Hope for young eyes: study tests smarter chemo to beat eye cancer without removing the eye
NCT ID NCT04681417
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests two ways to treat retinoblastoma, a childhood eye cancer, while trying to save the eye and vision. One part compares two types of artery-directed chemotherapy (one with two drugs, one with one) to see which better preserves the eye. The other part looks at how well vision is preserved with standard IV chemotherapy or local eye treatments. About 225 children with newly diagnosed retinoblastoma will take part.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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About 225 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2021
- Expected to finish
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Jan 2036
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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6 months to 6 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: Overall study inclusion criteria: 1. Newly diagnosed retinoblastoma (RB). 2. Retinoblastoma with at least one eye eligible for conservative management. 3. Patients likely to be compliant with the study requirements and visits, including late follow-up. 4. Patients not previously treated with chemotherapy or radiotherapy for this or any other cancer. 5. Patients with no contraindication to the proposed treatments. 6. Informed consent signed by parents or legal representative. 7. French Social Security System coverage. Study 1 inclusion criteria: 8.1. Children aged from 6 months to 6 years. 9. Retinoblastoma in at least one eye, deemed manageable with IAC in one side and without IV chemotherapy: 1. Unilateral Retinoblastoma classified as group B, C (if vitreous seeds \< 3 mm), D or E with no invasion of the anterior segment, and without massive tumor of more than 2/3 of the eye, eligible for conservative management, or 2. Bilateral Retinoblastoma but with very unbalanced lesions between the two eyes: one eye group D or E without invasion of the anterior segment or massive tumor of more than 2/3 of the eye, eligible for IAC, and the other eye eligible for local treatment only (without IAC). Study 2 inclusion criteria: 8.2. Retinoblastoma eligible for conservative management although not manageable with IAC: 1. Unilateral Retinoblastoma in children below 6 months of age, classified as Group A, B, C or D, with or without vitreous seeding, compatible with conservative management, or 2. Bilateral Retinoblastoma classified as group A, B, C D, or E without invasion of the anterior segment, and/or massive tumors of more than 2/3 of the eye and eligible for conservative management. Exclusion Criteria: Overall study non-inclusion criteria: 1. RB not eligible for conservative management : 1. Extra-ocular extension of the disease, or 2. Group E eyes with invasion of the anterior segment, and/or massive tumors of more than 2/3 of the eye. 2. Patient older than 6 years of age. 3. Patients with another associated disease contra indicating systemic chemotherapy. 4. Previously treated retinoblastoma by chemotherapy. 5. Patients already treated for another malignant disease. 6. Patient with any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule. 7. Patients whose parents have not accepted the treatment regimen after explanation of it. 8. Contraindication to study drug mentioned in SmPC (Summary of Products Characteristics) of the study drugs. 9. Inclusion in another experimental anti-cancer drug therapy. Study 1 non-inclusion criteria: 10. Any contraindication or concomitant disease that would preclude the Study 1 treatment procedure and could delay treatment. These patients should be eligible for Study 2.
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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
28 sites. 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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Amiens Chu
RECRUITINGAmiens, 80054, France
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Angers Chu
RECRUITINGAngers, 49033, France
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BESANCON CHU Hopital Jean Minjoz
RECRUITINGBesançon, 25030, France
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BREST CHRU Hopital Morvan
RECRUITINGBrest, 29609, France
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Bordeaux Chu
RECRUITINGBordeaux, 33076, France
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CAEN CHU
RECRUITINGCaen, 14033, France
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CHU ESTAING Centre Régional de Cancérologie et Therapie Cellulaire Pediatrique (CRCTCP)
RECRUITINGClermont-Ferrand, 63003, France
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DIJON CHU Hopital François Mitterand
RECRUITINGDijon, 21079, France
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Grenoble Chu
RECRUITINGGrenoble, 38045, France
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Institut Curie
RECRUITINGParis, 75005, France
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LILLE Centre Oscar Lambret
RECRUITINGLille, 59037, France
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LYON Centre Léon Bérard
RECRUITINGLyon, 69373, France
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La Reunion - Chr Felix Guyon
RECRUITINGSaint-Denis, La Réunion, 97405, France
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Limoges Chu
RECRUITINGLimoges, 87042, France
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MONTPELLIER CHU Hopital Arnaud De Villeneuve
RECRUITINGMontpellier, 34295, France
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Marseille Chu
RECRUITINGMarseille, 13385, France
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NANTES CHU Hopital Mere-Enfant
RECRUITINGNantes, 44093, France
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NICE CHU Hopital Archet 2
RECRUITINGNice, 06202, France
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Nancy Chu
RECRUITINGVandœuvre-lès-Nancy, 54500, France
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PARIS Fondation Ophtalmologique Adolphe de Rothschild
RECRUITINGParis, 75019, France
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Poitiers Chu
RECRUITINGPoitiers, 86021, France
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Reims Chu
RECRUITINGReims, 51092, France
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Rennes Chu
RECRUITINGRennes, 35056, France
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Rouen Chu
RECRUITINGRouen, 76000, France
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Saint Etienne Chu
RECRUITINGSaint-Etienne, 42055, France
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Strasbourg Chu
RECRUITINGStrasbourg, 67098, France
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TOURS CHU Hopital Clocheville
RECRUITINGTours, 37044, France
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Toulouse Chu
RECRUITINGToulouse, 31026, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Targeted radiation zaps childhood brain tumors in early trial
- Newborn screening study aims to catch rare diseases at birth
- Eye-Directed chemotherapy aims to save sight in children with retinoblastoma
- Does anesthesia affect kids' brains? new study investigates
- Chemo plaque could spare Kids' eyes from removal