Treatment for high-risk neuroblastoma using naxitamab and GM-CSF
A Pivotal Phase 2 Trial of Antibody Naxitamab (hu3F8) and Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) in High-Risk Neuroblastoma Patients With Primary Refractory Disease or Incomplete Response to Salvage Treatment in Bone and/or Bone Marrow
PHASE2 · Y-mAbs Therapeutics · NCT03363373
This study is testing a new treatment combining naxitamab and GM-CSF for children and adults with high-risk neuroblastoma who haven't responded well to previous therapies.
Quick facts
| Phase | PHASE2 |
|---|---|
| Study type | Interventional |
| Enrollment | 122 (estimated) |
| Ages | 1 Year and up |
| Sex | All |
| Sponsor | Y-mAbs Therapeutics (industry) |
| Drugs / interventions | chemotherapy, immunotherapy, naxitamab |
| Locations | 26 sites (Gainesville, Florida and 25 other locations) |
| Trial ID | NCT03363373 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to treat children and adults with high-risk neuroblastoma who have primary refractory disease or an incomplete response to previous salvage treatments. Participants will receive naxitamab, a humanized monoclonal antibody targeting GD2, along with granulocyte-macrophage colony-stimulating factor (GM-CSF) over a treatment period of up to 101 weeks. The treatment regimen includes multiple cycles of GM-CSF and naxitamab, with patients monitored for up to five years after their first dose to assess long-term outcomes.
Who should consider this trial
Good fit: Ideal candidates include children and adults diagnosed with high-risk neuroblastoma who have not responded adequately to previous treatments.
Not a fit: Patients with neuroblastoma that has spread outside of bone and bone marrow or those with major organ dysfunction may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could improve survival rates and outcomes for patients with high-risk neuroblastoma.
How similar studies have performed: Other studies using similar monoclonal antibody approaches have shown promise, indicating potential for success in this trial.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnosis of neuroblastoma as defined per International Neuroblastoma Response Criteria * High-risk neuroblastoma patients with either primary refractory disease or incomplete response to salvage treatment (in both cases including stable disease, minor response and partial response) evaluable in bone and/or bone marrow. * Life expectancy ≥ 6 months Exclusion Criteria: * Any systemic anti-cancer therapy, including chemotherapy or immunotherapy, within 3 weeks before 1st dose of GM-CSF * Evaluable neuroblastoma outside bone and bone marrow * Existing major organ dysfunction \> Grade 2, with the exception of hearing loss, hematological status, kidney and liver function * Active life-threatening infection
Where this trial is running
Gainesville, Florida and 25 other locations
- University of Florida — Gainesville, Florida, United States (WITHDRAWN)
- University of Chicago — Chicago, Illinois, United States (WITHDRAWN)
- Riley Hospital for Children — Indianapolis, Indiana, United States (ACTIVE_NOT_RECRUITING)
- Memorial Sloan Kettering Cancer Center — New York, New York, United States (ACTIVE_NOT_RECRUITING)
- Nationwide Children's Hospital — Columbus, Ohio, United States (WITHDRAWN)
- M.D. Anderson Cancer Center — Houston, Texas, United States (WITHDRAWN)
- The Hospital for Sick Children — Toronto, Canada (RECRUITING)
- Rigshospitalet — Copenhagen, Denmark (RECRUITING)
- Hopital pour enfants de la Timone — Marseille, Marseille, France (WITHDRAWN)
- University Medical Center Hamburg-Eppendorf — Hamburg, Germany (RECRUITING)
- Johannes Gutenberg-Universität — Mainz, Germany (RECRUITING)
- University Hospital Regensburg — Regensburg, Germany (RECRUITING)
- Hong Kong Children's Hospital — Hong Kong, Hong Kong (RECRUITING)
- Queen Mary Hospital — Hong Kong, Hong Kong (ACTIVE_NOT_RECRUITING)
- Tata Memorial Centre — Mumbai, India (RECRUITING)
- Giannina Gaslini Hospital — Genoa, Genoa, Italy (RECRUITING)
- Fondazione IRCCS Istituto Nazionale dei Tumori — Milan, Milan, Italy (RECRUITING)
- Ospedale Pediatrico Bambino Gesù — Rome, Italy (RECRUITING)
- Hospital Sant Joan de Déu — Barcelona, Spain (RECRUITING)
- Hospital Infantil Universitario Niño Jesús — Madrid, Spain (RECRUITING)
- Hospital Universitario Virgen Del Rocío — Seville, Spain (RECRUITING)
- Hospital Universitario y Politécnico La Fe — Valencia, Spain (RECRUITING)
- The Royal Glasgow Children's Hospital — Glasgow, United Kingdom (RECRUITING)
- Leeds General Infirmary — Leeds, United Kingdom (RECRUITING)
- The Royal Marsden — London, United Kingdom (WITHDRAWN)
- University Hospital Southampton — Southampton, United Kingdom (RECRUITING)
Study contacts
- Study coordinator: Rhiannon Wright
- Email: clinicaltrials@ymabs.com
- Phone: +447969051167
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Neuroblastoma, Antibody, Neuroblastoma, Pediatric, Adult