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NCT01802567

Molecular-Guided Therapy for Relapsed and Refractory Childhood Cancer

Completed NA Results posted Last updated 6 August 2024
What this trial tests

NA trial testing Guided Therapy- Pediatric Gene Analysis Platform in Neuroblastoma in 52 participants. Completed in 17 January 2024.

Timeline
4 March 2013
Primary endpoint
17 January 2024
17 January 2024

Quick facts

Lead sponsorGiselle Sholler
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment52
Start date4 March 2013
Primary completion17 January 2024
Estimated completion17 January 2024
Sites13 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Giselle Sholler — full company profile →

Who can join

13 Months and older, any sex, with Neuroblastoma or Medulloblastoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Determine Feasibility Using Days From the Date of Biopsy to Date of Start of Treatment Primary · Date from biopsy to completion of 1 cycle of therapy, generally about 30 days

Days to treatment is one data point that will be used in order to determine feasibility. The definition of feasibility for this study will include: "Enrollment onto study, RNA expression profile completed, DNA Mutation Panel completed, genomic analysis and report generation, tumor board held with treatment decision, treatment review completed and start of treatment by 21 days post biopsy/surgical resection date, and then completion of 1 cycle of therapy."

GroupValue95% CI
Stratum 112.27 – 21
Stratum 219.914 – 30
Stratum 314.99 – 29
Number of Participants With Adverse Events as a Measure of Safety Secondary · Adverse Events were collected starting with the date of the first dose of study drug until 30 days after last dose of study drug, ongoing related adverse events were continued to be followed until resolution, on average of 3 years.

To determine the safety of allowing a molecular tumor board to determine individualized treatment plans

GroupValue95% CI
Guided Therapy- Pediatric Gene Analysis Platform43
Overall Response Rate (ORR) of Participants by the Presence of Radiologically Assessable Disease by Cross-sectional CT or MRI Imaging and/or by MIBG or PET Scans. Secondary · Followed until off therapy, generally 3 years

To determine the activity of treatments chosen based on Overall response rate (ORR) using RESIST criteria. The assessment of response will include the initial measurable targets and will be performed after cycle 2, then after every other cycle. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by CT or MRI imaging and/or by MIBG or PET scans: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Progressive Disease, At least a 20% increase in

GroupValue95% CI
Stratum 11
Stratum 22
Stratum 32
Stratum 10
Stratum 20
Stratum 31
Stratum 14
Stratum 20
Stratum 36
Stratum 112
Stratum 25
Stratum 38

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were collected starting with the date of the first dose of study drug until 30 days after last dose of study drug, ongoing related adverse events were continued to be followed until resolution, on average of 3 years.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Guided Therapy- Pediatric Gene Analysis Platform
Serious: 21/45 (47%)
Deaths: 2/45

Serious adverse events (14 terms)

ReactionSystemGuided Therapy- Pediatric …
Febrile neutropeniaInfections and infestations
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Cystitis noninfectiveRenal and urinary disorders
DeydrationMetabolism and nutrition disorders
EpistaxisVascular disorders
FeverGeneral disorders
HematuriaRenal and urinary disorders
HypertensionGeneral disorders
HypocalcemiaMetabolism and nutrition disorders
Infection, lungInfections and infestations
Left ventricular systolic dysfunctionCardiac disorders
Oral mucocitisGastrointestinal disorders
VomitingGastrointestinal disorders
Other adverse events (21 terms — click to expand)

ReactionSystemGuided Therapy- Pediatric …
NeutropeniaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
AnemiaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
AnorexiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
InfectionInfections and infestations
VomitingGastrointestinal disorders
DiarrheaGastrointestinal disorders
ConstipationGastrointestinal disorders
PainGeneral disorders
EpistaxisVascular disorders
FatigueGeneral disorders
FeverGeneral disorders
HypokalemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
RashSkin and subcutaneous tissue disorders
Aspartate Transferase IncreaseHepatobiliary disorders
HypertensionGeneral disorders
HypophosphatemiaMetabolism and nutrition disorders

Most-reported serious reactions: Febrile neutropenia, Neutropenia, Thrombocytopenia, Cystitis noninfective, Deydration, Epistaxis, Fever, Hematuria.

Data from ClinicalTrials.gov NCT01802567 adverse events section.

Sponsor's own description

The purpose of this study is to test the feasibility (ability to be done) of experimental technologies to determine a tumor's molecular makeup (gene expression profile) and mutations. This technology called the "Pediatric Gene Analysis Platform" includes a genomic report (gene expression profile) and a DNA Mutation Panel Report that are being used to discover new ways to understand cancers and potentially predict the best treatments for patients with cancer in the future.

Publications & conference data

4 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Genomic and Transcriptomic Analysis of Relapsed and Refractory Childhood Solid Tumors Reveals a Diverse Molecular Landscape and Mechanisms of Immune Evasion.
    Byron SA, Hendricks WPD, Nagulapally AB, Kraveka JM, et al · · 2021 · cited 17× · PMID 34610968 · DOI 10.1158/0008-5472.can-21-1033
  2. Molecular Guided Therapy Provides Sustained Clinical Response in Refractory Choroid Plexus Carcinoma.
    Cornelius A, Foley J, Bond J, Nagulapally AB, et al · · 2017 · cited 13× · PMID 28993730 · DOI 10.3389/fphar.2017.00652
  3. Molecular-guided therapy predictions reveal drug resistance phenotypes and treatment alternatives in malignant peripheral nerve sheath tumors.
    Peacock JD, Cherba D, Kampfschulte K, Smith MK, et al · · 2013 · cited 13× · PMID 24040940 · DOI 10.1186/1479-5876-11-213
  4. Editorial: Drug Repurposing.
    Pantziarka P, André N. · · 2019 · cited 7× · PMID 31334237 · DOI 10.3389/fmed.2019.00154

Verify or expand the search:

Other recruiting trials for Neuroblastoma

Currently open trials in the same condition.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing