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Cyclooxygenase-2 (COX-2) Inhibitor

Sirolimus + Chemotherapy for Refractory Pediatric Cancer (AflacST1502 Trial)

Phase 2
Recruiting
Led By Thomas Cash, MD
Research Sponsored by Emory University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be younger than 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, end of treatment (up to 2 years)
Awards & highlights

AflacST1502 Trial Summary

This trial will test if a combination of sirolimus, celecoxib, and low-dose etoposide alternating with cyclophosphamide can shrink tumors in children who have not responded to other treatments.

Who is the study for?
This trial is for children with recurrent or refractory solid tumors and CNS (central nervous system) cancers, including brain tumors (except DIPG). Participants must have no known curative therapy available, be recovered from previous cancer treatments' side effects, and have measurable disease. They need to function at a certain level physically and have adequate organ function. Pregnant individuals, those on certain drugs like CYP3A4 inducers/inhibitors or cannabis oil during early treatment cycles, or with uncontrolled infections cannot join.Check my eligibility
What is being tested?
The study tests the effectiveness of daily sirolimus combined with celecoxib plus low-dose etoposide alternating with cyclophosphamide in pediatric patients. The goal is to see how well this regimen works for kids whose cancer has come back after treatment or hasn't responded to initial therapies.See study design
What are the potential side effects?
Possible side effects include immune system suppression leading to increased infection risk; mouth sores; stomach issues like nausea, vomiting, diarrhea; liver toxicity; kidney problems; blood cell count changes causing fatigue or bleeding risks; lung complications; and potential interactions affecting blood sugar and cholesterol levels.

AflacST1502 Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, end of treatment (up to 2 years)
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, end of treatment (up to 2 years) 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 radiographic response to treatment for central nervous system (CNS) tumors
Change in radiographic response to treatment for solid tumors
Secondary outcome measures
Number of adverse events

AflacST1502 Trial Design

1Treatment groups
Experimental Treatment
Group I: Oral sirolimus, celecoxib, etoposide, and cyclophosphamideExperimental Treatment4 Interventions
Participants in this group will receive oral sirolimus and celecoxib in addition to cycles of oral etoposide and cyclophosphamide for up to two years.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Celecoxib
2019
Completed Phase 4
~1740
Sirolimus
2013
Completed Phase 4
~2750
Etoposide
2010
Completed Phase 3
~2440
Cyclophosphamide
1995
Completed Phase 3
~3770

Find a Location

Who is running the clinical trial?

Cannonball Kids' Cancer FoundationOTHER
5 Previous Clinical Trials
97 Total Patients Enrolled
Emory UniversityLead Sponsor
1,640 Previous Clinical Trials
2,560,636 Total Patients Enrolled
Hyundai Hope On WheelsOTHER
6 Previous Clinical Trials
547 Total Patients Enrolled

Media Library

Celecoxib (Cyclooxygenase-2 (COX-2) Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT02574728 — Phase 2
Cancer Research Study Groups: Oral sirolimus, celecoxib, etoposide, and cyclophosphamide
Cancer Clinical Trial 2023: Celecoxib Highlights & Side Effects. Trial Name: NCT02574728 — Phase 2
Celecoxib (Cyclooxygenase-2 (COX-2) Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT02574728 — Phase 2

Frequently Asked Questions

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

What cancerous and non-cancerous maladies does Cyclophosphamide typically address?

"While cyclophosphamide is most often used to fight lung cancer, it can also help patients with small cell lung cancer, organ transplants, and multiple sclerosis."

Answered by AI

Is this study available to people who are not yet 40 years old?

"The age range for this clinical trial is 12 months to 30 years old."

Answered by AI

Are we actively looking for new participants for this experiment?

"From what is available on clinicaltrials.gov, this trial is still looking for candidates. The initial posting was on 6/1/2015, with the latest update on 10/28/2021."

Answered by AI

What is the toxicity profile of Cyclophosphamide?

"Cyclophosphamide's safety has been backed by some data in Phase 2 trials, but there is no evidence yet of the medication's efficacy. Therefore, we gave it a score of 2."

Answered by AI

Could you list the inclusionary criteria for this experiment?

"This study is looking for 60 participants between the ages of 12 months and 30 who have malignancies. Participants must also meet the following criteria: have experienced relapse following front-line therapy, or be refractory to front-line therapy, and have tumors that carry a poor prognosis and have no known standard curative therapy. Participant's current disease state must be one for which there is no known curative therapy. Participants must also be fully recovered from acute toxic effects of all prior anti-cancer therapy. Brain tumors of all World Health Organization (WHO) grades, except diffuse intrinsic pontine glioma (DIP"

Answered by AI

Are there similar treatments to Cyclophosphamide that have been studied before?

"City of Hope Comprehensive Cancer Center first researched cyclophosphamide in 1997 and, since then, 1834 trials have completed. 1165 more trials are currently underway, with numerous ones based in Atlanta, Georgia."

Answered by AI

Who else is applying?

What state do they live in?
Minnesota
What site did they apply to?
University of Virginia Health System
What portion of applicants met pre-screening criteria?
Did not meet criteria
~5 spots leftby Feb 2025