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Phase 1 Dose-escalating Study of MM-398 (Irinotecan Sucrosofate Liposome Injection) Plus Intravenous Cyclophosphamide in Recurrent or Refractory Pediatric Solid Tumors

Primary Purpose

Recurrent or Refractory Solid Tumors, Ewing Sarcoma, Rhabdomyosarcoma

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MM-398 (Irinotecan Sucrosofate Liposome Injection) plus cyclophosphamide
Sponsored by
South Plains Oncology Consortium
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Recurrent or Refractory Solid Tumors focused on measuring pediatric, MM-398, cyclophosphamide, irinotecan

Eligibility Criteria

12 Months - 20 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologically or cytologically-confirmed Ewing sarcoma, rhabdomyosarcoma, neuroblastoma, or osteosarcoma
  • Disease progression after prior therapy in locally advanced or metastatic setting
  • Measurable or evaluable disease based on the Response Evaluation Criteria in Solid Tumors (RECIST v1.1) criteria
  • Age 12 months to <21 years
  • Adequate bone marrow reserves, hepatic function, and renal function
  • Recovered from effects of any prior surgery or cancer therapy
  • Patients 18 years or older will provide written consent. A parent or legal guardian of a patient <18 years of age will provide informed consent and patients 11 to 18 years of age will provide written assent or as per participating institutional policy.

Exclusion Criteria:

  • Clinically significant gastrointestinal disorders
  • NYHA Class III or IV congestive heart failure, ventricular arrhythmias or uncontrolled blood pressure
  • Active infection or unexplained fever
  • Known hypersensitivity to any of the components of MM-398 or other liposomal products
  • Recent Investigational therapy
  • Pregnant or breast feeding; females of child-bearing potential must test negative for pregnancy at the time of enrollment

Sites / Locations

  • Cincinnati Children's Hospital Medical CenterRecruiting
  • University Of Oklahoma Health Sciences CenterRecruiting
  • UT SouthwesternRecruiting
  • MD Anderson Children's Cancer HospitalRecruiting
  • Texas Tech University Health Sciences CenterRecruiting
  • Midwest Children's HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

MM-398 + cyclophosphamide

Arm Description

MM-398+cyclophosphamide

Outcomes

Primary Outcome Measures

To determine the Maximum Tolerated Dose (MTD) of MM-398 in combination with intravenous cyclophosphamide by assessing the occurrence of dose limiting toxicities

Secondary Outcome Measures

Measurement of plasma levels of study drug to determine the pharmacokinetic properties of MM-398 in combination with cyclophosphamide

Full Information

First Posted
December 11, 2013
Last Updated
March 17, 2022
Sponsor
South Plains Oncology Consortium
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1. Study Identification

Unique Protocol Identification Number
NCT02013336
Brief Title
Phase 1 Dose-escalating Study of MM-398 (Irinotecan Sucrosofate Liposome Injection) Plus Intravenous Cyclophosphamide in Recurrent or Refractory Pediatric Solid Tumors
Official Title
Phase 1 Dose-escalating Study of MM-398 (Irinotecan Sucrosofate Liposome Injection) Plus Intravenous Cyclophosphamide in Recurrent or Refractory Pediatric Solid Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Recruiting
Study Start Date
December 2013 (Actual)
Primary Completion Date
December 2023 (Anticipated)
Study Completion Date
December 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
South Plains Oncology Consortium

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a Phase 1 study of the combination of two drugs: MM-398 and Cyclophosphamide. The goal is to find the highest dose of MM-398 that can be given safely when it is used together with the chemotherapy drug Cyclophosphamide.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent or Refractory Solid Tumors, Ewing Sarcoma, Rhabdomyosarcoma, Neuroblastoma, Osteosarcoma
Keywords
pediatric, MM-398, cyclophosphamide, irinotecan

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
MM-398 + cyclophosphamide
Arm Type
Experimental
Arm Description
MM-398+cyclophosphamide
Intervention Type
Drug
Intervention Name(s)
MM-398 (Irinotecan Sucrosofate Liposome Injection) plus cyclophosphamide
Intervention Description
chemotherapy
Primary Outcome Measure Information:
Title
To determine the Maximum Tolerated Dose (MTD) of MM-398 in combination with intravenous cyclophosphamide by assessing the occurrence of dose limiting toxicities
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Measurement of plasma levels of study drug to determine the pharmacokinetic properties of MM-398 in combination with cyclophosphamide
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Months
Maximum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically-confirmed Ewing sarcoma, rhabdomyosarcoma, neuroblastoma, or osteosarcoma Disease progression after prior therapy in locally advanced or metastatic setting Measurable or evaluable disease based on the Response Evaluation Criteria in Solid Tumors (RECIST v1.1) criteria Age 12 months to <21 years Adequate bone marrow reserves, hepatic function, and renal function Recovered from effects of any prior surgery or cancer therapy Patients 18 years or older will provide written consent. A parent or legal guardian of a patient <18 years of age will provide informed consent and patients 11 to 18 years of age will provide written assent or as per participating institutional policy. Exclusion Criteria: Clinically significant gastrointestinal disorders NYHA Class III or IV congestive heart failure, ventricular arrhythmias or uncontrolled blood pressure Active infection or unexplained fever Known hypersensitivity to any of the components of MM-398 or other liposomal products Recent Investigational therapy Pregnant or breast feeding; females of child-bearing potential must test negative for pregnancy at the time of enrollment
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Amanda Knight, RN, BSN
Phone
806-743-2690
Email
amanda.knight@ttuhsc.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul Harker-Murray, MD
Organizational Affiliation
Midwest Children's Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Individual Site Status
Recruiting
Facility Contact:
Phone
513-636-4200
First Name & Middle Initial & Last Name & Degree
Joseph Pressey, MD
Facility Name
University Of Oklahoma Health Sciences Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Haley Jones
Facility Name
UT Southwestern
City
Dallas
State/Province
Texas
ZIP/Postal Code
75235
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Alison Patterson
Facility Name
MD Anderson Children's Cancer Hospital
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jonathan Gill, MD
Facility Name
Texas Tech University Health Sciences Center
City
Lubbock
State/Province
Texas
ZIP/Postal Code
79430
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Angie Cervantez
Facility Name
Midwest Children's Hospital
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Olivia Tarnowske

12. IPD Sharing Statement

Citations:
PubMed Identifier
31401903
Citation
Hattinger CM, Patrizio MP, Magagnoli F, Luppi S, Serra M. An update on emerging drugs in osteosarcoma: towards tailored therapies? Expert Opin Emerg Drugs. 2019 Sep;24(3):153-171. doi: 10.1080/14728214.2019.1654455. Epub 2019 Aug 14.
Results Reference
derived

Learn more about this trial

Phase 1 Dose-escalating Study of MM-398 (Irinotecan Sucrosofate Liposome Injection) Plus Intravenous Cyclophosphamide in Recurrent or Refractory Pediatric Solid Tumors

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