search
Back to results

Radiotherapy Combined With Realgar-Indigo Naturalis Formula (RIF) in the Treatment of Rhabdomyosarcoma(RMS) in Children

Primary Purpose

Rhabdomyosarcoma, Child

Status
Not yet recruiting
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Realgar-Indigo Naturalis Formulation
Radiotherapy
Sponsored by
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rhabdomyosarcoma, Child

Eligibility Criteria

3 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Eastern Cooperative Oncology Group performance status score(ECOG PS): 0-2, and the expected survival time is ≥3 months; At least one measurable lesion according to RECIST version 1.1; Postoperative pathological diagnosis of rhabdomyosarcoma, pathological staging of Group II-III patients; Patients who have not previously received radiotherapy, have received chemotherapy or whose legal guardian refuses to receive chemotherapy, and may have received surgical treatment for the initial diagnosis; Normal major organ function, i.e., meeting the following criteria: Blood routine examination standards shall meet:(No transfusion within 14 days) Hemoglobin(HB)≥90g/L; Absolute Neutrophil Count(ANC)≥1.5×109/L; Platelet count(PLT)≥80×109/L Biochemical examination shall meet the following standards: Bilirubin(BIL)<1.25 times the upper limit of normal (ULN); Alaninetransaminase(ALT) and aspartate transaminase(AST)<2.5 ULN; Serum creatinine≤1ULN, endogenous creatinine clearance 50ml/min (Cockcroft-Gault formula) The subject voluntarily participates in the study, and the patient or legal guardian signs the informed consent form with the consent of the patient, with good compliance and cooperation in follow-up; Patients whose physician believes the treatment will benefit. Exclusion Criteria: Previous or concurrent with other malignancies; Persons who have been proved to be allergic to Realgar-Indigo naturalis formula and/or its excipients; Has a number of factors affecting oral medication (such as inability to swallow, nausea, vomiting, chronic diarrhea and intestinal obstruction, etc.) ; Abnormal coagulation function (international normalized ratio(INR) > 1.5, Activated Partial Thromboplastin Time(APTT) > 1.5 uln) , the patients with bleeding tendency (such as active ulcer lesion in stomach, occult blood in stool (+ +) , black stool and/or hematemesis within 3 months, hemoptysis) or the lesion located near the great vessels; Tumors involving the skin and/or pharyngeal mucosa with ulceration; Have a history of psychotropic substance abuse and can not quit or have mental disorders; patients who had participated in clinical trials of other drugs within 4 weeks; The patients whose organ function had not recovered more than 35 days after the previous chemotherapy and could not be treated with the next course of chemotherapy; No other anti-cancer treatment may be used during radiotherapy except for the treatment prescribed in the protocol; According to the researchers' judgment, there are other patients with concomitant diseases that seriously compromise patient safety or affect the patient's ability to complete the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Experimental arm: Radiotherapy, Realgar-Indigo naturalis formula

    Arm Description

    Outcomes

    Primary Outcome Measures

    Objective response rate
    It refers to the proportion of patients with tumor shrinkage reaching a certain level and maintaining it for a certain period of time, including CR and PR cases.Objective tumor response was assessed using the Response Evaluation Criteria in Solid Tumors (RECIST 1.1 criteria).Subjects must have measurable tumor lesions at baseline, and the efficacy evaluation criteria are divided into complete response (CR), partial response (PR), stable disease (SD) and progressive disease (PD) according to RECIST 1.1 criteria.

    Secondary Outcome Measures

    Disease Control Rate
    Refers to the percentage of CR, PR and SD (≥4 weeks) cases in evaluable patients.
    Overall survival
    Refers to the time from the date of patient enrollment to death due to any cause.
    Quality of life score
    Adverse events
    Observe the adverse events occurring in all subjects during the clinical study

    Full Information

    First Posted
    January 18, 2023
    Last Updated
    January 31, 2023
    Sponsor
    Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT05708391
    Brief Title
    Radiotherapy Combined With Realgar-Indigo Naturalis Formula (RIF) in the Treatment of Rhabdomyosarcoma(RMS) in Children
    Official Title
    Efficacy and Safety of Concurrent Radiotherapy With Realgar-Indigo Naturalis Formula in the Treatment of Childhood Rhabdomyosarcoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    January 31, 2023 (Anticipated)
    Primary Completion Date
    March 31, 2024 (Anticipated)
    Study Completion Date
    December 30, 2024 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The goal of this clinical trial]is to evaluate the efficacy, safety and feasibility of radiotherapy combined with Realgar-Indigo naturalis formula(An oral arsenic agent)in the treatment of rhabdomyosarcoma in children. Including the occurrence of adverse events and the improvement of quality of life.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Rhabdomyosarcoma, Child

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    53 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Experimental arm: Radiotherapy, Realgar-Indigo naturalis formula
    Arm Type
    Experimental
    Intervention Type
    Drug
    Intervention Name(s)
    Realgar-Indigo Naturalis Formulation
    Intervention Description
    Radiotherapy: after 4 courses of chemotherapy, radiotherapy was started 13 weeks later. The radiotherapy was performed by three-dimensional conformal intensity modulated radiation (IMRT) technique with a dose of 45-50.4 grey, and radiotherapy was performed 5 times per week for 5-6 weeks. Oral administration of Realgar-Indigo naturalis formula from 1 week before radiotherapy to the whole radiotherapy period. Dosage: oral, according to body weight, 3 times a day.Because the patient constitution is different, may first start from the half dose, within 3 days gradually increases the dose.In this study, the dosage of Realgar-Indigo naturalis formula (250mg per tablet) was determined according to the patient's weight stage.In each body weight segment, 60 mg/kg realgar-indigo naturalis formula were given according to the upper limit of body weight
    Intervention Type
    Radiation
    Intervention Name(s)
    Radiotherapy
    Intervention Description
    Radiotherapy
    Primary Outcome Measure Information:
    Title
    Objective response rate
    Description
    It refers to the proportion of patients with tumor shrinkage reaching a certain level and maintaining it for a certain period of time, including CR and PR cases.Objective tumor response was assessed using the Response Evaluation Criteria in Solid Tumors (RECIST 1.1 criteria).Subjects must have measurable tumor lesions at baseline, and the efficacy evaluation criteria are divided into complete response (CR), partial response (PR), stable disease (SD) and progressive disease (PD) according to RECIST 1.1 criteria.
    Time Frame
    1-year
    Secondary Outcome Measure Information:
    Title
    Disease Control Rate
    Description
    Refers to the percentage of CR, PR and SD (≥4 weeks) cases in evaluable patients.
    Time Frame
    1-year
    Title
    Overall survival
    Description
    Refers to the time from the date of patient enrollment to death due to any cause.
    Time Frame
    2-year
    Title
    Quality of life score
    Time Frame
    1-year
    Title
    Adverse events
    Description
    Observe the adverse events occurring in all subjects during the clinical study
    Time Frame
    1-year

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    3 Years
    Maximum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Eastern Cooperative Oncology Group performance status score(ECOG PS): 0-2, and the expected survival time is ≥3 months; At least one measurable lesion according to RECIST version 1.1; Postoperative pathological diagnosis of rhabdomyosarcoma, pathological staging of Group II-III patients; Patients who have not previously received radiotherapy, have received chemotherapy or whose legal guardian refuses to receive chemotherapy, and may have received surgical treatment for the initial diagnosis; Normal major organ function, i.e., meeting the following criteria: Blood routine examination standards shall meet:(No transfusion within 14 days) Hemoglobin(HB)≥90g/L; Absolute Neutrophil Count(ANC)≥1.5×109/L; Platelet count(PLT)≥80×109/L Biochemical examination shall meet the following standards: Bilirubin(BIL)<1.25 times the upper limit of normal (ULN); Alaninetransaminase(ALT) and aspartate transaminase(AST)<2.5 ULN; Serum creatinine≤1ULN, endogenous creatinine clearance 50ml/min (Cockcroft-Gault formula) The subject voluntarily participates in the study, and the patient or legal guardian signs the informed consent form with the consent of the patient, with good compliance and cooperation in follow-up; Patients whose physician believes the treatment will benefit. Exclusion Criteria: Previous or concurrent with other malignancies; Persons who have been proved to be allergic to Realgar-Indigo naturalis formula and/or its excipients; Has a number of factors affecting oral medication (such as inability to swallow, nausea, vomiting, chronic diarrhea and intestinal obstruction, etc.) ; Abnormal coagulation function (international normalized ratio(INR) > 1.5, Activated Partial Thromboplastin Time(APTT) > 1.5 uln) , the patients with bleeding tendency (such as active ulcer lesion in stomach, occult blood in stool (+ +) , black stool and/or hematemesis within 3 months, hemoptysis) or the lesion located near the great vessels; Tumors involving the skin and/or pharyngeal mucosa with ulceration; Have a history of psychotropic substance abuse and can not quit or have mental disorders; patients who had participated in clinical trials of other drugs within 4 weeks; The patients whose organ function had not recovered more than 35 days after the previous chemotherapy and could not be treated with the next course of chemotherapy; No other anti-cancer treatment may be used during radiotherapy except for the treatment prescribed in the protocol; According to the researchers' judgment, there are other patients with concomitant diseases that seriously compromise patient safety or affect the patient's ability to complete the study.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    SiYu Chen, Dr
    Phone
    0086-13651687212
    Email
    siyu.chen@shsmu.edu.cn

    12. IPD Sharing Statement

    Learn more about this trial

    Radiotherapy Combined With Realgar-Indigo Naturalis Formula (RIF) in the Treatment of Rhabdomyosarcoma(RMS) in Children

    We'll reach out to this number within 24 hrs