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Chemotherapy

Treatment (131I-MIBG, chemotherapy) for Neuroblastoma

Phase 1
Waitlist Available
Led By Brian D Weiss
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
Age > 18 months (> 547 days) with unfavorable pathology, regardless of MYCN status
Patients with newly diagnosed INSS stage 2a/2b with MYCN amplification (> 4-fold increase in MYCN signals as compared to reference signals) and age >= 365 days, regardless of additional biologic features
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 6 weeks after course 5 of induction
Awards & highlights

Study Summary

This trial is studying MIBG therapy and chemotherapy in treating patients with newly diagnosed high-risk neuroblastoma.

Who is the study for?
This trial is for children with high-risk neuroblastoma, a type of cancer. Eligible patients are those newly diagnosed with specific stages of the disease, have certain genetic features like MYCN amplification, and meet age requirements. They should not have had much prior treatment except possibly one round of chemotherapy or emergency radiation. Kidney function tests and heart function must be within acceptable ranges.Check my eligibility
What is being tested?
The study tests induction therapy including iobenguane I-131 (a radioactive drug) plus various chemotherapies followed by stem cell transplant and maintenance therapy with isotretinoin. The goal is to see if this combination can better kill tumor cells in these young patients.See study design
What are the potential side effects?
Possible side effects include damage to kidney or liver functions due to radioisotope therapy; heart problems; blood disorders from chemotherapy; risk of infection after stem cell transplant; and skin dryness or other issues related to isotretinoin.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am older than 18 months and my cancer has unfavorable pathology.
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I am over 1 year old with a specific type of stage 2 neuroblastoma.
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My kidney function tests are within normal range for my age and gender.
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My neuroblastoma is newly diagnosed and classified as stage 4.
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My cancer shows a specific genetic change and I am over 1 year old.
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My child's bilirubin level is less than or equal to 1.0 mg/dL.
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My liver enzymes are within normal limits for my age.
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My creatinine level is equal to or less than 1.2 mg/dL, and I am between 10 and 13 years old.
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My kidney function is within the normal range for my age and gender.
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My bilirubin levels are within the normal range for my age.
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My cancer shows a high level of MYCN and I am over 1 year old.
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My kidney function, based on creatinine levels, is within the normal range.
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I am older than 18 months.
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My child's bilirubin level is less than or equal to 0.8 mg/dL.
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I have been diagnosed with neuroblastoma or ganglioneuroblastoma.
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My bilirubin levels are within the required range for my age.
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My condition is newly diagnosed stage 3 neuroblastoma.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 6 weeks after course 5 of induction
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 6 weeks after course 5 of induction for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Percentage of MIBG Avid Patients Treated With MIBG Labeled With Iodine-131 and Bu/Mel Chemotherapy
Percentage of MIBG Avid Patients Treated With Meta-iodobenxylguanide (MIBG) Labeled With Iodine-131
Secondary outcome measures
Incidence of Unacceptable Toxicity and Sinusoidal Obstruction Syndrome (SOS), Assessed by Common Terminology Criteria (CTV)v.4.0 for Toxicity Assessment and Grading for I-MIBG

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (131I-MIBG, chemotherapy)Experimental Treatment19 Interventions
See Detailed Description.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Busulfan
2008
Completed Phase 3
~1120
Intensity-Modulated Radiation Therapy
2010
Completed Phase 3
~2160
Isotretinoin
2019
Completed Phase 4
~3520
External Beam Radiation Therapy
2006
Completed Phase 3
~3070
Topotecan Hydrochloride
2013
Completed Phase 3
~6120
Therapeutic Conventional Surgery
2005
Completed Phase 3
~9850
Autologous Hematopoietic Stem Cell Transplantation
2017
Completed Phase 3
~1730
Doxorubicin Hydrochloride
2019
Completed Phase 3
~17850
In Vitro-Treated Peripheral Blood Stem Cell Transplantation
2010
Completed Phase 2
~70
Vincristine Sulfate
2005
Completed Phase 3
~10110
Cisplatin
2013
Completed Phase 3
~1940
Cyclophosphamide
1995
Completed Phase 3
~3780
Melphalan
2008
Completed Phase 3
~1500
3-Dimensional Conformal Radiation Therapy
2010
Completed Phase 3
~7160
Etoposide Phosphate
2011
Completed Phase 2
~160

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)NIH
13,654 Previous Clinical Trials
40,933,054 Total Patients Enrolled
205 Trials studying Neuroblastoma
53,629 Patients Enrolled for Neuroblastoma
Children's Oncology GroupLead Sponsor
453 Previous Clinical Trials
237,601 Total Patients Enrolled
63 Trials studying Neuroblastoma
31,770 Patients Enrolled for Neuroblastoma
Brian D WeissPrincipal InvestigatorChildren's Oncology Group

Media Library

Busulfan (Chemotherapy) Clinical Trial Eligibility Overview. Trial Name: NCT01175356 — Phase 1
Neuroblastoma Research Study Groups: Treatment (131I-MIBG, chemotherapy)
Neuroblastoma Clinical Trial 2023: Busulfan Highlights & Side Effects. Trial Name: NCT01175356 — Phase 1
Busulfan (Chemotherapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT01175356 — Phase 1

Frequently Asked Questions

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

Is this investigation a pioneering medical experiment?

"This pharmacological study has been under investigation since 1997, when it was first sponsored by Alfacell. After the initial trial in '97 involving 300 participants, this medication obtained its Phase 3 approval. Nowadays, 1811 trials are being conducted regarding this drug and taking place across 80 countries and 3779 cities worldwide."

Answered by AI

What illnesses are typically targeted with pharmaceutical research?

"This pharmacological study is known for its efficacy in treating Merkel cell cancer and has been used to combat leukemia, prostate cancer, and several types of lung cancers."

Answered by AI

How many healthcare facilities are currently implementing this clinical trial?

"Currently, 23 clinical trial sites are operating for this medical study. These locations span from Madison and Milwaukee to Birmingham as well as 20 other cities. To minimize travelling needs, patients should try to select the closest site if they decide to partake in this research."

Answered by AI

Could you elaborate on any prior investigations that have explored medication-based research?

"Research into this medication began in 1997 at Spectrum Health Hospital - Butterworth Campus, and 3719 trials have successfully concluded. Currently, 1811 studies are actively recruiting participants, with a large number of them based out of Madison, Wisconsin."

Answered by AI

Does this clinical trial accommodate patients above the age of 40?

"Eligibility for this trial is restricted to individuals aged 1-30 years. There are 592 trials open to participants under 18, and 1547 studies with a minimum age requirement of 65+."

Answered by AI

Are candidates able to apply for this clinical trial at the present moment?

"According to the data available on clinicaltrials.gov, this medical study is not actively recruiting patients at this time; however, it was initially posted in October 2010 and last updated March 3rd 2022. For those seeking alternative studies, there are a total of 1973 trials currently looking for candidates."

Answered by AI

How many participants are recruited for this investigation?

"This trial is no longer accepting patients. It was initiated on October 1st, 2010 and last updated on March 3rd 2022. If you are searching for other studies related to ganglioneuroblastoma, there are 162 trials currently available; if interested in pharmacological research, 1811 trails have openings for participants."

Answered by AI

What criteria must potential participants meet to qualify for enrollment in this trial?

"This medical trial is actively recruiting up to 99 participants between the ages of one year and 30 who have been diagnosed with ganglioneuroblastoma. Eligible patients must meet the following criteria: 365 days post initial diagnosis, INSS stage 1-4S progression without chemotherapy, enrolled in ANBL00B1 within 4 weeks of progressing to Stage 4 regardless of biologic features; 12-18 months age range with any 3 unfavorable biological characteristics (MYCN amplification, poor pathology report/DNA index = 1) or indeterminate/unsatisfactory/unknown biology; MYCN amplification (>4 fold increase); 18+ months old with"

Answered by AI
~7 spots leftby Apr 2025