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临床试验/NCT00253474
NCT00253474已完成1 期

A Phase I Trial of Peginterferon Alfa-2b (PEG-Intron) for Plexiform Neurofibromas

National Institutes of Health Clinical Center (CC)4 个研究点 分布在 1 个国家目标入组 36 人开始时间: 2005年9月1日最近更新:
适应症

试验速览

阶段
1 期
状态
已完成
入组人数
36
试验地点
4

研究概览

简要总结

RATIONALE: PEG-interferon alfa-2b may interfere with the growth of tumor cells.

PURPOSE: This phase I trial is studying the side effects and best dose of PEG-interferon alfa-2b in treating young patients with plexiform neurofibroma.

详细描述

OBJECTIVES:

Primary

  • Determine the maximum tolerated dose of PEG-interferon alfa-2b in patients with unresectable plexiform neurofibroma. (Dose escalation portion of study closed to accrual as of 2/2005.)
  • Determine the toxicity profile of this drug in these patients.

Secondary

  • Obtain, preliminary, information about the efficacy of this drug in these patients.
  • Evaluate the growth rate of plexiform neurofibroma using volumetric MRI analysis in patients treated with this drug.
  • Evaluate the impact of this drug, in terms of "worst symptom" score, in these patients.

研究设计

研究类型
Interventional
主要目的
Treatment

入排标准

年龄范围
1 Year 至 21 Years(Child, Adult)
性别
All
接受健康志愿者
否

入选标准

  • •DISEASE CHARACTERISTICS:
  • •Diagnosis of plexiform neurofibroma which is progressive, symptomatic, or life threatening and for which there is no other standard medical management or surgical option
  • •Histologic confirmation of tumor is not required in the presence of consistent clinical and radiographic findings provided the following are true:
  • •No clinical observation or scan suggestive of malignant transformation
  • •Meets ≥ 1 of the following diagnostic criteria for neurofibroma type 1 (NF1):
  • •Six or more cafe-au-lait spots (> 0.5 cm in prepubertal patients or > 1.5 cm in post pubertal patients)
  • •Freckling in axilla or groin
  • •Optic glioma
  • •Two or more Lisch nodules
  • •A distinctive bony lesion (e.g., dysplasia of the sphenoid bone, dysplasia, or thinning of long bone cortex)
  • •A first degree relative with NF1
  • •No history of malignant peripheral nerve sheath tumor
  • •No active visual pathway glioma
  • •No active brain tumor or brain metastases
  • •PATIENT CHARACTERISTICS:
  • •Performance status
  • •Life expectancy
  • •At least 12 months
  • •Hematopoietic
  • •Absolute neutrophil count > 1,500/mm^3
  • •Hemoglobin > 10 g/dL
  • •Platelet count > 100,000/mm^3
  • •Bilirubin < 1.5 mg/dL
  • •SGPT ≤ 2 times upper limit of normal
  • •No significant hepatic dysfunction
  • •Creatinine based on age as follows:
  • •≤ 0.8 mg/dL (for patients age 5 years and under)
  • •≤ 1.0 mg/dL (for patients age 6 to 10 years)
  • •≤ 1.2 mg/dL (for patients age 11 to 15 years)
  • •≤ 1.5 mg/dL (for patients age 16 to 21 years) OR
  • •Creatinine clearance ≥ 70 mL/min
  • •Cardiovascular
  • •No significant cardiac dysfunction
  • •No severe cardiovascular disease
  • •No cardiac arrhythmia requiring chronic treatment
  • •No congestive heart failure
  • •No symptomatic ischemic heart disease
  • •No significant pulmonary dysfunction
  • •Not pregnant or nursing
  • •Negative pregnancy test
  • •Fertile patients must use effective contraception
  • •No serious infection
  • •No other significant unrelated systemic illness
  • •No significant organ dysfunction
  • •No other malignancy except surgically cured nonmelanoma skin cancer or carcinoma in situ of the cervix
  • •No history of severe psychiatric condition or psychiatric disorder requiring hospitalization
  • •No history of suicidal ideation or attempt
  • •No thyroid dysfunction unresponsive to therapy
  • •No uncontrolled diabetes mellitus
  • •No history of HIV positivity
  • 另有 15 项未显示

排除标准

  • 未提供

研究者

研究点 (4)

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