Status:
COMPLETED
131 I-MIBG in Treating Patients With Refractory or Relapsed Neuroblastoma
Lead Sponsor:
University of California, San Francisco
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Neuroblastoma
Eligibility:
All Genders
1+ years
Phase:
PHASE2
Brief Summary
RATIONALE: Radioactive drugs, such as 131 I-MIBG, may carry radiation directly to tumor cells and not harm normal cells. PURPOSE: This phase II trial is studying how well 131 I-MIBG works in treating...
Detailed Description
OBJECTIVES: Primary * Determine if iodine I 131 metaiodobenzylguanidine can provide palliative therapy for patients with refractory or relapsed neuroblastoma. * Determine the acute and late toxicity...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Original diagnosis of neuroblastoma based on 1 of the following criteria:
- Histopathology
- Elevated urine catecholamines with typical tumor cells in the bone marrow
- Refractory or relapsed disease, meeting 1 of the following criteria:
- Failure to respond to standard therapy (e.g., combination chemotherapy with or without radiotherapy and surgery)
- Evidence of disease progression (i.e., any new lesion or an increase in size of \> 25% of a pre-existing lesion) at any time
- Evaluable disease by MIBG scan within 6 weeks of study entry
- PATIENT CHARACTERISTICS:
- Not pregnant or nursing
- Fertile patients must use effective contraception
- Negative pregnancy test
- Bilirubin \< 2 times normal
- AST/ALT ≤ 10 times normal
- Creatinine ≤ 2 mg/dL
- Absolute neutrophil count\* ≥ 750/mm\^3 (transfusion independent)
- Platelet count\* ≥ 50,000/mm\^3 (20,000/mm\^3 if stem cells are available and platelet transfusion independent)
- Hemoglobin\* ≥ 10 g/dL (transfusion allowed)
- No dyspnea at rest
- No exercise intolerance
- No oxygen requirement
- No clinically significant cardiac dysfunction
- No disease of any major organ system that would preclude study compliance
- No active infection that meets grade 3 or 4 toxicity criteria NOTE: \*Patients with granulocytopenia and/or thrombocytopenia due to tumor metastases to the bone marrow may be eligible at the discretion of the principal investigator
- PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Recovered from prior therapy
- At least 2 weeks since prior antitumor therapy
- At least 3 months since prior radiotherapy to any of the following fields:
- Craniospinal
- Total abdominal
- Whole lung
- Total body
- At least 1 day since prior cytokine therapy (e.g., filgrastim \[G-CSF\], sargramostim \[GM-CSF\], interleukin-6, or epoetin alfa)
- Prior iodine I 131 metaiodobenzylguanidine allowed provided it was given more than 6 months ago AND patient has adequate hematopoietic stem cells available
- No concurrent hemodialysis
Exclusion
Key Trial Info
Start Date :
April 1 2005
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
March 1 2006
Estimated Enrollment :
164 Patients enrolled
Trial Details
Trial ID
NCT00293319
Start Date
April 1 2005
End Date
March 1 2006
Last Update
August 18 2014
Active Locations (3)
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1
UCSF Comprehensive Cancer Center
San Francisco, California, United States, 94115
2
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, United States, 48109-0942
3
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States, 19104