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Monoclonal Antibodies

Erenumab + Siltuximab for Schwannomatosis Pain

Phase 2
Recruiting
Led By Scott Plotkin, MD
Research Sponsored by Massachusetts General Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients must have a confirmed diagnosis schwannomatosis by fulfilling either clinical or molecular diagnosis.
Two or more non-intradermal schwannomas, one with pathological confirmation, without evidence of bilateral vestibular schwannoma (see
Timeline
Screening 3 weeks
Treatment Varies
Follow Up randomization/1st treatment to 4 weeks post final treatment
Awards & highlights

Study Summary

This trial is testing the safety and effectiveness of two different treatments for pain caused by schwannomatosis.

Who is the study for?
This trial is for people with schwannomatosis, a condition causing chronic pain due to tumors on nerves. Participants must have at least two non-skin surface tumors, one confirmed by pathology, and no signs of certain other nerve-related tumors.Check my eligibility
What is being tested?
The STARFISH trial is testing the safety and pain relief effectiveness of Erenumab-Aooe and Siltuximab against placebos in individuals with schwannomatosis. It's a phase II study where patients are randomly assigned to receive either an experimental therapy or a placebo.See study design
What are the potential side effects?
Possible side effects from Erenumab-Aooe may include injection site reactions, constipation, muscle spasms, and possibly others. Siltuximab could cause rash, upper respiratory infections, swelling in limbs or face among other potential side effects.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I have been diagnosed with schwannomatosis.
Select...
I have two or more schwannomas, one confirmed by a doctor, and no bilateral vestibular schwannoma.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~randomization/1st treatment to 4 weeks post final treatment
This trial's timeline: 3 weeks for screening, Varies for treatment, and randomization/1st treatment to 4 weeks post final treatment for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Change in worst pain intensity for each drug sub-study
Secondary outcome measures
Number of Participants with Adverse Events in each drug sub-study

Trial Design

2Treatment groups
Experimental Treatment
Group I: Sub-study B: Erenumab-AooeExperimental Treatment2 Interventions
The treatment period includes a single-blind treatment period (days 1-84) and an open-label treatment period (days 85-168). All participants will receive erenumab-aooe during this drug sub-study. Twenty (20) participants will receive a randomization assignment to receive either Erenumab-Aooe or matching placebo during the single-blind treatment period. All participants will receive erenumab-aooe during the open-label treatment period. Participants will complete study procedures as outlined: Single-Blind treatment period (days 1 - 84): Administration of Erenumab-Aooe versus matching placebo in pre-determined dose once every 28 days (for 3 cycles). Open-Label Treatment period (days 85-168): Administration of Erenumab-Aooe in pre-determined dose once every 28 days (for 3 cycles).
Group II: Sub-study A: SiltuximabExperimental Treatment2 Interventions
The treatment period includes a double-blind treatment period (days 1-84) and an open-label treatment period (days 85-168). All participants will receive siltuximab during this drug sub-study. Twenty (20) participants will be randomized to receive either Siltuximab or matching placebo during the double-blind treatment period. All participants will receive siltuximab during the open-label treatment period. Participants will complete study procedures as outlined: Double-Blind Treatment period: Administration of Siltuximab versus matching placebo in pre-determined dose once every 21 days (for 4 cycles). Open-Label Treatment period: Administration of Siltuximab in pre-determined dose once every 21 days (for 4 cycles).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Siltuximab
2011
Completed Phase 3
~1190

Find a Location

Who is running the clinical trial?

Massachusetts General HospitalLead Sponsor
2,941 Previous Clinical Trials
13,200,628 Total Patients Enrolled
3 Trials studying Schwannomatosis
298 Patients Enrolled for Schwannomatosis
United States Department of DefenseFED
866 Previous Clinical Trials
327,465 Total Patients Enrolled
Recordati Rare DiseasesIndustry Sponsor
10 Previous Clinical Trials
427 Total Patients Enrolled

Media Library

Erenumab-Aooe (Monoclonal Antibodies) Clinical Trial Eligibility Overview. Trial Name: NCT05684692 — Phase 2
Schwannomatosis Research Study Groups: Sub-study B: Erenumab-Aooe, Sub-study A: Siltuximab
Schwannomatosis Clinical Trial 2023: Erenumab-Aooe Highlights & Side Effects. Trial Name: NCT05684692 — Phase 2
Erenumab-Aooe (Monoclonal Antibodies) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05684692 — Phase 2

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Has Siltuximab been granted regulatory clearance by the FDA?

"Our experts rated Sub-study A: Siltuximab's safety at a 2 due to the existence of Phase 2 trials, indicating some data exists which addresses its security but not efficacy."

Answered by AI

Is enrollment for this research project still taking place?

"According to the information on clinicaltrials.gov, this medical study is not in a recruiting phase at present. Initially posted on March 1st 2023 and updated most recently on January 5th 2023, it has yet to actively seek out participants - although 621 other trials are currently doing so."

Answered by AI
~27 spots leftby Mar 2026