Status:
COMPLETED
A Pilot Study Evaluating the Use of mTor Inhibitor Sirolimus in Children and Young Adults With Desmoid-Type Fibromatosis
Lead Sponsor:
MaineHealth
Collaborating Sponsors:
Desmoid Tumor Research Foundation
Pfizer
Conditions:
Desmoid Tumor
Eligibility:
All Genders
Up to 29 years
Phase:
PHASE1
PHASE2
Brief Summary
Desmoid-type fibromatosis (or desmoid tumor) represents an intermediate grade neoplasm with a striking predilection for locally invasive growth and recurrence following resection. It occurs in childre...
Detailed Description
We propose a translational research project that will directly test the hypothesis that mTOR is active in desmoid tumor in children and young adults. Activity will be assessed by clinical and histolog...
Eligibility Criteria
Inclusion
- Must be less than 30 years of age at time of original diagnosis
- Must have biopsy-proven desmoid tumor (or aggressive fibromatosis). For patients with recurrent disease, a biopsy is not required at the time of recurrence
- Patients known to have germ-line adenomatous polyposis coli (APC) mutations or clinical manifestations of Familial Adenomatous Polyposis(FAP)/Gardner's syndrome can be included
- Patients must have surgery planned to remove the desmoid tumor and either:
- the desmoid tumor has already recurred after a prior surgery or
- the newly diagnosed and/or previously unresected disease is judged to be at high risk for recurrence due to its size (\>5 centimeters) or location at an anatomic site making it unlikely to be resected with negative margins (eg. adjacent to neurovascular structures)
- There must be a commitment by the surgical team to resect the primary tumor within 3 days following the 4 weeks of sirolimus unless the clinical situation at the time of resection suggests that these interventions are not in the patient's best interest
- Concomitant medication restrictions:
- Patients may have received prior chemotherapy (excluding prior mTOR inhibitors)
- Use of steroids for non-tumor indications (for example: asthma or severe allergic reaction) is permitted
- Patients must have a Karnofsky performance status of greater than or equal to 50 for patients older than 16 years of age or Lansky performance status of greater than or equal to 50 for patients less than or equal to 16 years of age.
- Patients must have a life expectancy of greater than or equal to 8 weeks.
- Patients must have recovered from the acute toxic effects of all prior chemotherapy, immunotherapy, or radiotherapy prior to entering this study
- Myelosuppressive chemotherapy: Must not have received within 2 weeks of entry onto this study (4 weeks if prior nitrosourea)
- Biologic (anti-neoplastic agent): at least 7 days since the completion of therapy with a biological agent
- Stem Cell Transplant (SCT): No evidence of active graft versus host disease. For allogeneic SCT, greater than or equal to 6 months must have elapsed.
- Patients must be able to consume oral medication in the form of tablets or solution
- Patients must have normal laboratory values as defined below:
- Creatinine clearance or radioisotope Glomerular Filtration Rate ≥ 70millileters/minute/1.73 meters2 or a normal serum creatinine based on age/gender
- Hepatic: Adequate liver function is defined as:
- Total bilirubin less than or equal to 1.5 x upper limit of normal (ULN)for age, and
- Serum glutamic pyruvic transaminase (SGPT) less than or equal to 2.5 x upper limit normal (ULN) for age
- Hematologic function: Adequate bone marrow function is defined as:
- Absolute Neutrophil Count (ANC) greater than or equal to 1 x 10 to the ninth/Liter
- Hemoglobin greater than or equal to 10 gram/deciliter
- Platelet count greater than or equal to 100 x 10 to the ninth/Liter
- Female patients must have a negative pregnancy test
- Female patients who are lactating must agree to stop breast-feeding
- Sexually active patients of childbearing potential must agree to use effective contraception
- Patients must be able to cooperate fully with all planned protocol therapy
- Signed informed consent MUST be obtained from patient or parent/legal guardian (if patient is less than 18 years of age). Consent must be signed prior to any study procedures and study entry
Exclusion
- Patients with other fibroblastic lesions or other fibromatoses are NOT eligible.
- Concomitant medication restrictions
- Patients may NOT have received prior mTor inhibitors
- Growth factor(s): Must not have received within 1 week of entry onto this study.
- Patients must not be known to be Human Immunodeficiency Virus positive. Testing for Human Immunodeficiency Virus is not mandatory.
- Patients must not be taking medicines known to influence sirolimus metabolism
Key Trial Info
Start Date :
February 1 2014
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
December 22 2021
Estimated Enrollment :
9 Patients enrolled
Trial Details
Trial ID
NCT01265030
Start Date
February 1 2014
End Date
December 22 2021
Last Update
June 26 2023
Active Locations (8)
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1
UCLA Medical Center
Los Angeles, California, United States, 90095
2
Rady Children's Hospital
San Diego, California, United States, 92123
3
University of Florida College of Medicine
Gainesville, Florida, United States, 32611
4
Maine Medical Center
Portland, Maine, United States, 04102