NCT02446431 · Miller Children's & Women's Hospital Long Beach
Metronomic Therapy for Pediatric Patients With Solid Tumors at High Risk of Recurrence
(Metronomic)
What this study is about
Most pediatric patients with solid tumors respond to initial high-dose, intensive therapy and complete treatment in remission. High-risk patients however, frequently have recurrent disease which is then treated with ad hoc regimens or early phase therapies with little benefit to the patient.
View original scientific description
Most pediatric patients with solid tumors respond to initial high-dose, intensive therapy and complete treatment in remission. High-risk patients however, frequently have recurrent disease which is then treated with ad hoc regimens or early phase therapies with little benefit to the patient. Metronomic therapy (MC), defined as lower dose continuous drug exposure, has been successfully tested in pediatric leukemias with excellent results in terms of improved outcome, toxicity profiles, and cost. MC has been applied to solid tumors with little success, but has been implemented usually in the relapsed setting at a time of high tumor burden and disease resistance.
Who can participate
This study lists these criteria on ClinicalTrials.gov. A study coordinator reviews eligibility during screening — this page does not determine whether you qualify.
Inclusion criteria
- The following solid tumors will be studied: rhabdomyosarcoma, osteosarcoma, Ewing sarcoma, other soft tissue sarcomas
- Other solid tumors fulfilling the remainder of eligibility criteria and available historical data to determine time to tumor progression
- Expected time to progression of \< 2 years, based on historical data
- All patients will have completed front-line therapy
- All patients will be in remission from their primary diagnosis
- All patients will start metronomic therapy within 6 weeks of completion of front-line treatment
- All patient will have recovered from previous toxicities
- All patients or their parents/legal guardian will have signed an informed consent document
- All institutional eligibility criteria will be meet
- Age: Patients must be ≥ 12 months and \<31 years of age at the time of study entry
- Patients must have had histologic verification of malignancy at original diagnosis
- Patients must have a Lansky or Karnofsky performance status score of ≥ 50, corresponding to ECOG categories 0, 1 or 2.
- Adequate renal function defined as: Normal serum creatinine
- Normal liver tests (ALT/AST/total bilirubin/triglycerides/cholesterol)
- Recovered from all surgical procedures for at least 7 days (minor procedures) or 28 days (major procedures)
- Adequate cardiac function defined as: Shortening fraction of ≥ 27% by echocardiogram, or ejection fraction of ≥ 50% by radionuclide angiogram
- Platelet count 100,000K/uL (transfusion independent), hemoglobin 8.0 g/dL
- Adequate bone marrow function: Peripheral absolute neutrophil count (ANC) 1,000K/uL
- Signed Informed Consent document and/or Assent document
Exclusion criteria
- Female patients who are pregnant
- Lactating females are not eligible unless they have agreed to discontinue breastfeeding
- Female patients of childbearing potential are not eligible unless a negative pregnancy test result has been obtained
- Sexually active patients of reproductive potential are not eligible unless they have agreed to use an effective contraceptive method for the duration of study participation
- Any primary central nervous system tumor
- Any patient who has experienced relapsed or refractory disease or a second malignancy.
- Any patient not in remission
Where
- Long Beach, California
- Orange, California
Frequently asked questions
What is a clinical trial?
A clinical trial is a research study that tests new medical treatments, drugs, devices, or procedures to determine their safety and effectiveness. Trials are carefully designed and monitored to protect participants while advancing medical knowledge.
Is it safe to participate?
Clinical trials follow strict safety guidelines and ethical standards. Trials must be reviewed and approved, and participants are closely monitored by medical professionals throughout the study. You can withdraw at any time if you choose.
Will I be compensated?
Many clinical trials offer compensation for your time, travel expenses, and inconvenience. The specific compensation varies by study and will be discussed during the screening process. All study-related medical care is typically provided at no cost to participants.
Will I receive a placebo instead of treatment?
When effective treatment exists, participants typically receive either the standard treatment plus the study intervention, or the standard treatment plus placebo. You would not be denied effective care. Placebos are primarily used when no proven treatment is available, or in addition to standard care. Your trial consent form will clearly explain what treatments you may receive.
Can I leave a trial if I change my mind?
Absolutely. Participation in clinical trials is completely voluntary. You have the right to withdraw from the study at any time, for any reason, without penalty or loss of benefits to which you are otherwise entitled.
How long does a clinical trial last?
Trial duration varies widely depending on the study design and purpose. Some trials last just a few weeks, while others may continue for months or years. The study coordinator will provide specific timeline information during your screening call.
Data: ClinicalTrials.gov · synced May 18, 2015 · Source of record for eligibility and locations