- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00004110
Monoclonal Antibody Therapy Plus Etoposide in Treating Patients With Neuroblastoma
Monoclonal Antibody 3F8 and Oral Etoposide for the Treatment of Neuroblastoma
RATIONALE: Monoclonal antibodies can locate tumor cells and either kill them or deliver tumor killing substances to them without harming normal cells. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining monoclonal antibody therapy with chemotherapy may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of monoclonal antibody therapy plus etoposide in treating patients who have neuroblastoma.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
OBJECTIVES:
- Determine the antitumor effects of monoclonal antibody 3F8, etoposide, and isotretinoin using standard imaging methods and tumor marker studies in patients with high-risk neuroblastoma.
- Assess progression-free survival in these patients after this treatment.
- Assess the effects of oral etoposide on human anti-mouse antibody and anti-idiotype response in these patients.
OUTLINE: Patients are stratified according to disease status (evaluable but not measurable vs second or subsequent remission with no measurable or evaluable disease).
Patients receive monoclonal antibody 3F8 (MOAB 3F8) IV over 1.5 hours once daily on days 1-10 and oral etoposide once daily on days 29-49. Treatment repeats every 8 weeks for 4 courses in the absence of disease progression, human anti-mouse antibody (HAMA) response, or unacceptable toxicity.
If HAMA fails to develop after completion of 4 courses of MOAB 3F8, patients continue treatment with MOAB 3F8 on days 1-5 every 8 weeks until HAMA reaches greater than 1,000 U/mL or until month 24, whichever occurs first.
Beginning after completion of 4 courses of etoposide and MOAB 3F8 or if HAMA develops, patients receive oral isotretinoin twice daily for 14 days followed by at least a 14-day rest. Treatment repeats for a total of 6 courses.
PROJECTED ACCRUAL: A total of 50 patients (25 per stratum) will be accrued for this study within 5 years.
Undersøgelsestype
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
-
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New York
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New York, New York, Forenede Stater, 10021
- Memorial Sloan-Kettering Cancer Center
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
DISEASE CHARACTERISTICS:
High-risk neuroblastoma by:
- Histopathology OR
- Bone marrow involvement plus elevated urinary catecholamines
Prior tumor progression on standard chemotherapy and poor long-term prognosis as indicated by 1 or more of the following:
- N-myc amplification in tumor cells
- Diploid chromosomal content plus lp loss of heterozygosity in tumor cells
- Distant skeletal metastases
- Unresectable primary tumor infiltrating across the midline
- More than 10% tumor cells in bone marrow
- Less than 30% chance of long-term progression-free survival
- Evaluable (microscopic marrow metastasis, elevated tumor markers, abnormal bone scan or MIBG or PET scan) but not measurable (CT scan, MRI) disease documented at least 4 weeks after completion of prior systemic therapy
No rapidly progressive disease as defined by 1 or more of the following:
- Serum lactic dehydrogenase greater than 1.5 times upper limit of normal due to tumor
- An opiate requirement for pain from tumor
- Greater than 25% increase in tumor by successive imaging studies
- Life expectancy less than 8 weeks
- Second or subsequent remission after chemotherapy and/or radiotherapy allowed provided there is less than 30% chance of survival
- No prior myelodysplastic syndromes or leukemia
PATIENT CHARACTERISTICS:
Age:
- Not specified
Performance status:
- Not specified
Life expectancy:
- See Disease Characteristics
- At least 8 weeks
Hematopoietic:
- Not specified
Hepatic:
- No grade 3 or worse liver toxicity
Renal:
- No grade 3 or worse renal toxicity
- Creatinine clearance at least 60 mL/min
Cardiovascular:
- No grade 3 or worse cardiac toxicity
Pulmonary:
- No grade 3 or worse pulmonary toxicity
Other:
- Not pregnant
- No grade 3 or worse gastrointestinal toxicity
- No grade 3 or worse neurologic system toxicity
- No grade 4 hearing deficit
- No active life-threatening infection
- No prior exposure to mouse antibodies and human anti-mouse antibody greater than 1,000 ELISA units/mL
- No allergy to mouse proteins
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- See Disease Characteristics
Endocrine therapy:
- Not specified
Radiotherapy:
- See Disease Characteristics
Surgery:
- See Disease Characteristics
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Maskning: Ingen (Åben etiket)
Samarbejdspartnere og efterforskere
Samarbejdspartnere
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Neoplasmer efter histologisk type
- Neoplasmer
- Neoplasmer, kirtel og epitel
- Neoplasmer, Neuroepithelial
- Neuroektodermale tumorer
- Neoplasmer, kimceller og embryonale
- Neoplasmer, nervevæv
- Neuroektodermale tumorer, primitive
- Neuroektodermale tumorer, primitive, perifere
- Neuroblastom
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Antineoplastiske midler
- Immunologiske faktorer
- Antineoplastiske midler, fytogene
- Topoisomerase II-hæmmere
- Topoisomerasehæmmere
- Dermatologiske midler
- Etoposid
- Antistoffer
- Antistoffer, monoklonale
- Isotretinoin
Andre undersøgelses-id-numre
- MSKCC-IRB-99033
- CDR0000067333 (Registry Identifier: PDQ (Physician Data Query))
- NCI-G99-1599
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Neuroblastom
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Baylor College of MedicineNew Approaches to Neuroblastoma Therapy ConsortiumAfsluttetNEUROBLASTOMAForenede Stater
-
Instituto de Investigacion Sanitaria La FeAfsluttetLAV OG MELLEMMIDDEL PÆDIATRISK NEUROBLASTOMA OG NEONATAL SUPRARENAL MASSERSpanien, Italien, Belgien, Danmark, Sverige, Norge, Israel, Schweiz, Australien, Østrig
Kliniske forsøg med etoposid
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University Hospital, BonnAfsluttetEpendymomer | Tilbagevendende hjernetumorer | Supratentoriale PNET'er | MedulloblastomerTyskland
-
Han Xu, M.D., Ph.D., FAPCR, Sponsor-Investigator...UnitedHealthcareAktiv, ikke rekrutterendeSmåcellet lungekræftForenede Stater
-
Sun Yat-sen UniversityRekrutteringSmåcellet lungekarcinomKina
-
Qingdao UniversityUkendtProgressionsfri overlevelseKina
-
Guizhou Medical UniversityUkendt
-
Third Military Medical UniversityUkendtSmåcellet lungekræft i omfattende stadie
-
Jiangsu HengRui Medicine Co., Ltd.Tilmelding efter invitation
-
Third Military Medical UniversityIkke rekrutterer endnu
-
National Cancer Institute, NaplesAktiv, ikke rekrutterendeSmåcellet lungekræftItalien
-
Lund University HospitalSanofiAfsluttetSmåcellet lungekræftSverige