Status:
COMPLETED
PEG-Interferon Alfa-2b in Treating Young Patients With Plexiform Neurofibroma
Lead Sponsor:
National Institutes of Health Clinical Center (CC)
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Neoplasm of Uncertain Malignant Potential
Unspecified Childhood Solid Tumor, Protocol Specific
Eligibility:
All Genders
1-21 years
Phase:
PHASE1
Brief Summary
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 pati...
Detailed Description
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...
Eligibility Criteria
Inclusion
- 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
- ECOG 0-2
- Life expectancy
- At least 12 months
- Hematopoietic
- Absolute neutrophil count \> 1,500/mm\^3
- Hemoglobin \> 10 g/dL
- Platelet count \> 100,000/mm\^3
- Hepatic
- Bilirubin \< 1.5 mg/dL
- SGPT ≤ 2 times upper limit of normal
- No significant hepatic dysfunction
- Renal
- 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
- Pulmonary
- No significant pulmonary dysfunction
- Other
- 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
- No alcohol or drug abuse
- PRIOR CONCURRENT THERAPY:
- Biologic therapy
- No concurrent immunotherapy
- No concurrent colony-stimulating factors (e.g., erythropoietin or filgrastim \[G-CSF\])
- Chemotherapy
- No concurrent chemotherapy for this disease
- Endocrine therapy
- No concurrent chronic systemic corticosteroids
- No concurrent hormonal therapy for this disease
- Radiotherapy
- No concurrent radiotherapy for this disease
- Surgery
- Prior surgery allowed provided it has been at least 21 days since surgery and there is presence of residual tumor
- Other
- Recovered from prior therapy
- More than 30 days since prior investigational agents
Exclusion
Key Trial Info
Start Date :
September 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 1 2011
Estimated Enrollment :
36 Patients enrolled
Trial Details
Trial ID
NCT00253474
Start Date
September 1 2005
End Date
January 1 2011
Last Update
March 29 2012
Active Locations (4)
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1
Children's National Medical Center
Washington D.C., District of Columbia, United States, 20010-2970
2
Children's Memorial Hospital - Chicago
Chicago, Illinois, United States, 60614
3
Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support
Bethesda, Maryland, United States, 20892-1182
4
Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, United States, 15213