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CompletedNCT00460876Updated May 2, 2008

Phase I Trial of Periocular Topotecan in Retinoblastoma

A Phase 1 interventional study of Topotecan in Retinoblastoma, sponsored by Hospital JP Garrahan. Completed at 1 site in Argentina. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2008-05-02.

Sponsored by Hospital JP Garrahan · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
5
Allocation
Non-randomized
Ages
Up to 18 Years
Sex
All
01

Study summary

This is a dose-escalation study aimed to assess the toxicity (and marginally the activity) of periocular topotecan in patients with relapsed-resistant retinoblastoma.

Read the detailed description

Patients with bilateral retinoblastoma who have relapsed after attempts of conservative therapy with standard regimens such as carboplatin, etoposide, vincristine and external beam radiotherapy who face immediate enucleation of their single remaining eye are eligible for this protocol. Starting dose of topotecan will be 0.5 mg and dose escalation will be done by the accelerated titration method. Any Grade 3 ocular toxicity or grade 4 non ocular toxicity will be designed as the dose limiting toxicity. Grade 2 scleral toxicity will be considered for DLT. In case of grade 2 ocular toxicity or grade 3 systemic toxicity, the escalation dose will be 0.25 mg. Maximal dose will be 2 mg.

02

Conditions studied

  • Retinoblastoma

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Keywords

  • topotecan
  • periocular
  • chemotherapy
03

Who can participate

Ages eligible
Up to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Group Vb (Reese Ellsworth)
  • Relapsed or progressed after carboplatin-based regimens and external beam radiotherapy
  • Enucleation of the contralateral eye
  • Normal renal and liver function

Exclusion criteria

Exclusion Criteria:

  • Presence of glaucoma, rubeosis iridis, anterior chamber extension
  • Extraocular disease
  • Adequate follow up impossible for social reasons
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Interventions

  • DrugTopotecan
05

What researchers measure

Primary outcomes

  1. Dose limiting toxicity

Secondary outcomes

  1. Response rate, description of toxicity, pharmacokinetic profile

06

Study locations

1 site
  • Hospital JP Garrahan
    Buenos Aires, CF C1245AAL, Argentina
07

References and documents

Publications

  • Chantada GL, Fandino AC, Carcaboso AM, Lagomarsino E, de Davila MT, Guitter MR, Rose AB, Manzitti J, Bramuglia GF, Abramson DH. A phase I study of periocular topotecan in children with intraocular retinoblastoma. Invest Ophthalmol Vis Sci. 2009 Apr;50(4):1492-6. doi: 10.1167/iovs.08-2737. Epub 2008 Oct 31. PubMed 18978345 ↗
08

Registry details

Key details

Study ID
NCT00460876
Lead sponsor
Hospital JP Garrahan
First posted
Apr 17, 2007
Start date
Mar 2007
Primary completion
Dec 2007
Completion
Apr 2008
Last update
May 2, 2008

Study contacts

Guillermo L Chantada, MD
principal investigator · Hospital JP Garrahan

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2008. You cannot join it, but the record below documents what was studied.

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