About this trial
The purpose of this study is to find out whether N10 chemotherapy is a safe and effective treatment for children with high-risk neuroblastoma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of NB as defined by histopathology, BM metastases plus high urine catecholamine levels, or positivity in MIBG scan.
HR-NB, defined as MYCN-amplified stage L2/M/MS at any age and stage M in patients >18 months old.
No more than one prior cycle of HR-NB chemotherapy
Age <19 years.
Disqualifiers
Severe dysfunction of major organs, i.e., renal, cardiac, hepatic, neurologic, pulmonary, hematologic, or gastrointestinal toxicity >/= to grade 3
Inability to comply with protocol requirements
Pregnancy
Trial design
Sequential
Treatments tested in this trial
DANYELZA
Biological/VaccineDANYELZA is a humanized monoclonal antibody of the IgG1 subclass
Sargramostim
Biological/VaccineYeast derived recombinant human Sargramostim (GM-CSF)
Cytoxan
DrugCyclophosphamide is an alkylating agent related to nitrogen mustard
Topotecan
DrugTopotecan is a topoisomerase I-inhibitor that is a semisynthetic derivative of camptothecin.
Vincristine
DrugVincristine is an alkaloid isolated from Vinca rosea Linn (periwinkle).
Doxorubicin
DrugDoxorubicin is an anthracycline antibiotic
Ifosfamide
DrugIfosfamide is a structural analogue of cyclophosphamide
Etoposide
DrugEtoposide for Injection is available as a 20 mg/mL solution in sterile multiple dose vials (5 mL, 25 mL, or 50 mL each).
Carboplatin
DrugCarboplatin is available in 50 mg, 150 mg, 450 mg, and 600 mg vials.
Irinotecan
DrugIrinotecan hydrochloride trihydrate (CPT-11) is a topoisomerase I inhibitor
Temozolomide
DrugTemozolomide is administered intravenously
Radiation Therapy
RadiationBetween first and second cycle of antibody
Treatment groups
Trial outcomes
Primary outcomes
Evaluate participant response
To assess the early Complete Response/CR rate in newly-diagnosed HR-NB patients.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.