Clinical trial Recruiting at 1 site Phase 2 Interventional Ages Any age to 18

Quadruple immunotherapy for treating relapsed neuroblastoma in children

Official title: Quadruple Immunotherapy for Paediatric Patients With Relapsed or Refractory Neuroblastoma

Run by Hong Kong Children's Hospital · NCT05754684 · Data updated 2026-11-12

This study is testing a new combination of treatments to see if it can help children with relapsed neuroblastoma feel better and fight their cancer more effectively.

More Neuroblastoma Recurrent trials

Quick facts

PhasePhase 2
Study typeInterventional
AgesAny age to 18 Years
SexAll
Enrollment29 (estimated)
SponsorHong Kong Children's Hospital
Academic / other
Drugs / interventionsimmunotherapy, dinutuximab, Naxitamab
Locations1 site (Hong Kong)
StatusRecruiting
StartedJanuary 1, 2022
Main results expectedDecember 31, 2025
Study endsDecember 31, 2025
Registry record updatedSeptember 15, 2025
Trial IDNCT05754684 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are pediatric patients diagnosed with relapsed or refractory neuroblastoma who have an appropriate NK-cell donor available.

Probably not a fit

Patients with terminal malignancies and a life expectancy of less than one month are unlikely to benefit from this study.

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

What this trial studies

This clinical trial evaluates the safety and efficacy of a quadruple immunotherapy approach for pediatric patients with relapsed or refractory neuroblastoma. Participants will receive a combination of natural killer (NK) cells, anti-GD2 antibodies, cytokines (IL-2 and GM-CSF), and a retinoid X receptor gamma agonist, spironolactone. The treatment regimen includes intravenous and subcutaneous infusions over a specified timeline to enhance the immune response against the cancer. The study aims to determine if this innovative combination can improve outcomes for children facing this challenging condition.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for children with relapsed neuroblastoma, potentially improving survival rates.

How similar studies have gone: While the approach of using quadruple immunotherapy is innovative, similar studies involving immunotherapy for neuroblastoma have shown promising results, indicating potential for success.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* relapsed or refractory neuroblastoma
* Adequate organ function: creatinine clearance ≥40 ml/min/1.73m2, total bilirubin ≤3 times upper limit of normal and ALT ≤500 IU/L, left ventricular shortening fraction ≥25%, and oxygen saturation ≥92% in room air
* Karnofsky or Lansky performance status score ≥50
* Has an appropriate HLA-haploidentical NK-cell donor available

Exclusion Criteria:

* Pregnant or lactating woman
* HIV infection
* Patients for whom conventional treatment is deemed more appropriate
* Patients who are unlikely to benefit, e.g., terminal malignancy with life expectancy \<1 month

Where it's running

  • Hong Kong Children&#39;s Hospital
    Hong Kong, Hong Kong
    Recruiting

Study contacts

  • Principal investigator: Daniel Cheuk — Hong Kong Children's Hospital
  • Study coordinator: Daniel Cheuk
  • Email: cheukkld@gmail.com
  • Phone: 852-35136049

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.