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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02030964
Registration number
NCT02030964
Ethics application status
Date submitted
2/01/2014
Date registered
9/01/2014
Date last updated
9/02/2024
Titles & IDs
Public title
N2012-01: Phase 1 Study of Difluoromethylornithine (DFMO) and Celecoxib With Cyclophosphamide/Topotecan
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Scientific title
N2012-01: Phase 1 Study of Difluoromethylornithine (DFMO) and Celecoxib With Cyclophosphamide/Topotecan for Patients With Relapsed or Refractory Neuroblastoma
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Secondary ID [1]
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P01CA081403
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Secondary ID [2]
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N2012-01
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Universal Trial Number (UTN)
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Trial acronym
DFMO
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neuroblastoma
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Condition category
Condition code
Cancer
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Neuroendocrine tumour (NET)
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Cancer
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Children's - Other
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: DFMO, Celecoxib, Cyclophosphamide & Topotecan - Reconstituted DFMO powder by mouth for 14 days and celecoxib capsule by mouth daily in each cycle. Cyclophosphamide and Topotecan IV on days 8-12 in cycle 1 and days 1-5 of cycles 2-17. Patients may continue for up to 17 cycles as long as therapy is tolerated (no DLT) and disease progression does not occur (SD or better). \*Cycle 1 will include a 7 day lead-in with DFMO and celecoxib to deplete tumor polyamines.
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants with adverse events as a measure of safety and tolerability.
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Assessment method [1]
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The standard 3+3 design for dose escalation will be utilized. 3-6 patients will enroll at each of 4 dose levels, but enrollment to a dosing cohort will cease after observation of DLTs in 2 or more patients. A minimum of 2 to a maximum of 24 patients will be enrolled assuming all 4 dose levels require 6 patients before an MTD is determined. A total of 12 patients may be enrolled at the study defined MTD (including those used to define the MTD) to provide additional adverse event data for safety evaluation.
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Timepoint [1]
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Approximately 1 year
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Eligibility
Key inclusion criteria
* Patients must be > 2 years and < 30 years of age when registered on study.
* Patients must have recurrent/progressive high-risk neuroblastoma, refractory high-risk neuroblastoma that had less than a partial response to standard treatment or persistent high-risk neuroblastoma that had at least a partial response to standard treatment.
* All patients must have at least ONE site of evaluable disease.
* Patients must have adequate heart, kidney, liver and bone marrow function.
* Patients who have bone marrow disease must still have adequate bone marrow function to enter the study.
* Patients with other ongoing serious medical issues must be approved by the study chair prior to registration.
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Minimum age
2
Years
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Maximum age
30
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Females of childbearing potential that do not have a negative pregnancy test.
* Patients that are pregnant, breast feeding, or unwilling to use effective contraception during the study
* Patients status post allogeneic stem cell transplant.
* Patients who, in the opinion of the investigator, may not be able to comply with the safety monitoring requirements of the study.
* Patients with disease of any major organ system that would compromise their ability to withstand therapy.
* Patients who are on hemodialysis.
* Patients with an active or uncontrolled infection. Patients on prolonged antifungal therapy are still eligible if they are culture and biopsy negative in suspected radiographic lesions and meet other organ function criteria.
* Patients with active bleeding of the GI tract or patients who have symptoms associated with stomach irritation (known as gastritis).
* Patients who have had a seizure within 12 months prior to enrollment and patients receiving anti-convulsant therapy for a seizure disorder.
* Patients with known Aspirin-Hypersensitivity triad (asthma, allergic rhinitis, ASA hypersensitivity).
* Patients with known hypersensitivity to celecoxib or other NSAIDs, aspirin or sulfonamides.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
16/01/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
30/12/2024
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Sydney Childrens Hospital KCC - Randwick
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Recruitment postcode(s) [1]
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2031 - Randwick
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Recruitment outside Australia
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United States of America
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California
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United States of America
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Colorado
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United States of America
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Georgia
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United States of America
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Illinois
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United States of America
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Massachusetts
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United States of America
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Michigan
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United States of America
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Ohio
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United States of America
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Pennsylvania
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Texas
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United States of America
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Washington
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Canada
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Ontario
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Funding & Sponsors
Primary sponsor type
Other
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Name
New Approaches to Neuroblastoma Therapy Consortium
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Address
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Other collaborator category [1]
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Government body
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Name [1]
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National Cancer Institute (NCI)
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Address [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will combine an oral drug called DFMO with celecoxib (also oral) and two IV chemotherapy medicines called cyclophosphamide and topotecan. * To find the highest dose of DFMO that can be given with celecoxib, cyclophosphamide and topotecan without causing severe side effects. * To find out the side effects seen by giving DFMO at different dose levels with celecoxib, cyclophosphamide and topotecan. * To measure the levels of DFMO in the blood at different dose levels. * To determine if your tumor gets smaller after treatment with DFMO, celecoxib, cyclophosphamide and topotecan. * To determine if specific gene changes in you or your tumor makes you more prone to side effects or affects your tumor's response to the combination of DFMO, celecoxib, cyclophosphamide and topotecan. * To determine if the amount of normal chemicals in your body called polyamines go down in response to DFMO, celecoxib, cyclophosphamide and topotecan, and whether you are more likely to have a good response to the treatment if they do.
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Trial website
https://clinicaltrials.gov/study/NCT02030964
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Michael Hogarty, MD
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Address
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Children's Hospital of Philadelphia
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02030964
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