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Phase 2 N=114 Randomized Treatment

131I-MIBG Alone VS. 131I-MIBG With Vincristine and Irinotecan VS131I-MIBG With Vorinostat

Neuroblastoma

Enrolled (actual)
114
Serious AEs
20.7%
Results posted
Jun 2022
Primary outcome: Primary: Objective Tumor Response After One Course of Therapy — 5; 5; 11 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
131I-MIBG (Radiation); Vincristine (Drug); Irinotecan (Drug); Vorinostat (Drug)
Age
Pediatric, Adult · 2+ yrs
Sex
All
Sponsor
New Approaches to Neuroblastoma Therapy Consortium
Primary completion
Feb 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Objective Tumor Response After One Course of Therapy
5; 5; 11
SECONDARY
Number of Participants With Grade 3 or Greater Non-hematologic Toxicities
7; 17; 12

Summary

This study will compare three treatment regimens containing metaiodobenzylguanidine (MIBG) and compare their effects on tumor response and associated side effects, to determine if one therapy is better than the other for people diagnosed with relapsed or persistent neuroblastoma.

Eligibility Criteria

Inclusion Criteria

  • Patients must be > 24 months and 3 residual lesions on end-induction MIBG scan.
  • Patients must have evidence of MIBG uptake into tumor at ≥ one site within 4 weeks prior to entry on study and subsequent to any intervening therapy.
  • Patients must have adequate heart, kidney, liver and bone marrow function. Patients who have bone marrow disease must still have adequate bone marrow function to enter the study.
  • Patients must have a dose of unpurged peripheral blood stem cells is 2.0 x 106 viable CD34+ cells/kg available.

Exclusion Criteria

  • They have had previous I-131 MIBG therapy
  • They have other medical problems that could get much worse with this treatment.
  • They are pregnant or breast feeding.
  • They have a history of a venous or arterial thrombosis that was not associated to a central line.
  • They have active infections such as hepatitis or fungal infections.
  • They have active diarrhea.
  • They have had an allogeneic stem cell transplant (received stem cell from someone else)
  • They can't cooperate with the special precautions that are needed for this trial.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02035137). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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