Clinical trial Recruiting at 2 sites Early Phase 1 Interventional Ages 12 Months and up

IR-101 for relapsed or refractory neuroblastoma

Official title: A Study to Evaluate Safety and Efficacy of Radiopharmaceutical IR-101 in Patients With Relapsed or Refractory Neuroblastoma

Run by Sichuan University · NCT07067346 · Data updated 2026-11-12

This trial will test whether IR-101, a targeted radiopharmaceutical, can safely treat children (age ≥12 months) and adolescents with relapsed or refractory high-risk neuroblastoma that shows MIBG uptake.

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages12 Months and up
SexAll
Enrollment10 (estimated)
SponsorSichuan University
Academic / other
Drugs / interventionsimmunotherapy
Locations2 sites (Chengdu, Sichuang and 1 other locations)
StatusRecruiting
StartedJuly 18, 2025
Main results expectedJune 30, 2026
Study endsJune 30, 2026
Registry record updatedJuly 29, 2025
Trial IDNCT07067346 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Children and adolescents (≥12 months) with relapsed or refractory high-risk neuroblastoma that is clearly MIBG-avid, who have adequate organ function and a Lansky score of at least 50%, are ideal candidates.

Probably not a fit

Patients without MIBG-avid disease, those recently treated with [131I]MIBG or Lu-177 radionuclide therapy, those too soon after transplant, or those with active GVHD or poor organ function are unlikely to qualify or derive benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This early Phase 1 interventional trial gives participants IR-101, a radiopharmaceutical targeted to MIBG-avid neuroblastoma lesions, to characterize safety and preliminary efficacy. Eligible patients must have relapsed or refractory high-risk neuroblastoma with all soft-tissue lesions showing MIBG uptake, be at least 12 months old, have Lansky performance ≥50%, and meet organ function and blood-count requirements. Key exclusions include recent antibody immunotherapy, recent [131I]MIBG or Lu-177 radionuclide therapy, recent autologous or allogeneic transplant within protocol windows, active GVHD, or very recent radiotherapy. The trial is conducted at West China Hospital in Chengdu and will follow participants through treatment and post-treatment safety and response assessments.

Why it matters

Potential benefit: If successful, IR-101 could provide a new targeted option that delivers radiation directly to MIBG-avid tumor sites and potentially shrink tumors in patients who have exhausted other therapies.

How similar studies have gone: Related radiopharmaceutical approaches such as [131I]MIBG and Lu-177 targeted therapies have shown activity in relapsed neuroblastoma, but IR-101 appears to be a new agent that has not been broadly tested yet.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Relapsed or refractory high-risk neuroblastoma with MIBG avid lesions in accordance with the Revised International Neuroblastoma Response Criteria (INRC);
2. All soft-tissue lesions detected on CT/MRI must be MIBG-avid;
3. Age ≥12 months;
4. Lansky performance status ≥50%;
5. Adequate organ function and hematologic parameters;

Exclusion Criteria:

1. Antibody-based immunotherapy within 5 half-lives or 30 days (whichever is shorter), or not yet recovered from adverse reactions of prior biologic therapies;
2. Treatment with \[¹³¹I\]MIBG or Lu-177 targeted radionuclide therapy \<3 months of last administration;
3. Autologous transplant \<12 weeks, or Allogeneic transplant \<4 months (patients \>4 months post-transplant must be free of active GVHD);
4. Radiotherapy within 2 weeks prior to first dose of study drug (However, if the subjects undergone radiotherapy for the sole lesion have MIBG uptake after 2 weeks of radiotherapy completion, they will be eligible); or Extensive-field radiotherapy (e.g., Cranio-spinal cord, whole lung, whole abdomen, or \>50% bone marrow) within 12 weeks prior to first dose of study drug;
5. Renal Insufficiency;
6. Active Infections;

Where it's running

  • West China Hospital
    Chengdu, Sichuang, China
    Recruiting
  • West China Hospital
    Chengdu, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.