Phase 1-2 Trial Evaluating Metronomic Chemotherapy in Patients With a Relapsed or Refractory Wilms Tumor

Status: Recruiting
Location: See all (18) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This is a multicenter, interventional, non-randomized study among patients with a relapsed or refractory Wilms tumor. The study will aim to assess efficacy of metronomic chemotherapy, in terms of disease control after two cycles of metronomic chemotherapy.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 1
Maximum Age: 17
Healthy Volunteers: f
View:

• Patient ≥18 months old and ≤ 17 years old

• Relapsed or refractory Wilms tumor, histologically proven at diagnosis

• After at least 2 lines of chemotherapy (conventional or high dose, which may include the trial molecules) or after 1 line for high risk relapse for which there would not be any curative therapy. If 1 line for high risk relapse, the enrolment should be confirmed by coordinators.

• Radiologically measurable or evaluable disease (visible, target or non-target-lesion on MRI or CT-scan)

• Performance status: Karnofsky performance status (for patients \>16 years of age) or Lansky Play score (for patients ≤16 years of age) ≥ 70%.

• Able to take oral medication or nasal gastric tube or authorized gastrostomy

• Adequate biological criteria:

‣ Neutrophils \> 1000/mm3 ; Platelets \> 75 000/mm3

⁃ Transaminases (ALT/ AST) ≤ 3 times ULN (or ≤ 6 times ULN if liver metastasis); total bilirubin ≤ 2 ULN (except in case of Gilbert's disease)

• Creatinine ≤ 1,5 ULN or clearance ≥ 60 mL/ min/ 1,73m2 (In case of doubt, to be confirm by assessment of cystatin )

• Females of childbearing potential must have a negative seric pregnancy test within 7 days prior to initiation of treatment.

• Sexually active patients must agree to use adequate and appropriate contraception (at least one highly effective contraception or two complementary methods of contraception), 1 month before beginning of treatment while on trial drug and for 7 months after stopping the trial drug for female patients and after 6 months for male patients.

• Written informed consent from parents/legal representative, patient, and age-appropriate assent before any trial-specific screening procedures according to national guidelines.

• Patient covered by the French Social Security regime

Locations
Other Locations
France
CHU Amiens Picardie
NOT_YET_RECRUITING
Amiens
CHU de Besancon
RECRUITING
Besançon
CHRU de Bordeaux Hôpital des Enfants
RECRUITING
Bordeaux
CHU GRENOBLE ALPES - Hôpital COUPLE ENFANT
RECRUITING
Grenoble
Centre Oscar Lambret
RECRUITING
Lille
Centre Léon Bérard
RECRUITING
Lyon
Hôpital pour Enfants La Timone AP-HM
RECRUITING
Marseille
CHU de MONTPELLIER - Hôpital Arnaud de Villeneuve
NOT_YET_RECRUITING
Montpellier
CHU Nantes
RECRUITING
Nantes
CHU de Nice - Hôpital Archet 2
RECRUITING
Nice
Hôpital Armand-TROUSSEAU
RECRUITING
Paris
CHU Hôpital Sud
RECRUITING
Rennes
Chu Rouen
RECRUITING
Rouen
CHU La Réunion
NOT_YET_RECRUITING
Saint-denis
CHRU Strasbourg - Hôpital de Hautepierre
RECRUITING
Strasbourg
CHU Toulouse - Hôpital des Enfants
RECRUITING
Toulouse
CHRU NANCY - Hôpital d'Enfants
RECRUITING
Vandœuvre-lès-nancy
Gustave ROUSSY
RECRUITING
Villejuif
Contact Information
Primary
Emilie Heyman - Decoupigny
promotion@o-lambret.fr
+33 (0)3 20 29 59 18
Backup
Marie Vanseymortier
promotion@o-lambret.fr
+33 (0)3 20 29 59 18
Time Frame
Start Date: 2022-09-14
Estimated Completion Date: 2028-10
Participants
Target number of participants: 28
Treatments
Experimental: Single Arm - Vincristine + Irinotécan + Témozolomide + Etoposide + Cis-Retinoic acid
Metronomic chemotherapy : Vincristine + Irinotécan + Témozolomide + Etoposide + Cis-Retinoic acid
Related Therapeutic Areas
Sponsors
Leads: Centre Oscar Lambret

This content was sourced from clinicaltrials.gov

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