Naxitamab for High-Risk Neuroblastoma Patients With Primary Refractory Disease or Incomplete Response to Salvage Treatment in Bone and/or Bone Marrow
This study is looking into a new treatment for children and adults with a serious type of cancer called high-risk neuroblastoma. This is for patients whose cancer in their bones or bone marrow hasn't fully responded to earlier treatments. The study uses two medications: Naxitamab, which is a specially designed antibody that targets cancer cells, and GM-CSF. Participants will receive these treatments for up to 101 weeks, which is about two years. After the treatment period, doctors will continue to check on participants for up to five years. The goal is to find out if this combination of medicines can be an effective way to help manage this complex condition.
At a glance
What is this study about?
This study is for children and adults dealing with a specific type of cancer called high-risk neuroblastoma. Neuroblastoma is a cancer that typically starts in nerve cells outside the brain. In this study, we're focusing on patients whose cancer is particularly stubborn, meaning it hasn't fully cleared up or responded well to standard treatments, especially when it's found in the bones or bone marrow. We know this can be a very challenging time, and researchers are always looking for better ways to help.
The main idea behind this study is to test a new treatment approach. It involves two medicines: Naxitamab and GM-CSF. Naxitamab is a special type of drug, sometimes called a 'monoclonal antibody,' that's designed to find and attack certain features on cancer cells. GM-CSF is a medicine that can help stimulate your body's immune system, which might help Naxitamab work better or help your body fight off infections. By combining these two treatments, doctors hope to find a more effective way to manage this difficult form of neuroblastoma.
The study aims to understand how well this treatment works and if it can improve outcomes for patients. It's a 'Phase 2' study, which means researchers are carefully evaluating the treatment's safety and effectiveness in a group of patients. If successful, this research could pave the way for a new treatment option for those facing high-risk neuroblastoma.
Key takeaways
- This study is for children and adults with high-risk neuroblastoma in their bones or bone marrow.
- It tests a new combination of medicines, Naxitamab and GM-CSF.
- The treatment phase lasts up to two years, with follow-up for five years.
- It aims to find better ways to treat neuroblastoma that hasn't fully responded to previous therapies.
- Participation is voluntary, and you can withdraw at any time.
Who may be eligible?
To join this study, you need to have a diagnosis of high-risk neuroblastoma in your bones or bone marrow. This study is for people whose cancer hasn't completely gone away or is still present after previous treatments. This includes situations where the cancer might be stable, has shown a small improvement, or has partially responded to earlier treatments.
There are also some important points that might mean you can't join. For example, if you've had other anti-cancer treatments, like chemotherapy, within three weeks before the study starts, you wouldn't be able to participate right away. Also, if your neuroblastoma is only outside of your bones and bone marrow, this study wouldn't be suitable for you. You also need to be generally stable and have good organ function, as assessed by the medical team.
The study is open to both children and adults, from one year old upwards. Doctors will explain all criteria in detail and help you understand if this study might be right for you.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Do I have a diagnosis of high-risk neuroblastoma?
- Is my neuroblastoma in my bones or bone marrow?
- Has my neuroblastoma not fully responded to previous treatments?
- Have I avoided other anti-cancer treatments for at least three weeks before the study starts?
- Are my major organs generally healthy (excluding hearing)?
- Am I at least one year old?
What does participation involve?
If you decide to take part in this study, the treatment period will last for up to 101 weeks, which is about two years. Before each treatment cycle begins, you'll receive a medicine called GM-CSF for 5 days. Then, the main medication, Naxitamab, will be given on days 1, 3, and 5 of that same cycle. You'll get Naxitamab through a drip into your vein.
These treatment cycles will usually happen every four weeks. If your cancer responds well, you might continue with six cycles of this schedule. After that, if the doctors think it's still beneficial, the cycles might become less frequent, happening every eight weeks, until the 101-week mark. Throughout this time, you'll have regular hospital visits for treatment and check-ups to see how you're doing and how the treatment is working. After the treatment finishes, you'll enter a long-term follow-up period, where doctors will continue to monitor your health for up to five years after your very first treatment.
Potential risks and benefits
Locations (26)
- University of FloridaVerified postcodeGainesville, United States· Withdrawn
- University of ChicagoVerified postcodeChicago, United States· Withdrawn
- Riley Hospital for ChildrenVerified postcodeIndianapolis, United States· Active not recruiting
- Memorial Sloan Kettering Cancer CenterVerified postcodeNew York, United States· Active not recruiting
- Nationwide Children's HospitalVerified postcodeColumbus, United States· Withdrawn
- M.D. Anderson Cancer CenterVerified postcodeHouston, United States· Withdrawn
- The Hospital for Sick ChildrenVerified postcodeToronto, Canada· Recruiting
- RigshospitaletVerified postcodeCopenhagen, Denmark· Recruiting
- Hopital pour enfants de la TimoneVerified postcodeMarseille, France· Withdrawn
- University Medical Center Hamburg-EppendorfVerified postcodeHamburg, Germany· Recruiting
- Johannes Gutenberg-UniversitätVerified postcodeMainz, Germany· Recruiting
- University Hospital RegensburgVerified postcodeRegensburg, Germany· Recruiting
Common questions
What is high-risk neuroblastoma?
High-risk neuroblastoma is a serious type of cancer that usually starts in nerve cells outside the brain and can be challenging to treat, often needing more intensive therapies.
What are Naxitamab and GM-CSF?
Naxitamab is a special drug that targets cancer cells, and GM-CSF is a medicine that helps boost your body's immune system, potentially helping the cancer treatment work better.
How long will I be involved in the study?
The treatment part of the study lasts for up to 101 weeks (about two years), and you'll be monitored by doctors for up to five years after your first treatment.
Can I leave the study if I change my mind?
Yes, absolutely. Your participation is completely voluntary, and you can choose to leave the study at any time without affecting your medical care.
Will I have to stay in the hospital?
The Naxitamab treatment is given as a drip, so you will need to attend the hospital for these sessions. Your team will advise on whether they require you to stay overnight.
How to find out more
Rhiannon Wright
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
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