Promising combo therapy offers hope for kids with hard-to-treat brain cancers
NCT ID NCT01356290
First seen Jun 27, 2026 · Last updated Sep 11, 2026 · Updated 2 times
Summary
This study tests a combination of drugs given in low, frequent doses to slow or stop the growth of recurrent brain tumors in children. The goal is to extend survival while maintaining quality of life. About 232 children with medulloblastoma, ependymoma, ATRT, or other rare CNS tumors will receive this anti-angiogenesis therapy. The study is currently recruiting.
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 232 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2014
- Expected to finish
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Apr 2030
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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Up to 19 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 for patients * Stratum I: Relapsed or progressive medulloblastoma - completed * Stratum II: Relapsed or progressive ependymoma (at least one site of untreated recurrent disease) * Stratum III: Relapsed or progressive ATRT (at least one site of untreated recurrent disease) * Stratum IV: Relapsed or progressive medulloblastoma (at least one site of untreated recurrent disease) * Stratum V: Relapsed or progressive CNS tumor of various histologies or patients with exclusion criteria or adult patients (explorative) * Histological confirmation at diagnosis or relapse Stratum IV: Confirmation of the medulloblastoma group by methylation; IDAT (Intensity Data; raw data of methylation array) * Female or male, aged from 0 to \<20 years (at time of original diagnosis) * Participants must have normal organ and bone marrow function (ALT \<5x institutional upper limit of normal, creatinine \<1.5x institutional upper limit of normal for age, WBC \>1000/mm3, platelets \> 20,000/mm3. Patients with values less than WBC 2000/mm3 or platelets 50,000/mm3 will require initiation of treatment with etoposide and cyclophosphamide at a lower starting dose as defined within the protocol * Karnofsky performance status ≥50. For infants and children less than 12 years of age, the Lansky play scale ≥50% will be used * Written informed consent of patients and / or legal guardian Exclusion criteria for patients * VP- or subdural peritoneal shunt dependency (can be included in Stratum V) * Prior treatment with temozolomide/irinotecan (can be included in Stratum V) * Active infection, pregnancy or breast feeding * Treatment for current relapse (surgery may be performed before MEMMAT treatment; patients with sites of disease not irradiated are still eligible for the protocol) * Known hypersensitivity to any of the drugs in the protocol * Active peptic ulcer * Any significant cardiovascular disease not controlled by standard therapy e.g. systemic hypertension * Anticipation of the need for major elective surgery during the course of the study treatment * Any disease or condition that contraindicates the use of the study medication/treatment or places the patient at an unacceptable risk of experiencing treatment-related complications * Non-healing surgical wound * A bone fracture that has not satisfactorily healed
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
18 sites in 8 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Akademiska sjukhuset
RECRUITINGUppsala, 751 85, Sweden
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Ann & Robert H. Lurie Children's Hospital of Chicago
TERMINATEDChicago, Illinois, 60611-2605, United States
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Centre Léon Bérard
RECRUITINGLyon, 69373, France
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Centre Oscar Lambret
TERMINATEDLille, 59037, France
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Dana-Farber Cancer Institute and Boston Children's Hospital
TERMINATEDBoston, Massachusetts, 02215, United States
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Dell Children's Medical Group SFC-HEM/ONC
RECRUITINGAustin, Texas, 78723, United States
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Helen DeVos Children's Hospital
RECRUITINGGrand Rapids, Michigan, 48503, United States
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Hospital Infantil Universitario Nino Jesus
RECRUITINGMadrid, 28009, Spain
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Karolinska University Hospital
RECRUITINGStockholm, SE-171 76, Sweden
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Kepler Universitätsklinikum Med Campus IV
RECRUITINGLinz, 4020, Austria
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Medical University of Graz
RECRUITINGGraz, 8036, Austria
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Medical University of Innsbruck
RECRUITINGInnsbruck, 6020, Austria
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Medical University of Vienna
RECRUITINGVienna, 1090, Austria
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Motol University Hospital Prague
WITHDRAWNPrague, 15006, Czechia
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Norrlands Universitetssjukhus
RECRUITINGUmeå, 901 85, Sweden
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Onkologisk-hematologisk seksjon Barneklinikken Haukeland universitetssjukehus
RECRUITINGBergen, Bergen, 5021, Norway
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Sahlgrenska Universitetssjukhuset
RECRUITINGGothenburg, 416 85, Sweden
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Salzburger Universitätsklinikum
RECRUITINGSalzburg, 5020, Austria
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Skånes universitetssjukhus
RECRUITINGLund, 221 85, Sweden
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Universitetssjukhuset Linköping
RECRUITINGLinköping, 581 85, Sweden
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University Hospital Brno
RECRUITINGBrno, 61300, Czechia
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University hospital Rigshospitalet
RECRUITINGCopenhagen, 2100, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Sound waves open brain barrier to deliver cancer drug in kids
- New hope for kids with tough brain tumors: gene therapy meets immunotherapy and radiation
- Promising combo targets Hard-to-Treat childhood cancers
- Killer virus turned against childhood brain cancer
- Immune cells engineered to fight brain cancer in kids
- New hope for kids with aggressive brain cancer: hormone therapy plus chemo