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Topoisomerase I inhibitor

Chemotherapy for Recurrent Solid Cancers in Children

Phase 1
Waitlist Available
Led By Stuart L Cramer
Research Sponsored by Children's Oncology Group
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patient's current disease state must be one for which there is no known curative therapy
Karnofsky >= 50% for patients > 16 years of age and Lansky >= 50 for patients =< 16 years of age
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 24 months
Awards & highlights

Study Summary

This trial is testing the side effects and best dose of a drug called nanoparticle albumin-bound rapamycin when given with two other chemotherapy drugs, temozolomide and irinotecan hydrochloride, in treating pediatric patients with solid tumors that have come back or stopped responding to treatment.

Who is the study for?
This trial is for pediatric patients with solid tumors, including brain and CNS tumors that have returned or didn't respond to treatment. They must have a body surface area of at least 0.2 m^2, measurable disease, no known curative therapy available, stable neurologic deficits if present, and recovered from previous cancer treatments. Pregnant or breastfeeding individuals are excluded.Check my eligibility
What is being tested?
The trial tests nanoparticle albumin-bound rapamycin combined with chemotherapy drugs temozolomide and irinotecan hydrochloride in children. It aims to find the safest dose that can stop tumor growth by blocking necessary enzymes while killing or preventing cancer cells from dividing and spreading.See study design
What are the potential side effects?
Possible side effects include reactions related to the immune system's response to the drug components (like allergies), effects on organ function due to enzyme inhibition involved in cell growth, as well as typical chemotherapy-related issues such as nausea, fatigue, hair loss, blood disorders and increased risk of infections.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My condition cannot be cured with current treatments.
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I am mostly able to care for myself, regardless of my age.
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My cancer can be measured or seen on tests.
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I have recovered from side effects of previous cancer treatments.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 24 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 24 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
Area Under the Serum of Nanoparticle Albumin-bound Rapamycin Concentration Curve
Number of Patients With Adverse Events
Number of Patients With Cycle 1 and 2 Dose Limiting Toxicities Attributable to Nanoparticle Albumin-bound Rapamycin
Secondary outcome measures
Number of Patients With Antitumor Activity of Nanoparticle Albumin-bound Rapamycin

Side effects data

From 2021 Phase 1 & 2 trial • 24 Patients • NCT03010358
65%
Infusion related reaction
59%
Neutrophil count decreased
41%
Upper respiratory infection
29%
Aspartate aminotransferase increased
29%
Platelet count decreased
24%
Alanine aminotransferase increased
18%
Sinusitis
18%
Urinary tract infection
12%
Tooth infection
6%
Bronchial infection
6%
Acute Coronary Syndrome
6%
Febrile neutropenia
6%
Sepsis
6%
Infections and infestations - Other, specify
6%
Nail infection
6%
Rhinitis infective
6%
Tumor lysis syndrome
6%
Infusion Related Reaction
6%
Wound infection
100%
80%
60%
40%
20%
0%
Study treatment Arm
Phase 2 and MTD (800 mg Entospletinib Daily)
Phase 1, Dose 1 (400 mg Entospletinib Daily)

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (nab-rapamycin, temozolomide, irinotecan)Experimental Treatment5 Interventions
Patients receive nanoparticle albumin-bound rapamycin IV over 30 minutes on days 1 and 8 beginning on cycle 1. Patients also receive temozolomide PO and irinotecan hydrochloride PO on days 1-5 beginning on cycle 2. Treatment repeats every 21 days for up to 35 cycles in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Temozolomide
2010
Completed Phase 3
~1930
Irinotecan Hydrochloride
2010
Completed Phase 3
~1940

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)NIH
13,654 Previous Clinical Trials
40,933,120 Total Patients Enrolled
Children's Oncology GroupLead Sponsor
453 Previous Clinical Trials
237,667 Total Patients Enrolled
Stuart L CramerPrincipal InvestigatorCOG Phase I Consortium

Media Library

Irinotecan Hydrochloride (Topoisomerase I inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT02975882 — Phase 1
Brain Tumor Research Study Groups: Treatment (nab-rapamycin, temozolomide, irinotecan)
Brain Tumor Clinical Trial 2023: Irinotecan Hydrochloride Highlights & Side Effects. Trial Name: NCT02975882 — Phase 1
Irinotecan Hydrochloride (Topoisomerase I inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT02975882 — Phase 1

Frequently Asked Questions

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

What is the upper bound of individuals participating in this trial?

"This clinical trial has ceased taking in new participants. It was initially posted on July 24th 2017 and last updated on the 25th of July 2022. If you are looking for additional studies, there currently exist 3363 cancer-related trials that are recruiting patients and 686 Pharmacological Studies actively enrolling volunteers."

Answered by AI

How many centers are managing the clinical trial?

"As of now, 21 medical sites are accepting patients for this trial. Examples include Lurie Children's Hospital-Chicago in Chicago, Children's Hospital of Orange County in Orange and Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center located in Houston. Additionally, there are 18 other centres participating in the recruitment process."

Answered by AI

Is there currently an opportunity to join the trial?

"This trial has since concluded its recruitment phase; it was first posted on July 24th 2017 and the last edit occured on July 25th 2022. However, there are still 3363 clinical trials accepting cancer patients as participants and 686 more for those interested in Pharmacological Studies."

Answered by AI

Am I eligible to partake in this research project?

"This medical trial is recruiting 33 patients with cancer aged between 12 Months and 21. Those interested must meet the following criteria: have a malignancy without known curative therapy, possess a body surface area (BSA) of 0.2 m^2 or greater at time of enrollment, exhibit measurable/evaluable disease signs, Karnofsky >= 50% for individuals 16+ in age & Lansky >=50 for those below that milestone; stable neurological deficits if applicable, & full recovery from prior anti-cancer treatments including cytotoxic chemotherapy within 21 days (42 where nitrosourea was used); all other forms of anti-"

Answered by AI

Has the Pharmacological Study gained regulatory approval from the FDA?

"The limited clinical data for this pharmacological study resulted in a safety rating of 1."

Answered by AI

Is the age threshold for enrolment in this research higher than seventy-five years?

"According to the parameters of this trial, candidates aged between 12 months and 21 years old are eligible for enrollment."

Answered by AI

What maladies can be addressed via Pharmacological Study?

"Pharmacological Study has been known to provide successful treatment for neoplastic metastases, mediastinitis and small cell lung cancer (SCLC)."

Answered by AI

Are there any precedented clinical investigations of Pharmacological Study?

"Presently, 106 Phase 3 clinical research studies are being conducted on Pharmacological Study. Most of the trials are located in Woolloongabba, Queensland but there exist 16515 sites that host these experiments."

Answered by AI
~4 spots leftby Apr 2025