Status:

UNKNOWN

Study on Sintilimab in Stage IV High Risk Neuroblastoma

Lead Sponsor:

Shanghai Children's Medical Center

Conditions:

Recurrent Stage IV High Risk Neuroblastoma

Eligibility:

All Genders

12-12 years

Phase:

EARLY_PHASE1

Brief Summary

A phase I observational study on the safety and efficacy of treatment of recurrent stage IV high risk neuroblastoma with Nivolumab

Eligibility Criteria

Inclusion

  • 12 Months to 12 years
  • Histologic verification of stage IV high risk neuroblastoma at relapse following lack of complete response to at least two lines of therapy
  • Fully recovered from the acute toxic effects of all prior anti-cancer treatment
  • At least 21 days after the last dose of myelosuppressive chemotherapy (42 days if prior nitrosourea)
  • At least 42 days after the completion of any type of immunotherapy, e.g. tumor vaccines
  • At least 56 days must have elapsed after transplant or stem cell infusion; patients with prior allogeneic transplants are not eligible
  • Blood counts recovery including White cell count \>= 750/mm\^3 and Platelet count \>= 50,000/mm\^3
  • Creatinine clearance ≥ 50ml/min
  • Liver function: Total bilirubin ≤ 2 mg/dl, Alanine aminotransferase or Aspartate aminotransferase ≤ 2.5 U/dl (or \< 5 in case of liver impairment)
  • Life expectancy of at least 4 months
  • Negative pregnancy test in women of childbearing potential
  • Use of an effective contraceptive method during the whole treatment and
  • up to 3 months after the completion of treatment in males and females
  • Prior informed consent signed

Exclusion

  • Patients requiring daily systemic corticosteroids are not eligible; patients must not have received systemic corticosteroids within 7 days of enrollment on study
  • Patients who are currently receiving another investigational drug are not eligible
  • Patients who are currently receiving other anti-cancer agents are not eligible
  • Patients with a history of any grade autoimmune disorder are not eligible; asymptomatic laboratory abnormalities (e.g. antinuclear antibody (ANA), rheumatoid factor, altered thyroid function studies) will not render a patient ineligible in the absence of a diagnosis of an autoimmune disorder
  • Patients with \>= grade 2 hypothyroidism due to history of autoimmunity are not eligible; note: hypothyroidism due to previous irradiation on thyroidectomy will not impact eligibility
  • Patients who have an uncontrolled infection are not eligible.
  • Patients with active autoimmune disease. (any autoimmune state requiring medical treatment-including chronic medications)all immune modifying drugs should be stopped at least 7 days prior to enrollment

Key Trial Info

Start Date :

September 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 30 2023

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT04412408

Start Date

September 1 2020

End Date

June 30 2023

Last Update

August 11 2020

Active Locations (1)

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1

Shanghai Children's Medical Center Shanghai Jiaotong University School of Medicine

Shanghai, Shanghai Municipality, China, 200127