Actively Recruiting

Early Phase 1
Age: 0 - 6Years
All Genders
NCT06942039

Pilot Study of IT Topotecan and Maintenance Chemotherapy for HR-EBTs in Children < 6 Years, Post Consolidation

Led by C17 Council · Updated on 2026-02-27

15

Participants Needed

12

Research Sites

379 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Pilot study to determine feasibility of adding intrathecal chemotherapy and maintenance therapy after high dose chemotherapy for treatment of newly diagnosed HR-EBTs in patients less than 6 years of age.

CONDITIONS

Official Title

Pilot Study of IT Topotecan and Maintenance Chemotherapy for HR-EBTs in Children < 6 Years, Post Consolidation

Who Can Participate

Age: 0 - 6Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Tumor tissue sample available
  • Age between 0 and 6 years at diagnosis
  • Diagnosis of high-risk CNS embryonal brain tumors including ATRT, group 3 or 4 medulloblastoma, pineoblastoma, CNS neuroblastoma, ETMR (including ETANTR, ependymoblastoma), medulloepithelioma, CNS embryonal tumor with rhabdoid features, or CNS embryonal tumor not otherwise specified
  • Baseline brain and spine MRI with and without contrast performed pre- and post-operatively
  • Lumbar puncture for cerebrospinal fluid cytology recommended if medically feasible
  • Life expectancy greater than 8 weeks from diagnosis
  • Performance status with Lansky score of 50 or higher
  • Normal organ and marrow function including adequate kidney, heart, lung, bone marrow, and liver function as defined by specific laboratory and clinical criteria
Not Eligible

You will not qualify if you...

  • Receiving other anti-cancer or investigational treatments
  • Previous chemotherapy or radiotherapy for this tumor, except corticosteroids
  • Presence of another active malignancy requiring treatment
  • Use of certain medications affecting cytochrome P450 3A4 enzyme (e.g., enzyme-inducing anticonvulsants, certain antifungals, rifampin, St. John's wort)
  • Severe or uncontrolled medical diseases including uncontrolled diabetes, chronic kidney or liver disease, active infection, heart failure, unstable angina, arrhythmia, hyperparathyroidism, or psychiatric/social issues limiting compliance
  • Known HIV infection or hepatitis B or C
  • Tumor types not eligible such as sonic hedgehog and wingless medulloblastomas, ependymomas, choroid plexus carcinomas, high-grade glial tumors, diffuse midline gliomas, CNS germ cell tumors, CNS sarcomas, CNS lymphomas, or leukemic lesions
  • Inability of participant or guardians to adhere to study schedule and protocol requirements

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 12 locations

1

Alberta Children's Hospital

Calgary, Alberta, Canada

Actively Recruiting

2

BC Children's Hospital

Vancouver, British Columbia, Canada

Actively Recruiting

3

CancerCare Manitoba (CCMB)

Winnipeg, Manitoba, Canada

Not Yet Recruiting

4

IWK Health Centre

Halifax, Nova Scotia, Canada

Not Yet Recruiting

5

McMaster Children's Hospital

Hamilton, Ontario, Canada

Not Yet Recruiting

6

London Health Sciences Centre

London, Ontario, Canada

Actively Recruiting

7

CHU Sainte-Justine

Montreal, Quebec, Canada

Actively Recruiting

8

Montreal Children's Hospital (McGill)

Montreal, Quebec, Canada

Not Yet Recruiting

9

CHU de Québec-Université Laval

Québec, Quebec, Canada

Not Yet Recruiting

10

Centre hospitalier universitaire de Sherbrooke (CHUS)

Sherbrooke, Quebec, Canada

Not Yet Recruiting

11

Stollery Children's Hospital

Edmonton, Canada

Not Yet Recruiting

12

The Hospital for Sick Children

Toronto, Canada

Actively Recruiting

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Research Team

S

Sylvia Cheng

CONTACT

C

C17 Council

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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