About this trial
A clinical study of propranolol for the treatment of Kaposi Sarcoma in children and adults. This study will be an open-label single armed treatment trial that will test the effectiveness and the safety of treating Kaposi Sarcoma with propranolol.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pediatric (< 18 years) and adult (≥ 18 years) participants with biopsy-proven and measurable Kaposi Sarcoma (KS) as defined in the KS Manual of Procedures (MOP).
No urgent clinical indication for immediate cytotoxic chemotherapy. Participants who have received cytotoxic chemotherapy > 4 weeks prior to screening are eligible.
1A (Mild): disease limited to skin, flat oral mucosal lesions, and/or flesh colored subcutaneous nodules, total <10 lesions.
1B (Moderate): having any of the following features, alone or in combination: a total of 10-19 hyperpigmented skin/oral lesions, nodular oral involvement, conjunctival eye involvement, or exophytic mass.
Disqualifiers
Children and adolescents with lymph node or visceral disease, woody edema, or ≥ 20 cutaneous lesions.
Children and adolescents with heart rate or systolic blood pressure <10th percentile for age.
Adults with visceral disease or tumor-associated edema causing functional impairment.
Shortness of breath, hemoptysis, or moderate/severe cough not attributable to causes other than KS.
Trial design
Single group
Treatments tested in this trial
Propranolol
DrugAdults: Propanolol 120 mg tablets by mouth twice daily for up to 24 weeks Children: Propanolol 3 mg/kg suspension, divided dose twice daily for up to 24 weeks
Treatment groups
Trial outcomes
Primary outcomes
Objective Response Rate
ORR is defined as the proportion of participants with complete response (CR), or partial response (PR) based on AIDS Malignancy Consortium Kaposi Sarcoma (AMC KS) Response Criteria.
Secondary outcomes
Number of dose-limiting toxicities
To evaluate the number of dose-limiting toxicities. The dose-limiting toxicities will be based on the National Cancer Institute's Common Terminology Criteria for Adverse Events
Number of treatment-emergent adverse events
To evaluate the number of treatment-emergent adverse events. The treatment-emergent adverse events will be based on the National Cancer Institute's Common Terminology Criteria for Adverse Events
Complete and Partial Response rates in children and adults
Proportion of children and adults with a Complete Response or Partial Response.
Time to recurrence among children
Time to recurrence among responders overall in children. Recurrent disease is defined as the appearance of tumor following documentation of a complete remission.
Sponsors and contacts
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AIDS Malignancy Consortium
Lead sponsor
National Cancer Institute (NCI)
Collaborator
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