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Tyrosine Kinase Inhibitor
Crizotinib for Acoustic Neuroma (NF110 Trial)
Phase 2
Waitlist Available
Research Sponsored by University of Alabama at Birmingham
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Lansky/Karnofsky performance status ≥ 60
Patients must have a confirmed diagnosis of neurofibromatosis 2 by fulfilling National Institute of Health (NIH) criteria or Manchester criteria, or by detection of a causative mutation in the NF2 gene
Must not have
Use of drugs that are CYP3A4 substrates with narrow therapeutic indices
Female patients who are pregnant or breast feeding, or adults of reproductive potential who are not using effective birth control methods
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 48 weeks
Awards & highlights
Summary
This trial tests crizotinib, an oral medication, in patients with NF2 and growing vestibular schwannoma tumors. The drug works by blocking proteins that help the tumor grow.
Who is the study for?
This trial is for children and adults over 6 years old with Neurofibromatosis Type 2 (NF2) and growing vestibular schwannomas. Participants must have stable neurologic symptoms, meet specific health criteria, not be on certain drugs or treatments that could interfere, and women of childbearing age must use effective birth control.
What is being tested?
The trial tests Crizotinib, an oral medication given in continuous 28-day cycles up to a maximum of 12 cycles. It aims to see if it can stop the growth of tumors in patients with NF2 until either the disease progresses further or side effects become too severe.
What are the potential side effects?
Possible side effects include issues from drug interactions due to Crizotinib's effect on liver enzymes, gastrointestinal problems affecting how well the body absorbs the drug, heart rhythm changes, and general risks associated with taking anticancer medications.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I can care for myself but may need occasional help.
Select...
I have been diagnosed with neurofibromatosis 2 according to NIH, Manchester criteria, or a genetic test.
Select...
My organ and bone marrow functions are within normal ranges.
Select...
I have a growing tumor on my hearing nerve that can be measured.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I am taking medication that is sensitive to changes in my body's enzyme levels.
Select...
I am not pregnant, breastfeeding, and if capable of having children, I am using effective birth control.
Select...
I am a man and will not use contraception during the study and for 3 months after.
Select...
I have a stomach or intestine condition that affects how my body absorbs medication.
Select...
I am not using any strong CYP3A4 inhibitor medications or foods.
Select...
My cancer is quickly getting worse and I need steroids for brain or spine tumor symptoms.
Select...
I do not have serious heart rhythm problems or uncontrolled atrial fibrillation.
Select...
I am not taking any strong medications that affect liver enzymes.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 48 weeks
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 48 weeks
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Volumetric Response Rate
Side effects data
From 2020 Phase 3 trial • 207 Patients • NCT0163900166%
Alanine aminotransferase increased
61%
Diarrhoea
60%
Aspartate aminotransferase increased
59%
Vomiting
54%
Nausea
41%
White blood cell count decreased
40%
Visual impairment
38%
Neutrophil count decreased
36%
Constipation
32%
Cough
28%
Headache
27%
Dizziness
26%
Oedema peripheral
26%
Decreased appetite
25%
Blood albumin decreased
21%
Pain in extremity
21%
Nasopharyngitis
20%
Neutropenia
19%
Anaemia
18%
Pyrexia
18%
Hypoalbuminaemia
17%
Upper respiratory tract infection
15%
Chest pain
15%
Dyspnoea
14%
Disease progression
14%
Blood lactate dehydrogenase increased
13%
Blood creatine phosphokinase increased
13%
Sinus bradycardia
13%
Vision blurred
13%
Gamma-glutamyltransferase increased
13%
Back pain
13%
Insomnia
13%
Protein total decreased
13%
Hypocalcaemia
12%
Leukopenia
12%
Rash
12%
Hypokalaemia
11%
Abdominal distension
10%
Abdominal pain
10%
Blood alkaline phosphatase increased
10%
Pain
10%
Alopecia
9%
Chest discomfort
9%
Blood creatinine increased
9%
Fatigue
9%
Oedema
9%
Hypoaesthesia
8%
Asthenia
8%
Arthralgia
8%
Lymphocyte count decreased
8%
Abdominal pain upper
8%
Platelet count decreased
8%
Hypertension
8%
Haemoptysis
7%
Face oedema
7%
Photopsia
7%
Toothache
7%
Haemoglobin decreased
7%
Paraesthesia
7%
Muscular weakness
6%
Blood creatine phosphokinase MB increased
6%
Taste disorder
6%
Bradycardia
6%
Pneumonia
6%
Hyponatraemia
6%
Hypoproteinaemia
6%
Musculoskeletal pain
6%
Red blood cell count decreased
6%
Productive cough
5%
Blood bilirubin increased
5%
Pruritus
4%
Thrombocytopenia
3%
Pulmonary embolism
2%
Interstitial lung disease
2%
Death
2%
Pleural effusion
2%
Dysphagia
2%
Pneumothorax
1%
Anaphylactic shock
1%
Subcutaneous emphysema
1%
Phlebitis
1%
Pancreatitis acute
1%
Abdominal discomfort
1%
Hepatic function abnormal
1%
Intestinal obstruction
1%
Pancreatitis
1%
Impaired healing
1%
Drug-induced liver injury
1%
Gastrointestinal viral infection
1%
Lower respiratory tract infection
1%
Goitre
1%
Ocular hypertension
1%
Post procedural infection
1%
Deep vein thrombosis
1%
Cellulitis
1%
Hyperuricaemia
1%
Colon adenoma
1%
Adenomyosis
1%
Circulatory collapse
1%
Fracture
1%
Altered state of consciousness
100%
80%
60%
40%
20%
0%
Study treatment Arm
Crizotinib
Chemotherapy
Trial Design
1Treatment groups
Experimental Treatment
Group I: Open Label Continuous TreatmentExperimental Treatment1 Intervention
Subjects with Neurofibromatosis Type 2 (NF2) and progressive vestibular schwannoma (VS) will be treated with crizotinib administered orally. Crizotinib will be taken continuously until disease progression or unacceptable toxicity, in continuous treatment cycles of 28 days each, for a maximum of 12 cycles. Clinical response will be assessed by MRI (volumetrics, primary objective) and audiology at the end of every 3rd cycle. Subjects with volumetric tumor progression will be taken off protocol. Patients who complete 12 cycles of treatment without disease progression, but within the following 24 weeks show subsequent disease progression (defined as \>20% increase in target tumor volume compared to off-treatment volume), will be eligible for re-treatment on study for up to 48 additional weeks, provided they still meet study eligibility criteria.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Crizotinib
2014
Completed Phase 3
~2960
Research Highlights
Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
Common treatments for Neurofibromatosis, particularly Neurofibromatosis Type 2 (NF2), include Tyrosine Kinase Inhibitors (TKIs) such as Crizotinib. TKIs work by inhibiting the activity of specific enzymes (tyrosine kinases) that are involved in the signaling pathways promoting tumor growth and survival.
By blocking these enzymes, TKIs can reduce tumor growth and potentially shrink existing tumors. This is particularly important for NF2 patients, who often develop multiple benign tumors that can cause significant morbidity due to their location, such as vestibular schwannomas affecting hearing and balance.
Effective inhibition of these pathways can help manage tumor progression and improve quality of life for these patients.
Efficacy and Safety of First-Line Treatment Strategies for Anaplastic Lymphoma Kinase-Positive Non-Small Cell Lung Cancer: A Bayesian Network Meta-Analysis.Focal adhesion kinase priming in pancreatic cancer, altering biomechanics to improve chemotherapy.Efficacy of treatment for acneiform eruptions related to epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) for non-small cell lung cancer (NSCLC): A protocol of systematic review and network meta-analysis.
Efficacy and Safety of First-Line Treatment Strategies for Anaplastic Lymphoma Kinase-Positive Non-Small Cell Lung Cancer: A Bayesian Network Meta-Analysis.Focal adhesion kinase priming in pancreatic cancer, altering biomechanics to improve chemotherapy.Efficacy of treatment for acneiform eruptions related to epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) for non-small cell lung cancer (NSCLC): A protocol of systematic review and network meta-analysis.
Find a Location
Who is running the clinical trial?
Children's Hospital of PhiladelphiaOTHER
725 Previous Clinical Trials
8,469,866 Total Patients Enrolled
Memorial Sloan Kettering Cancer CenterOTHER
1,960 Previous Clinical Trials
596,708 Total Patients Enrolled
1 Trials studying Neurofibromatosis
50 Patients Enrolled for Neurofibromatosis
University of Alabama at BirminghamLead Sponsor
1,628 Previous Clinical Trials
2,304,311 Total Patients Enrolled
1 Trials studying Neurofibromatosis
45 Patients Enrolled for Neurofibromatosis
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am taking medication that is sensitive to changes in my body's enzyme levels.I haven't had radiation on the tumor I want to study in the last year or any radiation in the last 4 weeks.I am not pregnant, breastfeeding, and if capable of having children, I am using effective birth control.I am a man and will not use contraception during the study and for 3 months after.I can care for myself but may need occasional help.It's been long enough since my last monoclonal antibody treatment to join.My neurological symptoms have been stable for at least a week.I have a stomach or intestine condition that affects how my body absorbs medication.I have been diagnosed with neurofibromatosis 2 according to NIH, Manchester criteria, or a genetic test.You are expected to live for more than 1 year.My organ and bone marrow functions are within normal ranges.I am not using any strong CYP3A4 inhibitor medications or foods.My cancer is quickly getting worse and I need steroids for brain or spine tumor symptoms.I do not have serious heart rhythm problems or uncontrolled atrial fibrillation.I am 6 years old or older.I have no lingering side effects from previous cancer treatments.I am willing and able to follow the study's requirements.I am not taking any strong medications that affect liver enzymes.I haven't taken cancer drugs in the last 4 weeks.I have a growing tumor on my hearing nerve that can be measured.
Research Study Groups:
This trial has the following groups:- Group 1: Open Label Continuous Treatment
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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