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Promising drug may stop deadly childhood cancer's return
NCT ID NCT02679144
First seen Jun 27, 2026 · Last updated Sep 04, 2026 · Updated 2 times
Summary
This study tests an oral drug called DFMO in children and young adults with high-risk neuroblastoma who are currently in remission. The goal is to see if taking DFMO for two years can prevent the cancer from coming back. The trial involves 441 participants and focuses on safety and how long they stay cancer-free.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 441 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2016
- Expected to finish
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Feb 2033
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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1 year to 30 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * All patients must have a pathologically confirmed diagnosis of neuroblastoma, \< 30.99 years of age and classified as high risk at the time of diagnosis. Exception: patients who are initially diagnosed as non-high-risk neuroblastoma, but later converted (and/or relapsed) to high risk neuroblastoma are also eligible. * All patients must be in complete remission (CR): 1. No evidence of residual disease on scan 2. No evidence of disease metastatic to bone marrow. * Specific Criteria by Stratum: Stratum 1/1B: All patients must have completed standard upfront therapy that replicates treatment which patients who were enrolled on ANBL0032 received, including: intensive induction chemotherapy and (if feasible) resection of primary tumor, followed by: consolidation with high-dose chemotherapy with stem cell transplant and radiotherapy, followed by: immunotherapy with Ch14.18/IL-2/GM-CSF (dinutuximab) and retinoic acid;. All subjects on Stratum 1/B must have also met the following criteria: • A pre-transplant disease status evaluation that met International Neuroblastoma Response Criteria (INRC) for CR (complete response), VGPR (very good partial response), or PR (partial response) for primary site, soft tissue metastases and bone metastases. Patients who meet those criteria must also meet the protocol-specified criteria for bone marrow response prior to transplant as outlined below: No more than 10% tumor involvement (based on total nucleated cellular content) seen on any specimen from a bilateral bone marrow aspirate/biopsy. Stratum 2: Neuroblastoma that is in first complete remission following standard upfront therapy different from that described for Stratum 1. Stratum 3: Neuroblastoma that failed to have a response of at least PR following induction chemotherapy and surgical resection of the primary tumor, but that has achieved CR following additional therapy. Stratum 4: Patients who have achieved a second or subsequent CR following relapse(s). * Pre-enrollment tumor survey: Prior to enrollment on this study, a determination of mandatory disease staging must be performed: * Tumor imaging studies including * Bilateral bone marrow aspirates and biopsy * This disease assessment is required for eligibility and preferably should be done within 2 weeks prior to enrollment, but must be done within a maximum of 4 weeks before enrollment. * Timing from prior therapy: Stratum 1/1B: Enrollment no later than 60 days after completion of upfront therapy, (last dose of cis-retinoic acid) with a maximum of 6 cycles of cis-retinoic acid maintenance therapy. Stratum 2, 3 and 4: Enrollment no later than 60 days from last dose of the most recent therapy. * Patients must have a Lansky or Karnofsky Performance Scale score of \> 50% and patients must have a life expectancy of ≥ 2 months. * All clinical and laboratory studies for organ functions to determine eligibility must be performed within 7 days prior to enrollment unless otherwise indicated below. * Patients must have adequate organ functions at the time of registration: * Hematological: Total absolute phagocyte count ≥1000/μL * Liver: Subjects must have adequate liver function * Renal: Adequate renal function * Females of childbearing potential must have a negative pregnancy test. Patients of childbearing potential must agree to use an effective birth control method. Female patients who are lactating must agree to stop breast-feeding. * Written informed consent in accordance with institutional and FDA (food and drug administration) guidelines must be obtained from all subjects (or patients' legal representative). Exclusion Criteria: * BSA (Body Surface Area) of \<0.25 m2. * Investigational Drugs: Subjects who are currently receiving another investigational drug are excluded from participation. * Anti-cancer Agents: Subjects who are currently receiving other anticancer agents are not eligible. Subjects must have fully recovered from hematological and bone marrow suppression effects of prior chemotherapy. * Infection: Subjects who have an uncontrolled infection are not eligible until the infection is judged to be well controlled in the opinion of the investigator. * Subjects who, in the opinion of the investigator, may not be able to comply with the safety monitoring requirements of the study, or in whom compliance is likely to be suboptimal, should be excluded.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Advocate Aurora Research Institute
Chicago, Illinois, 60453, United States
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Alberta Children's Hospital
Calgary, Alberta, AB T3B 6A8, Canada
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All Children's Hospital Johns Hopkins Medicine
St. Petersburg, Florida, 33701, United States
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Arkansas Children's Hospital
Little Rock, Arkansas, 72202, United States
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Arnold Palmer Hospital for Children
Orlando, Florida, 32806, United States
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Augusta University Health
Augusta, Georgia, 30912, United States
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CHUQ
Québec, Quebec, QC G1V 4W6, Canada
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CancerCare Manitoba
Winnipeg, Manitoba, MB R3E 0V9, Canada
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Cardinal Glennon Children's Medical Center
St Louis, Missouri, 63104, United States
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Children's Hospital and Clinics of Minnesota
Minneapolis, Minnesota, 55404, United States
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Children's Hospital of The King's Daughters
Norfolk, Virginia, 23507, United States
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Children's Medical Center
Dallas, Texas, 75235, United States
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Children's Mercy Hospitals and Clinics
Kansas City, Missouri, 64108, United States
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Cleveland Clinic Children's
Cleveland, Ohio, 44106, United States
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Connecticut Children's Hospital
Hartford, Connecticut, 06106, United States
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Dell Children's Blood and Cancer Center
Austin, Texas, 78723, United States
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Duke University
Durham, North Carolina, 27708, United States
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Hackensack University Medical Center
Hackensack, New Jersey, 07601, United States
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Hasbro Children's Hospital
Providence, Rhode Island, 02903, United States
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Helen DeVos Children's Hospital
Grand Rapids, Michigan, 49503, United States
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Janesway Children's Health and Rehabilitation Centre
St. John's, Newfoundland and Labrador, NL A1B 3V6, Canada
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Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96813, United States
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Kentucky Children's Hospital
Lexington, Kentucky, 40536, United States
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Levine Children's Hospital
Charlotte, North Carolina, 28204, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Monroe Carrell Jr. Children's Hospital at Vanderbilt
Nashville, Tennessee, 37232, United States
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Montreal Children's Hospital
Montreal, Quebec, QC H4A 3H9, Canada
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NYU Langone Health Hassenfeld Children's Hospital
New York, New York, 10016, United States
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Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
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Norton Children's Research Institute/Affiliated with University of Louisville School of Medicine
Louisville, Kentucky, 40202, United States
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Penn State Milton S. Hershey Medical Center and Children's Hospital
Hershey, Pennsylvania, 17033, United States
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Primary Children's Hospital
Salt Lake City, Utah, 84113, United States
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Rady Children's Hospital
San Diego, California, 92123, United States
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Randall Children's Hospital
Portland, Oregon, 97227, United States
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Rocky Mountain Pediatric Hematology
Denver, Colorado, 80205, United States
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St. Joseph's Children's Hospital
Tampa, Florida, 33614, United States
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St. Lukes
Boise, Idaho, 83712, United States
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Texas Children's Cancer and Hematology Centers
Houston, Texas, 77030, United States
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The Children's Hospital at Montefiore
The Bronx, New York, 10467, United States
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Tufts Medical Center
Boston, Massachusetts, 02111, United States
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UCSF Benioff Children's Hospital Oakland-
Oakland, California, 94609, United States
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UHC Sainte-Justine
Montreal, Quebec, QC H3S 2G4, Canada
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University of Alabama, Children's of Alabama
Birmingham, Alabama, 35233, United States
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University of Florida
Gainesville, Florida, 32611, United States
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University of Iowa
Iowa City, Iowa, 52242, United States
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Virginia Commonwealth University
Richmond, Virginia, 23284, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a drug duo outsmart resistant tumors?
- Can a Two-Drug combo outsmart returning childhood cancers?
- Can a Two-Drug combo beat tough childhood cancers?
- A simple blood test may reveal hidden infertility risk in young cancer survivors
- Can a shorter chemo combo tame High-Risk neuroblastoma?
- Can a radioactive 'Smart Bomb' take down resistant childhood cancers?