid tumor will receive Antineoplaston therapy (Atengenal + Astugenal).
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Antal deltagere med objektiv respons
Tidsramme: 12 måneder
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Objektiv responsrate pr. Respons Assessment in Neuro-Oncology (RANO) for mållæsioner og vurderet ved MRI: Komplet respons (CR), forsvinden af al sygdom, der har været vedvarende i mindst fire uger; Delvis respons (PR), >=50 % fald i summen af produkterne af de største vinkelrette diametre af alle målbare forstærkende læsioner, vedvarende i mindst fire uger.
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12 måneder
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Procentdel af deltagere, der overlevede
Tidsramme: 6 måneder, 12 måneder, 24 måneder
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6 måneder, 12 måneder, 24 måneder samlet overlevelse
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6 måneder, 12 måneder, 24 måneder
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Samarbejdspartnere og efterforskere
Sponsor
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CDR0000066505
- BC-BT-14 (Anden identifikator: Burzynski Research Institute, Inc.)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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Kliniske forsøg med Rhabdoid Neoplasm of CNS
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Guangzhou First People's HospitalAfsluttet
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Sabine Mueller, MD, PhDPacific Pediatric Neuro-Oncology Consortium; Rally FoundationIkke rekrutterer endnuTilbagevendende atypisk teratoid/rhabdoid tumor | Atypisk teratoid/rhabdoid tumor (ATRT) af CNSForenede Stater
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Susan Chi, MDBristol-Myers Squibb; Epizyme, Inc.Aktiv, ikke rekrutterendeChordoma | Epiteloid sarkom | Atypisk teratoide rhabdoid tumor | INI1 (SMARCB1)-Deficiente primære CNS maligne tumorer | SMARCA4-deficiente primære CNS ondartede tumorer | Ondartet rhabdoid tumor (MRT) | Rhabdoid tumor i nyren (RTK)Forenede Stater
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Taipei Medical UniversityAktiv, ikke rekrutterendeAtypiske teratoid/rhabdoid tumorer (AT/RTS) | Centralnervesystem (CNS) tumorerTaiwan
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St. Jude Children's Research HospitalTrukket tilbageRhabdoid tumor | CNS-tumor | Atypisk teratoide/rhabdoide tumor | Atypisk teratoide/rhabdoide tumor i CNSForenede Stater
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C17 CouncilRekrutteringEmbryonal tumor med rigelig neuropil og ægte rosetter | Medulloblastom, barndom | Embryonal tumor med flerlags rosetter | Neuroblastom | Pineoblastom | CNS embryonal tumor med rhabdoide træk | Medulloepitheliom | Medulloblastom, gruppe 3 | Medulloblastom, gruppe 4 | Ependymoblastom | Atypisk teratoide rhabdoid... og andre forholdCanada
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Stanford UniversityRekrutteringMedulloblastom | Pineoblastom | Tilbagevendende medulloblastom | Refraktær medulloblastom | Pædiatrisk hjernetumor | Embryonal tumor med flerlagsrosetter (ETMR) | Centralnervesystem embryonal tumor | Atypisk teratoid/rhabdoid tumor (ATRT) af CNS | CNS Neuroblastoma | Foxr2-aktiveretForenede Stater
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Pôle Saint HélierUniversity Hospital, Angers; Rennes University Hospital; Université Européenne...AfsluttetMultipel sclerose | Social kognition | Theory of Mind | Neuropsykologi | Psykologisk teoriFrankrig
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Pediatric Brain Tumor ConsortiumNational Cancer Institute (NCI)AfsluttetOndartet gliom | Tilbagevendende Childhood Ependymoma | Tilbagevendende medulloblastom | Tilbagevendende diffust indre pontinsk gliom | Tilbagevendende atypisk teratoid/rhabdoid tumor | Ildfast diffust intrinsisk pontinsk gliom | CNS embryonal tumor, ikke andet specificeretForenede Stater
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Children's National Research InstituteRekrutteringEpendymom | Medulloblastom, barndom | Embryonal tumor med flerlags rosetter | Pineoblastom | Atypisk teratoide/rhabdoide tumor i CNS | Embryonal Hjernetumor Ikke Nærmere SpecifikeretForenede Stater
Kliniske forsøg med Antineoplaston therapy (Atengenal + Astugenal)
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Burzynski Research InstituteSuspenderetDiffus, indre pontinsk gliomForenede Stater
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Burzynski Research InstituteIkke rekrutterer endnu
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Burzynski Research InstituteIkke rekrutterer endnu
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Burzynski Research InstituteAfsluttetTyktarmskræftForenede Stater
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Burzynski Research InstituteAfsluttetAstrocytomer af lav gradForenede Stater
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Burzynski Research InstituteAfsluttetMalignt mesotheliomForenede Stater
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Burzynski Research InstituteAfsluttetStadie IV Ikke-småcellet lungekræftForenede Stater
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Burzynski Research InstituteAfsluttetFase IV Kræft i æggestokkene | Fase III Kræft i æggestokkeneForenede Stater
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Burzynski Research InstituteAfsluttetTyndtarmskræftForenede Stater
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Burzynski Research InstituteAfsluttetNeuroblastomForenede Stater