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Anti-thrombotic agent

Supportive Care (defibrotide) for Neuroblastoma

Phase 2
Waitlist Available
Led By Christine Higham, MD
Research Sponsored by University of California, San Francisco
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Age: 1 - < 18 years old
Planned tandem transplants with conditioning with cyclophosphamide-thiotepa and carboplatin-etoposide-melphalan on, or as per, NCT03126916 (ANBL1531) or other tandem-containing COG high-risk neuroblastoma trials
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to1 year
Awards & highlights

Study Summary

This trial is testing a medication called defibrotide to see if it can prevent a dangerous complication called transplant-associated thrombotic microangiopathy (TA-TMA) in patients with high-risk neuro

Who is the study for?
This trial is for patients with high-risk neuroblastoma who are undergoing tandem stem cell transplants. It aims to prevent a serious complication called transplant-associated thrombotic microangiopathy (TA-TMA), which can occur after receiving chemotherapy that damages blood vessels.Check my eligibility
What is being tested?
The trial is testing the effectiveness of defibrotide in preventing TA-TMA. Defibrotide may protect blood vessel walls from damage caused by chemotherapy, potentially reducing the risk of TMA and its associated organ damage, especially in kidneys.See study design
What are the potential side effects?
Defibrotide's side effects could include bleeding complications due to its anticoagulant properties, as well as possible allergic reactions or other infusion-related responses. The exact side effect profile will be monitored throughout the study.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am between 1 and 17 years old.
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I am scheduled for specific chemotherapy as part of a neuroblastoma study.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to1 year
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to1 year for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Cumulative incidence of transplant-associated thrombotic microangiopathy (TA-TMA)
Secondary outcome measures
Cumulative incidence of severe TA-TMA

Side effects data

From 2018 Phase 4 trial • 20 Patients • NCT02876601
81%
Headache
38%
Flu-like Symptoms
19%
Chills
13%
Nausea
13%
Arthralgia
6%
Precollapse
6%
Dizziness
6%
Vertigo
100%
80%
60%
40%
20%
0%
Study treatment Arm
Defibrotide Plus LPS
Placebo Plus LPS
Defibrotide Plus Placebo
Placebo/Placebo

Trial Design

1Treatment groups
Experimental Treatment
Group I: Supportive Care (defibrotide)Experimental Treatment1 Intervention
Participants receive defibrotide IV over 2 hours every six hours on days -8 to +21 during the first and second rounds of Hematopoietic stem-cell transplantation (HSCT).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Defibrotide
2018
Completed Phase 4
~2490

Find a Location

Who is running the clinical trial?

Jazz PharmaceuticalsIndustry Sponsor
248 Previous Clinical Trials
34,229 Total Patients Enrolled
University of California, San FranciscoLead Sponsor
2,507 Previous Clinical Trials
15,238,525 Total Patients Enrolled
6 Trials studying Neuroblastoma
3,961 Patients Enrolled for Neuroblastoma
Christine Higham, MDPrincipal InvestigatorUniversity of California, San Francisco
1 Previous Clinical Trials
25 Total Patients Enrolled

Frequently Asked Questions

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

Is it possible for patients to enroll in this ongoing clinical trial?

"According to the latest update on clinicaltrials.gov, this particular research study is not actively seeking participants. Its initial posting was made on March 1st, 2024 and it was last edited on December 13th, 2023. However, it's worth noting that there are currently a total of 281 other ongoing clinical trials actively recruiting patients at this time."

Answered by AI

Can individuals who have reached or exceeded the age of 65 participate in this trial?

"To meet the eligibility requirements for this research study, participants must be at least 1 year old but not exceed 18 years of age."

Answered by AI

Are there any potential risks or adverse effects associated with the use of Supportive Care (defibrotide) in individuals?

"Given that this trial is in Phase 2, there is limited safety data available for Supportive Care (defibrotide). Therefore, it has been assigned a safety rating of 2."

Answered by AI
~10 spots leftby Feb 2027