Could a single chemo drug beat the standard combo for this rare cancer?

NCT ID NCT02670707

First seen Jun 26, 2026 ยท Last updated Jun 26, 2026

Summary

This phase 3 trial compares two chemotherapy approaches for children and young adults with Langerhans cell histiocytosis (LCH), a rare cancer that can damage tissues. One group gets the standard two-drug combo (vinblastine/prednisone), while the other gets a single drug called cytarabine. The study aims to see which treatment better prevents the disease from getting worse or coming back over one year, and also looks at genetic markers that might predict response.

What this could mean

Our plain-language read of the trial. This is informational only โ€” not medical advice or a prediction.

Active substance
Cytarabine (chemotherapy drug)
What this could lead to
If cytarabine works better than the current standard, it could become a new frontline treatment for LCH, potentially reducing relapse and improving survival.
What could go wrong
This is an early-stage comparison; cytarabine may not prove superior and could have side effects like low blood counts. The trial is still recruiting, so results are years away.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

Histiocytosis, Langerhans-Cell Langerhans cell histiocytosis

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Children's Hospital of San Antonio

    RECRUITING

    San Antonio, Texas, 78207, United States

  • Children's Hospital of The King's Daughters

    RECRUITING

    Norfolk, Virginia, 23507, United States

  • Cook Children's Health Care System

    RECRUITING

    Fort Worth, Texas, 76104, United States

  • Dell Children's Medical Center

    RECRUITING

    Austin, Texas, 78723, United States

  • Lehigh Valley Health Network- Cedar Crest

    RECRUITING

    Allentown, Pennsylvania, 18103, United States

  • Nationwide Children's Hospital

    RECRUITING

    Columbus, Ohio, 43205, United States

  • Rady Children's Hospital - San Diego

    RECRUITING

    San Diego, California, 92123, United States

  • Stanford Children's Hospital, Lucile Packard Children's Hospital

    RECRUITING

    Palo Alto, California, 94304, United States

  • Texas Children's Hospital

    RECRUITING

    Houston, Texas, 77030, United States

  • University of Minnesota/Masonic Cancer Center

    WITHDRAWN

    Minneapolis, Minnesota, 55455, United States

  • Vannie Cook Children's Clinic

    RECRUITING

    McAllen, Texas, 78503, United States

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