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临床试验/EUCTR2020-004445-36-DK
EUCTR2020-004445-36-DK进行中(未招募)1 期

A phase II trial of 177Lutetium-DOTATATE in children with primary refractory or relapsed high-risk neuroblastoma. - LuDO

Karolinska University Hospital0 个研究点目标入组 25 人开始时间: 2021年2月2日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
25

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 1. Pathology
  • 1.1. Histologically confirmed diagnosis of neuroblastoma
  • 1.2. Immunohistochemical staining for somatostatin receptors (SSTR) performed from primary tumor tissue when available
  • 2. Relapsed or primary refractory high-risk neuroblastoma: INSS stage 4 disease or INRGSS stage M disease
  • 3. Age >18 months at the time of enrolment into this study
  • 4. Life expectancy of greater than 3 months
  • 5. Performance Status
  • 5.1. Karnofsky > 50% (for patients > 12 years of age)
  • 5.2. Lansky > 50% (for patients = 12 years of age)
  • 6. Prior treatment
  • 6.1. Two-week washout from any prior treatment
  • 6.2. Patients must have recovery of hematological toxicity following previous therapy 6.3. Adequate recovery from major surgery prior to receiving study treatment
  • 7. Diagnostic imaging
  • 7.1. Uptake in the primary tumor or metastatic tumour deposits on 68Ga-DOTATATE PET/CT at least higher than the liver uptake and performed within two months prior to registration
  • 7.2. 123I-mIBG scintigraphy to be performed within two months prior to registration
  • 7.3. CT or MRI of the primary tumor and bulky metastatic sites within two months prior to registration
  • 8. Laboratory requirements to be performed within 7 days prior to commencing trial treatment:
  • 8.1. Hematology:
  • 8.1.1. Hemoglobin, If Hb is <120 g/L then patient will receive a blood transfusion prior to commencing trial treatment
  • 8.1.2. Absolute neutrophil count > 1.0 x 109/L 8.1.3. Absolute Platelets > 100 x 109/L
  • 8.2. Biochemistry:
  • 8.2.1. Bilirubin within 1.5 x ULN
  • 8.2.2. ALT within 2.5 x ULN
  • 8.2.3 AST within 2.5 x ULN
  • 8.2.4 GGT within 5 x ULN
  • 8.2.5. ALP within 5 x ULN
  • 8.2.6. Glomerular filtration rate >50mL/min/1.73m2 assessed by a recognised method, such as inulin, 51Cr-EDTA, 99mTc-DTPA or iohexol clearance and performed within 2 months prior to registration
  • 8.2.7. Urinary catecholamine metabolites measured within 2 months prior to registration
  • 9. Peripheral blood stem cells (PBSC)
  • 9.1. A minimum of 2 x106 CD34+ cells/kg (optimally 6 x106 CD34+ cells/kg) must be available for each study subject prior to registering
  • 10. Written informed consent from patient and/or parent(s) or legal guardian(s) in accordance with national regulations, prior to registration or any trial-related screening procedures
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 25
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 1
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1. Not fit enough to undergo proposed study treatment, as assessed by national PI, considering precautions defined in the latest version of the Lutathera SmPC
  • 2. Pregnant or lactating patient
  • 3. Concurrent treatment with any anti-tumor agents
  • 4. Prior treatment with other radiolabeled somatostatin analogues
  • 5. Hypersensitivity to any component of the investigational drug Lutathera®
  • 6. Treatment with long-acting somatostatin analogues within 30 days prior the administration of Lutathera®

研究者

发起方
Karolinska University Hospital

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