Naxitamab Added to Induction for Newly Diagnosed High-Risk Neuroblastoma (NCT05489887)
๐ฉบ Plain-English Summary (8th-Grade Level)
This is a prospective, multicenter clinical trial in subjects with newly diagnosed high-risk neuroblastoma to evaluate the efficacy and safety of administering naxitamab with standard induction therapy. The initial chemotherapy will include 5 cycles of multi-agent chemotherapy. Naxitamab will be added to all 5 Induction cycles. We hypothesize that the addition of anti-GD2 therapy to induction chemotherapy will result in improved end of induction responses and improved survival.
Who can join: To join this study, participants generally need to meet the listed inclusion criteria (25 items) and avoid the listed exclusions (10 items).
Location: University of Alabama/Children's of Alabama โ Birmingham, Alabama
๐ "Do I Qualify?" โ 1-Minute Self Screener
Instant ChecklistCheck every box below. If you can check all of them, you may meet the study's basic screening requirements (final eligibility is confirmed by the site team).
Usually NOT eligible if any of the following apply:
- Exclusion Criteria:
- Subjects who are less than 1 year of age
- Subjects who are 12-18 months of age with INRGSS Stage M and all stage L2 subjects with favorable biologic features (i.e., nonamplified MYCN, favorable pathology, and DNA index \> 1) are not eligible.
- Subjects who have had prior systemic therapy except for localized emergency radiation to sites of life-threatening or function-threatening disease and/or no more than 1 cycle of chemotherapy.
- Treatment with immunosuppressive treatment (topical, inhaled and short-term emergency steroids excluded) within 4 weeks prior to enrollment
- Inadequate pulmonary function defined as evidence of dyspnea at rest, exercise intolerance, and/or chronic oxygen requirement. In addition, room air pulse oximetry \< 94% and/or abnormal pulmonary function tests if these assessments are clinically indicated.
- Pregnant or breastfeeding (NOTE: breast milk cannot be stored for future use while the mother is being treated on study.)
- Subjects receiving any investigational drug concurrently.
- Subjects with any other medical condition, including but not limited to malabsorption syndromes, mental illness or substance abuse, deemed by the Investigator to be likely to interfere with the interpretation of the results or which would interfere with a subject's ability to sign or the legal guardian's ability to sign the informed consent, and subject's ability to cooperate and participate in the study
- Subjects with a significant intercurrent illness (any ongoing serious medical problem unrelated to cancer or its treatment) that is not covered by the detailed exclusion criteria and that is expected to interfere with the action of investigational medicinal products (IMPs) or to significantly increase the severity of the toxicities experienced from trial treatment.
๐ Extracted verbatim from the official NIH eligibility criteria. Always confirm with the study coordinator.
๐ All Participating Trial Locations (26 Sites)
- University of Alabama/Children's of Alabama โ Birmingham, Alabama
- Arkansas Children's Hospital โ Little Rock, Arkansas
- UCSF Benioff Children's Hospital Oakland โ Oakland, California
- Rady Children's Hospital โ San Diego, California
- Connecticut Children's Hospital โ Hartford, Connecticut
- University of Florida โ Gainesville, Florida
- Nicklaus Children's Hospital โ Miami, Florida
- Arnold Palmer Hospital for Children โ Orlando, Florida
- Augusta University Health โ Augusta, Georgia
- Kapiolani Medical Center for Women and Children โ Honolulu, Hawaii
- Norton Children's Research Institute/Affiliated with University of Louisville School of Medicine โ Louisville, Kentucky
- Children's Hospital and Clinics of Minnesota โ Minneapolis, Minnesota
- Cardinal Glennon Children's Hospital โ St Louis, Missouri
- Levine Children's Hospital โ Charlotte, North Carolina
- Duke University โ Durham, North Carolina
- Wake Forest University Health Sciences โ Winston-Salem, North Carolina
- Randall Children's Hospital โ Portland, Oregon
- Penn State Milton S. Hershey Medical Center and Children's Hospital โ Hershey, Pennsylvania
- Medical University of South Carolina โ Charleston, South Carolina
- Dell Children's Blood and Cancer Center โ Austin, Texas
- Virginia Commonwealth University โ Richmond, Virginia
- GRAACC Hospital โ Sรฃo Paulo, Sรฃo Paulo
- UHC Sainte-Justine โ Montreal, Quebec
- CHUQ โ Quรฉbec, Quebec
- CIUSSS de l'Estrie-CHUS โ Sherbrooke, Quebec
๐ฐ Cost, Insurance & Patient Rights
- 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
- Routine Patient Care: Under federal law (ACA ยง 2709) and many state statutes, routine care costs are covered during participation.
- Voluntary Participation: You may withdraw at any time without affecting your standard medical care.