Actively Recruiting

Phase 1
Phase 2
Age: 0 - 21Years
All Genders
NCT06465199

Eflornithine (DFMO) and AMXT 1501 for Neuroblastoma, CNS Tumors, and Sarcomas

Led by Milton S. Hershey Medical Center · Updated on 2026-04-13

289

Participants Needed

10

Research Sites

457 weeks

Total Duration

On this page

Sponsors

M

Milton S. Hershey Medical Center

Lead Sponsor

A

Aminex Therapeutics, Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this study is to evaluate the investigational oral drug AMXT 1501 in combination with oral eflornithine (DFMO). An investigational drug is one that has not been approved by the U.S. Food \& Drug Administration (FDA), or any other regulatory authorities around the world for use alone or in combination with any drug, for the condition or illness it is being used to treat. The goals of this part of the study are: * Establish a recommended dose of AMXT 1501 in combination with DFMO * Test the safety and tolerability of AMXT 1501 in combination with DFMO * To determine the activity of study treatments chosen based on: * How each subject responds to the study treatment * How long a subject lives without their disease returning/progressing

CONDITIONS

Official Title

Eflornithine (DFMO) and AMXT 1501 for Neuroblastoma, CNS Tumors, and Sarcomas

Who Can Participate

Age: 0 - 21Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Must be 21 years old or younger at diagnosis
  • Phase I AYA cohort: 12 years or older at enrollment
  • Phase I Pediatric cohort: under 12 years at enrollment, starting after safety review
  • Confirmed diagnosis of relapsed or refractory neuroblastoma, embryonal tumor with multilayer rosettes, atypical teratoid rhabdoid tumor, newly diagnosed DIPG, relapsed or refractory Ewing sarcoma, or osteosarcoma
  • Disease staging must be done during 28-day screening before treatment
  • Neuroblastoma subjects with active or no active disease meeting specific disease stability and timing criteria
  • ETMR/ATRT subjects with relapsed or refractory disease meeting specific stability and timing requirements
  • Newly diagnosed DIPG subjects starting treatment 30 to 60 days post radiation therapy
  • Ewing sarcoma and osteosarcoma subjects with relapsed or refractory disease meeting disease stability and timing requirements
  • Must be able to swallow capsules
  • Stable steroid dose for CNS disease patients for at least 1 week
  • Fully recovered from prior chemotherapy and treatments within specified time frames
  • Performance score of 60 or higher on Lansky or Karnofsky scale
  • Adequate organ function including blood counts, liver, heart, and kidney function
  • Negative pregnancy test and use of effective birth control if of childbearing potential
  • Written informed consent obtained
Not Eligible

You will not qualify if you...

  • Body surface area less than 0.25 m2
  • Currently receiving another investigational drug
  • Currently receiving other anticancer agents or not fully recovered from prior chemotherapy effects
  • Uncontrolled infection
  • Unable or unlikely to comply with safety monitoring requirements as judged by investigator
  • Progressive hydrocephalus in CNS disease patients
  • Evidence of active graft vs. host disease after stem cell transplant
  • Subjects with metastatic disease for DIPG
  • Subjects with progression or recurrence after initial standard of care radiation for DIPG
  • Subjects with H3K27m altered DMG outside the brainstem
  • Subjects with a biopsy and no evidence of H3K27m mutation not meeting radiographic criteria

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 10 locations

1

University of Alabama/Children's of Alabama

Birmingham, Alabama, United States, 35233

Actively Recruiting

2

Arkansas Children's Hospital

Little Rock, Arkansas, United States, 72202

Actively Recruiting

3

Connecticut Children's Hospital

Hartford, Connecticut, United States, 06106

Actively Recruiting

4

Nicklaus Children's Hospital

Miami, Florida, United States, 33155

Actively Recruiting

5

Arnold Palmer Hospital for Children

Orlando, Florida, United States, 32806

Actively Recruiting

6

St. Joseph's Children's Hospital

Tampa, Florida, United States, 33614

Actively Recruiting

7

Kapiolani Medical Center for Women and Children

Honolulu, Hawaii, United States, 96813

Actively Recruiting

8

Penn State Milton S. Hershey Medical Center and Children's Hospital

Hershey, Pennsylvania, United States, 17033

Actively Recruiting

9

Monroe Carrell Jr. Children's Hospital at Vanderbilt

Nashville, Tennessee, United States, 37232

Actively Recruiting

10

Children's Medical Center

Dallas, Texas, United States, 75235

Actively Recruiting

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Research Team

B

BCC Enroll

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

CROSSOVER

Primary Purpose

TREATMENT

Number of Arms

4

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