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RRx-001 + Chemotherapy for Brain Cancer (PIRATE Trial)

Phase 1
Waitlist Available
Led By Stephanie Fetzko, MD
Research Sponsored by EpicentRx, Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients must have a Karnofsky score of ≥50% if >16 years old or a Lansky score of ≥50 if ≤16 years old
Creatinine clearance or radioisotope glomerular filtration rate (GFR) ≥50 mL/min/1.73 m2 or a serum creatinine based on age and sex
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 18 months
Awards & highlights

PIRATE Trial Summary

This trial is testing the experimental drug RRx-001 in combination with 2 chemotherapy drugs that are commonly used in cancer patients. RRx-001 has been used before in adults, but the investigators don't know what effects it will have in children and young adults.

Who is the study for?
This trial is for pediatric patients with recurrent or progressive malignant solid and CNS tumors. They must be stable post-surgery, recovered from previous treatments, able to take oral meds, not pregnant, and without severe organ dysfunction or certain blood disorders. A central line is required for drug administration.Check my eligibility
What is being tested?
The PIRATE study evaluates the experimental drug RRx-001 combined with chemotherapy drugs Irinotecan and Temozolomide in children and young adults. It aims to understand the effects of this combination on pediatric brain/spinal cord tumors as well as other solid tumors.See study design
What are the potential side effects?
While specific side effects are not listed here, potential side effects may include those commonly associated with chemotherapy such as nausea, fatigue, hair loss, increased risk of infection due to lowered immune cell counts (neutropenia), mouth sores, and possible allergic reactions.

PIRATE Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am mostly capable of self-care and daily activities.
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My kidney function is normal or only mildly reduced.
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I have good lung function, no shortness of breath at rest, and a healthy heart.
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I can safely swallow pills or liquid medicine.
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My cancer is a high-grade tumor in the brain or spinal cord, not lymphoma.

PIRATE Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~18 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and 18 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Recommended phase 2 dose
Other outcome measures
Change in cellularity
Change in tumor perfusion
Grade 3 or higher CTCAE version 5.0 adverse event terms
+7 more

PIRATE Trial Design

1Treatment groups
Experimental Treatment
Group I: RRx-001, Temozolomide and IrinotecanExperimental Treatment3 Interventions
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
RRx-001
2015
Completed Phase 2
~290
Temozolomide
2010
Completed Phase 3
~1930
Irinotecan
2017
Completed Phase 4
~2680

Find a Location

Who is running the clinical trial?

EpicentRx, Inc.Lead Sponsor
15 Previous Clinical Trials
1,030 Total Patients Enrolled
Texas Children's Cancer CenterOTHER
7 Previous Clinical Trials
221 Total Patients Enrolled
Stephanie Fetzko, MDPrincipal InvestigatorTexas Children's Cancer Center

Media Library

Irinotecan (Other) Clinical Trial Eligibility Overview. Trial Name: NCT04525014 — Phase 1
Brain Tumor Research Study Groups: RRx-001, Temozolomide and Irinotecan
Brain Tumor Clinical Trial 2023: Irinotecan Highlights & Side Effects. Trial Name: NCT04525014 — Phase 1
Irinotecan (Other) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04525014 — Phase 1

Frequently Asked Questions

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

Do participants need to be younger than 30 years old in order to qualify for this experiment?

"The minimum age to partake in this research is 1 year and the maximum allowed enrollment age is 21."

Answered by AI

What prior research has been conducted regarding the effects of RRx-001?

"Currently, 439 clinical trials are actively studying RRx-001 with 75 of those in their final stage. Although the majority are situated in Adelaide, South Australia, there exists a total of 12804 sites researching this medication."

Answered by AI

Are there any enrollment opportunities available for this trial currently?

"According to clinicaltrials.gov, this trial is still in the recruitment process. It was published on December 1st 2022 and recently modified on August 15th 2022."

Answered by AI

Has RRx-001 been granted regulatory clearance by the FDA?

"Since RRx-001 is in a Phase 1 trial, there is restricted evidence on its safety and effectiveness. Therefore, our team at Power scored it an overall 1 out of 3."

Answered by AI

Who can partake in this medical investigation?

"This trial is recruiting a maximum of 24 participants between the ages 1 and 21 with central nervous system neoplasms. To be eligible, all patients must meet these prerequisites: stable neurological deficits for no less than 7 days prior to enrollment; seizure frequency/duration maintained at baseline levels for at least the same amount of time; chronic systemic steroid use stabilized or decreasing within 14 days before application; Karnofsky score ≥50% (if >16) or Lansky score ≥50 (if ≤16); treatment-related toxicities <grade 1 level; 4 weeks since major surgery including craniotomy + one week since stereotactic bi"

Answered by AI

How many participants can take part in this trial before it is full?

"Indeed, the data found on clinicaltrials.gov affirms that recruitment for this medical research is still open. It was first posted in December 1st 2022 and last edited on August 15th of the same year. This trial seeks to enroll 24 patients from a single site."

Answered by AI

What indications has RRx-001 been used to address?

"RRx-001 is frequently deployed in the treatment of melanoma, and can also be helpful for individuals with soft tissue sarcoma (STS), primary central nervous system lymphoma (PCNSL) and other malignancies."

Answered by AI
~8 spots leftby Dec 2024