ClinicalTrials.gg
CompletedNCT00923351Updated Jun 15, 2018Results posted

Therapy to Treat Ewing's Sarcoma, Rhabdomyosarcoma or Neuroblastoma

A Phase 1/2 interventional study of Tumor Purged/CD25 Depleted Lymphocytes and Tumor Purged/CD25 Depleted Lymphocytes with Tumor Lysate/KLH Pulsed Dendritic Cell Vaccine in Neuroblastoma, Sarcoma and Rhabdomyosarcoma-Embryonal, sponsored by National Cancer Institute (NCI). Completed at 1 site in United States. Open to participants aged 19 Months to 35 Years. Per ClinicalTrials.gov, last updated 2018-06-15.

Sponsored by National Cancer Institute (NCI) · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years after the study started (first participant enrolled Jun 2007, registered Jun 2009).
Phase
Phase 1/2
Study type
Interventional
Enrollment
44
Allocation
Non-randomized
Ages
19 Months to 35 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 69 studies in Neuroblastoma by National Cancer Institute (NCI) — 6 open to participants now, 15 under way, 1 of them phase 3. Neuroblastoma · National Cancer Institute (NCI).

Enrollment
23rd of 59
44 · median 30
Started
2007
with 1 other
Phase 1/2
4 of 69
1 open now
Registered
31st of 69
by date

Among the 69 studies in Neuroblastoma by National Cancer Institute (NCI), this one is the 23rd largest by enrollment of the 59 interventional ones that give a count, is one of 2 that started in 2007, is one of 4 in phase 1/2, and was the 31st registered.

Neuroblastoma

675 studies on the registry are indexed under Neuroblastoma; 127 are open to participants now.

Browse Neuroblastoma studies →

Open to participants now

6 of the 69 studies in Neuroblastoma by National Cancer Institute (NCI) are open now, in 5 countries. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 6 open studies →

Who these studies take

Of the 104 Neuroblastoma studies recruiting now, 25 (24%) set no upper age limit and 74 (71%) stop at 75 or younger; 101 take children under 18; 3 take healthy volunteers.

This study: 19 Months to 35 Years · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 69 studies in Neuroblastoma by National Cancer Institute (NCI), or all of them as a file.
02

Study summary

Background:

  • Pediatric solid tumors (Ewing's sarcoma, rhabdomyosarcoma, and neuroblastoma) are often difficult to cure with standard treatment.
  • Immune therapy using an experimental vaccine made from proteins from the patient's tumor cells may boost the body's immune response against the tumor.
  • The effects of chemotherapy on the immune system can potentially make immunotherapy more effective if administered soon after completion of chemotherapy. The addition of recombinant human IL-7 (interleukin 7) (rhIL-7 (recombinant human interleukin 7)) may make the immunotherapy more effective.

Objectives:

-To determine whether immune therapy given after immune suppression can help the body fight the tumor and to determine the safety of the treatment.

Eligibility:

-Patients with solid tumors, i.e., Ewing's sarcoma, rhabdomyosarcoma or neuroblastoma whose disease has recurred after treatment or spread beyond the original site

Design:

  • Patients undergo tumor biopsy (removal of a piece of tumor tissue) to collect tumor cells for making a vaccine from proteins in the patient's tumor and apheresis (removal of a quantity of white blood cells) to collect white cells for re-building the immune system after immune therapy. Apheresis is repeated three times during immunotherapy (weeks 8, 14 and 20).
  • After receiving standard chemotherapy for their tumor (and an additional course of fludarabine and cyclophosphamide to further suppress immunity if needed) patients receive immune therapy in Cohorts A and B. rhIL-7 is given 48 hours before the vaccine, as an injection under the skin in an extremity that will not be used for the vaccine in patients in Cohort B only. You will be watched closely for 6 hours after the rhIL-7 for any signs of reaction. rhIL-7 will be given before vaccine doses #1, #2, #3, and #4. The vaccine is given at study weeks 2, 4, 6, 8, 10 and 12. Each vaccine is given as a total of six separate rhIL-7 followed by injections: three intradermal (like a (tuberculosis) TB test) on one arm or leg and three subcutaneous (like those for insulin injections for diabetes). on the other arm or leg. An anesthetic cream may be used to minimize the discomfort of injections.
  • Patients' white cells are returned to them by infusion through a vein on the first day of immune therapy.
  • Imaging studies and immune studies are done at weeks 1, 8 and 20 to determine the response to treatment on the tumor and on the immune system.
Read the detailed description

Background:

  • Patients with recurrent or metastatic pediatric solid tumors experience low survival rates, but using current standard therapies, many patients with these diseases are rendered into a state of minimal residual disease associated with lymphopenia.
  • Lymphopenic hosts show augmented immune reactivity, which may be favorable for inducing antitumor immune responses.

Objectives:

  • To determine whether Alpha cluster of differentiation 25 (CD25) and 8H9 depleted autologous lymphocytes plus tumor lysate/keyhole limpet hemocyanin (KLH) pulsed dendritic cell vaccines plus or minus r-hIL7 (CYT107) can induce immune responses to tumor lysate in this patient population rendered lymphopenic by cytotoxic therapy.
  • To assess the safety of administering lymphocytes depleted of cluster of differentiation 4 (CD4) plus CD25plus suppressor T cells plus or minus r-hIL (CYT107 (interleukin 7)) to lymphopenic hosts.

Eligibility:

  • Patients with metastatic or recurrent pediatric solid tumors of the following histologies: Ewing's sarcoma family of tumors, rhabdomyosarcoma or neuroblastoma, synovial cell sarcoma, desmoplastic small round cell tumor, undifferentiated sarcoma, embryonal sarcoma.
  • Patients must have sufficient accessible tumor for biopsy to generate tumor lysate.
  • Patients must meet eligibility criteria upon enrollment and upon completion of standard therapy prior to administration of immunotherapy as significant time will have elapsed between the time points.

Design:

  • Immunotherapy consists of one autologous lymphocyte infusion depleted of CD25plus suppressive T cells and depleted of contaminating tumor cells plus 6 sequential tumor lysate/KLH pulsed dendritic cell vaccines. No cytokine is administered on Arm A and r-hIL7 (CYT107) is administered on Arm B.
  • Patients will be evaluated for immune responses to tumor lysates using ex vivo assays and delayed type hypersensitivity (DTH).
  • The trial uses a one-stage design targeting a response rate of 50 percent. Up to 47 patients will be treated.
  • Stopping rules will take effect if excessive toxicity is observed.
03

Conditions studied

  • Neuroblastoma
  • Sarcoma
  • Rhabdomyosarcoma-Embryonal
  • Rhabdomyosarcoma- Alveolar
  • Neuroectodermal Tumors, Primitive, Peripheral

Keywords

  • Vaccine
  • Immunotherapy
  • Cancer
  • Chemotherapy
  • Tumor Lysate/KLH Pulsed Dendritic Cell Vaccine
  • Neuroblastoma
  • Autologous Lymphocyte Infusion
  • Ewing's Sarcoma
  • Rhabdomyosarcoma
04

Who can participate

Ages eligible
19 Months to 35 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

  • INCLUSION CRITERIA: for Apheresis/Tumor portion of the trial:

A. Diagnosis

  • rhabdomyosarcoma: embryonal or alveolar.
  • Ewing's sarcoma family of tumors (ESFT), which include: classical, atypical and extraosseous ESFT, peripheral primitive neuroectodermal tumors, peripheral neuroepithelioma, primitive sarcoma of bone, and ectomesenchymoma.
  • neuroblastoma: may be diagnosed via histology or the standard clinical evidence for increased catecholamines in the urine plus tumor cells in the bone marrow.
  • undifferentiated or embryonal sarcoma.
  • desmoplastic small round cell tumor.
  • synovial cell sarcoma.

B. Extent of Disease/Previous Therapy

  • Initial presentation: Stage IV or disease, enrolled prior to any cytoreductive therapy.
  • Recurrent Disease:

    • Patient > 5yo must have recovered to > 350 cells/mm\^3 OR have disease free interval > one year from completion of cytotoxic therapy
    • Patients \< 5yo must have recovered CD4 count to > 350 cells/mm\^3 OR have disease free interval > six months from completion of cytotoxic therapy
  • Multiple recurrences are allowable as long as CD4 count or disease-free intervals have been met.

C. Age/Weight

  • greater than 18 mos. and less than or equal to 35 years at the time of initial diagnosis.
  • greater than 10 kg at the time of apheresis. Patients between 10-15 kg must be approved by the apheresis unit prior to enrollment on protocol.

D.

All patients or their legal guardians (if the patient is less than 18 years old) must sign a document of informed consent (screening protocol) prior to performing studies to determine patient eligibility. After confirmation of patient eligibility all patients or their legal guardians must sign the protocol specific informed consent to document their understanding of the nature and the risks of this study before any protocol related studies are performed (other than the studies which were performed to determine patient eligibility).

E. Laboratory Parameters

  • renal function: greater than 60 mL/min/1.73m\^2 or normal age adjusted serum creatinine (less than or equal to 5 yrs. less than or equal to 0.8 mg/ml; 5-10 yrs. less than or equal to 1.0 mg/ml; 10-15 yrs. less than or equal to 1.2 mg/ml; greater than 15 yrs. less than or equal to 1.5 mg/ml)
  • liver function: (AST) and alanine aminotransferase (ALT) less than 2.5 times (ULN), less than 1.5 ULN
  • hematologic function: greater than 50,000 cells/mcl, (Hgb) greater than 9.0 gms/dl, (PT) less than 1.5 ULN. Patients may receive transfusion if necessary to reach the pre-apheresis hematology parameters.

F. Accessibility of Tissue to Generate Tumor Lysates

Patients must have adequate tumor bulk accessible to biopsy in order to generate the tumor lysate (at least 2 cm diameter). Procedures employed to acquire biopsies for tumor lysates will be limited to percutaneous biopsies or open biopsies of readily accessible lesions. Patients should not undergo biopsies, which will later compromise the ability to render function preserving local therapy (e.g. limb salvage therapy). To prevent this, all bone biopsies should be performed in consultation with the orthopedic consultant on the case. For patients with bone marrow involvement, bone marrow aspirates may be used as a source of tumor for tumor lysates. Patients are not eligible if, in the opinion of the principal and associate investigators, tumor biopsy would entail extensive surgery such as thoracotomy or laparotomy, or if the tumor site places the patient at substantial risk from the biopsy procedure.

National Cancer Institute (NCI) Laboratory of Pathology will review all tumor specimens for diagnosis.

EXCLUSION CRITERIA: for Apheresis/Tumor biopsy portion of the trial:

A. Other conditions

  • unrelated systemic illness, such as serious infections, autoimmunity or organ dysfunction, which in the judgment of the Principal or Associate Investigators would compromise the patient's ability to tolerate the investigational agents or are likely to interfere with the study procedures or results.
  • Previous allogeneic stem cell or bone marrow transplantation.
  • Conditions related to tumor, which require emergency treatment (airway compression, spinal cord compression) since enrollment would delay initiation of such therapy.
  • Women who are pregnant or lactating.
  • initiated at the time of tumor diagnosis or recurrence for treatment of nerve compression or other symptoms is permitted during this phase of the trial, but will not be permitted during the immunotherapy phase, with the exception of a self limited course of steroids as described in Section 2.1.4.A.
  • Patients with a history of central nervous system (CNS) metastases from cancer are not excluded provided that the metastatic CNS disease has been effectively treated and there is no evidence of active CNS disease as evidenced by stable clinical findings and stable radiographic findings for a period of 6 weeks.
  • Patients with infection, , or due to confounding effects on immune system.

INCLUSION CRITERIA: for Immunotherapy portion of the trial:

A. Informed Consent

Because significant time will have elapsed between apheresis/tumor biopsy and the initiation of immunotherapy, all patients or their legal guardians (if the patient is less than 18 years old) must sign a second informed consent to document their understanding of the investigational nature and the risks of this study before any protocol related studies are performed (other than the studies which were performed to determine patient eligibility).

B. Time and Recovery from Cytotoxic Therapy

At least 3 weeks should have elapsed since the last cycle of cytotoxic therapy or since the last dose of radiation therapy, at least 4 weeks must have elapsed since the patient has received any investigational therapy, and patients should have recovered from toxic side effects of previous therapy to a grade 1 or less, with the exception of the following:

  • Hematological toxicity: recovery to levels required in Section 2.1.1.E.
  • Low electrolyte levels (Such individuals should receive appropriate supplementation).
  • For patients on anticoagulant therapy or with pre-existing coagulation abnormalities, prothrombin time (PT), partial thromboplastin time (PTT) must return to baseline.
  • Liver function tests must resolve to values required in Section 2.1.1.E.
  • Grade 3 hypoalbuminemia.
  • Alopecia.
  • Sterility.

C. Laboratory Parameters

  • renal function: creatinine clearance greater than 60 mL/min/1.73m\^2 or normal age adjusted serum creatinine (less than or equal to 5 yrs. less than or equal to 0.8 mg/ml; 5-10 yrs. less than or equal to 1.0 mg/ml; 10-15 yrs. less than or equal to 1.2 mg/ml; greater than 15 yrs. less than or equal to 1.5 mg/ml).
  • liver function: aspartate aminotransferase (AST) and alanine aminotransferase (ALT) less than 2.5 times upper limit of normal (ULN), bilirubin less than 1.5 ULN.
  • hematologic function: (ANC) greater than 750 cells/mcl, platelets greater than 50,000 cells/mcl.

D.

Subjects of childbearing or child-fathering potential must be willing to use a medically acceptable form of birth control, which includes abstinence, while they are being treated on this study.

EXCLUSION CRITERIA: for Immunotherapy Portion of the Trial:

A. Other conditions

  • Clinically significant unrelated systemic illness, such as serious infections or organ dysfunction, which in the judgment of the Principal or Associate Investigators would compromise the patient's ability to tolerate the investigational agents or are likely to interfere with the study procedures or results.
  • Persistent or progressive cancer following the completion of the standard therapy phase of the trial will not, in and of itself, preclude receipt of immunotherapy. However, patients will not receive immunotherapy if they have an (ECOG) performance status performance status of 3 or 4 or, for children less than or equal to 10 years of age, Lansky less than or equal to 50 (Appendix III). Furthermore, patients will be removed from the trial if they develop requirements for anti-neoplastic therapy (e.g. radiation therapy) for progressive disease during the trial as discussed in protocol.
  • Women who are pregnant or lactating.
  • Patients with human immunodeficiency virus infection, hepatitis B, or hepatitis C infection due to confounding effects on immune function.
  • Patients who require chronic daily oral corticosteroid or other therapy. Topical or inhaled corticosteroids are permitted. Also, a time limited course of steroids does for an unrelated medical condition (e.g. allergic reaction, poison ivy) will not preclude receipt of immunotherapy provided that two weeks elapse between the last dose of systemic corticosteroids and initiation of immunotherapy.
  • Patients who are receiving other biologic therapies including cytokines or growth factors not specified by the protocol. Herbal supplements will not result in exclusion but should be noted and reviewed with the principal investigator (PI).
  • Patients with a history of from cancer are not excluded provided that the metastatic CNS disease has been effectively treated and there is no evidence of active CNS disease as evidenced by stable clinical findings and stable radiographic findings for a period of 6 weeks.
  • Excluded from Arm B:

    • Patients with history of disease (excluding thyroiditis on chronic thyroid replacement therapy) or active auto-immune disease, due to a risk of exacerbation of autoimmunity with r-hIL7. Patients with a history of B cell due to a risk for growth with rhIL7 therapy.
    • interval (QTc) prolongation defined as a QTc greater than or equal to 470 ms or a prior history of cardiovascular disease, arrhythmias, or significant (ECG) abnormalities.
Terms in these criteria, in plain language(27)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
44 participants (actual)

Study arms

  • Experimental
    Arm A - Participants who did not receive rhIL-7

    Six patients with Ewings sarcoma family or tumors (ESFT) participants will receive cytotoxic/lympholytic therapy with cyclophosphamide and fludarabine (if cluster of differentiation 4 (CD4) count \> 200 cells/mcl). Participant will receive Tumor lysate/keyhole limpet hemocyanin (KLH) pulsed dendritic cell vaccine followed by Infusion of 8H9/CD25 depleted autologous lymphocyte infusion on Day 1, followed by Tumor lysate/KLH pulsed dendritic cell vaccine on week 4, 6, 8, 10, and 12.

    Drug: Tumor Purged/CD25 Depleted Lymphocytes

  • Experimental
    Arm B - Participants who received rhIL-7

    Eight patients with rhabdomyosarcoma, fifteen patients with Ewings sarcoma family or tumors (ESFT), two patients with desmoplastic small round cell tumor, and one patient with synovial cell sarcoma participants will receive CYT107 20 mcg/kg/dose subcutaneous (SQ) (approx. 48h prior to vaccine\[Day 0\]), Tumor lysate/KLH pulsed dendritic cell vaccine followed by Infuse 8H9/CD25 depleted autologous lymphocyte infusion on Day 2, followed by CYT107 20 mcg/kg/dose SQ on days 14, 28 and 42 (± 7 days), and Tumor lysate/KLH pulsed dendritic cell vaccine on Days 16, 30, 44, 56, and 70 (± 7 days). Apheresis/flow cytometry/delayed type of hypersensitivity (DTH) responses for immune endpoint monitoring (skin tests) will be performed on Week 8, 14, 20 (Arm A) and on Days 42, 84 and 126 (+/- 7 days) (Arm B); and radiographic studies for clinical restaging will be performed on Week 8 and 20 (Arm A) and Days 42 and 126 (+/- 7 days) (Arm B).

    Biological: Tumor Purged/CD25 Depleted Lymphocytes with Tumor Lysate/KLH Pulsed Dendritic Cell Vaccine · Drug: rhIL-7 · Biological: Tumor Lysate/KLH Pulsed Dendritic Cell Vaccine

Interventions

  • DrugTumor Purged/CD25 Depleted Lymphocytes
  • BiologicalTumor Purged/CD25 Depleted Lymphocytes with Tumor Lysate/KLH Pulsed Dendritic Cell Vaccine

    Tumor lysate/KLH pulsed dendritic cells (minimum of 1 X 10e6 cells/kg) on Day2.

  • DrugrhIL-7

    rhIL-7 (20 mcg/kg/dose SQ) approx. 48 hours prior to vaccine) Day 0, Day 14, Day 28 and Day 42

  • BiologicalTumor Lysate/KLH Pulsed Dendritic Cell Vaccine

    Tumor lysate/KLH Pulsed dendritic cell vaccine (1-5 X 10e7 cells/injection site, given in 3 sites intradermal) on Day 2, Day 16, Day 30, Day 44, Day 56, Day 70.

06

What researchers measure

Primary outcomes

  1. Number of Participants With a Positive Immune Response as Evidenced by the Delayed Type of Hypersensitivity (DTH) Reaction Assay

    A positive response to the tumor vaccine requires a positive reaction in at least one of the two assays below (immune responses to tumor lysates using ex vivo and delayed type of hypersensitivity (DTH). The presence of a positive delayed type of hypersensitivity (DTH) reaction to the tumor lysate in a patient who did not show a positive DTH reaction prior to immunotherapy. A positive reaction is induration of at least 0.5 cm. Immunotherapy administered to patients with recurrent or metastatic pediatric solid tumors such as Ewing's sarcoma, rhabdomyosarcoma, or neuroblastoma. Each vaccine is given as 6 separate injections. Three intradermal on one arm or leg and three subcutaneous on the other arm or leg.

    Time frame: Week 8, 14, 20 (Arm A) and on Days 42, 84 and 126 (± 7 days) (Arm B)

  2. Toxicity

    Here is the number of participants with adverse events. For a detailed list of adverse events, see the adverse event module.

    Time frame: Date treatment consent signed to date off study, approximately 49.5 months

  3. Overall Survival

    Overall survival is defined as the time between the first day of treatment to the day of death.

    Time frame: Time between the first day of treatment to the day of death or at the conclusion of 5 years of follow-up, whichever comes first, assessed up to approximately 11 years.

07

Results

Posted Sep 20, 2013
Limitations and caveats
Re: Reason stopped: Of 30 pts who have received immunotherapy,12 remain on F/U, are stable or without evidence of disease,11 died of PD, 7 are currently receiving additional therapy (NOT ON THIS PROTOCOL) for PD.

Participant flow

Participant flow — Overall Study
MilestoneArm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7Enrolled But Not Assigned to Treatment
Started62612
Completed6260
Not completed0012
Withdrew: No apheresis/adequate tumor sample0012

Outcome measures

PrimaryNumber of Participants With a Positive Immune Response as Evidenced by the Delayed Type of Hypersensitivity (DTH) Reaction Assay

A positive response to the tumor vaccine requires a positive reaction in at least one of the two assays below (immune responses to tumor lysates using ex vivo and delayed type of hypersensitivity (DTH). The presence of a positive delayed type of hypersensitivity (DTH) reaction to the tumor lysate in a patient who did not show a positive DTH reaction prior to immunotherapy. A positive reaction is induration of at least 0.5 cm. Immunotherapy administered to patients with recurrent or metastatic pediatric solid tumors such as Ewing's sarcoma, rhabdomyosarcoma, or neuroblastoma. Each vaccine is given as 6 separate injections. Three intradermal on one arm or leg and three subcutaneous on the other arm or leg.

Time frame:
Week 8, 14, 20 (Arm A) and on Days 42, 84 and 126 (± 7 days) (Arm B)
Reported as:
Count of participants · Participants
Number of Participants With a Positive Immune Response as Evidenced by the Delayed Type of Hypersensitivity (DTH) Reaction Assay
ParticipantsArm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7
Number of Participants With a Positive Immune Response as Evidenced by the Delayed Type of Hypersensitivity (DTH) Reaction Assay015
Statistical analysis
  • Arm A - Participants Who Did Not Receive rhIL-7 vs Arm B - Participants Who Received rhIL-7 · Fisher Exact · p = 0.043
PrimaryToxicity

Here is the number of participants with adverse events. For a detailed list of adverse events, see the adverse event module.

Time frame:
Date treatment consent signed to date off study, approximately 49.5 months
Reported as:
Count of participants · Participants
Toxicity
ParticipantsArm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7
Toxicity624
PrimaryOverall Survival

Overall survival is defined as the time between the first day of treatment to the day of death.

Time frame:
Time between the first day of treatment to the day of death or at the conclusion of 5 years of follow-up, whichever comes first, assessed up to approximately 11 years.
Reported as:
Median · years
Overall Survival
yearsArm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7
Overall Survival2.4 (1.0 to 3.3)4.3 (0.9 to 10.4)

Adverse events

Collected over Date treatment consent signed to date off study, approximately 49.5 months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm A - Participants Who Did Not Receive rhIL-70/6 (0%)6/6 (100%)6/6 (100%)
Arm B - Participants Who Received rhIL-71/26 (3.8%)12/26 (46.2%)24/26 (92.3%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
EventArm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)General disorders3/65/26
DizzinessNervous system disorders1/61/26
Mood alteration: depressionNervous system disorders1/60/26
Pain::Extremity-limbMusculoskeletal and connective tissue disorders1/63/26
Dyspnea (shortness of breath)Respiratory, thoracic and mediastinal disorders0/62/26
Death not associated with CTCAE term: Disease progression NOSGeneral disorders0/61/26
HypertensionCardiac disorders0/61/26
Infection with unknown ANC: Upper airway NOSInfections and infestations0/61/26
Pain: Chest/thorax NOSRespiratory, thoracic and mediastinal disorders0/61/26
Pleural effusion (non-malignant)Respiratory, thoracic and mediastinal disorders0/61/26
Most frequent other events
Showing 10 of 75
Most frequent other events
EventArm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7
Low Leukocytes (total WBC) countBlood and lymphatic system disorders5/68/26
Injection site reaction/extravasation changesSkin and subcutaneous tissue disorders4/621/26
LymphopeniaBlood and lymphatic system disorders2/618/26
Alkaline phosphataseMetabolism and nutrition disorders4/65/26
Magnesium, serum-high (hypermagnesemia)Metabolism and nutrition disorders4/69/26
ALT, SGPT (serum glutamic pyruvic transaminase)Metabolism and nutrition disorders3/68/26
AST, SGOT (serum glutamic oxaloacetic transaminase)Metabolism and nutrition disorders3/69/26
CoughRespiratory, thoracic and mediastinal disorders3/64/26
DiarrheaGastrointestinal disorders3/61/26
Fatigue (asthenia, lethargy, malaise)General disorders3/66/26

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Arm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7Total
<=18 years41519
Between 18 and 65 years21113
>=65 years000
Age, Continuous
Age, Continuous(years)Arm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7Total
Mean21.6 ± 7.5620.96 ± 8.1921.0 ± 8.04
Sex: Female, Male
Sex: Female, Male(Participants)Arm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7Total
Female22022
Male4610
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Arm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7Total
Hispanic or Latino022
Not Hispanic or Latino62026
Unknown or Not Reported044
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Arm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7Total
American Indian or Alaska Native000
Asian022
Native Hawaiian or Other Pacific Islander000
Black or African American000
White (non-Hispanic)62026
More than one race022
Unknown or Not Reported000
Hispanic022
Region of Enrollment
Region of Enrollment(Participants)Arm A - Participants Who Did Not Receive rhIL-7Arm B - Participants Who Received rhIL-7Total
United States62632
08

Study locations

1 site
  • National Institutes of Health Clinical Center, 9000 Rockville Pike
    Bethesda, Maryland 20892, United States
09

References and documents

Publications

  • Arndt CA, Crist WM. Common musculoskeletal tumors of childhood and adolescence. N Engl J Med. 1999 Jul 29;341(5):342-52. doi: 10.1056/NEJM199907293410507. No abstract available. PubMed 10423470 ↗
  • La TH, Meyers PA, Wexler LH, Alektiar KM, Healey JH, Laquaglia MP, Boland PJ, Wolden SL. Radiation therapy for Ewing's sarcoma: results from Memorial Sloan-Kettering in the modern era. Int J Radiat Oncol Biol Phys. 2006 Feb 1;64(2):544-50. doi: 10.1016/j.ijrobp.2005.07.299. Epub 2005 Sep 28. PubMed 16198063 ↗
  • Barker LM, Pendergrass TW, Sanders JE, Hawkins DS. Survival after recurrence of Ewing's sarcoma family of tumors. J Clin Oncol. 2005 Jul 1;23(19):4354-62. doi: 10.1200/JCO.2005.05.105. Epub 2005 Mar 21. PubMed 15781881 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2007 to primary completion in Aug 2012, 62 months.

Results were first posted in Sep 2013, 1 year after primary completion.

Of 35 phase 1/2 interventional studies under Neuroblastoma, half reached primary completion within 80 months of starting (the median), counting those still running; a quarter within 62 and three quarters within 115. This study's 62 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 17, 2009
First posted
Jun 18, 2009
StartActual
Jun 2, 2007
Primary completionActual
Aug 30, 2012
CompletionActual
May 15, 2018
Results first posted
Sep 20, 2013
Last update
Jun 15, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 15, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00923351
Responsible party
John Glod (Staff Clinician, National Institutes of Health Clinical Center (CC)) — Principal investigator
First posted
Jun 18, 2009
Start date
Jun 2, 2007
Primary completion
Aug 30, 2012
Completion
May 15, 2018
Results posted
Sep 20, 2013
Last update
Jun 15, 2018

Study contacts

John Glod, M.D.
principal investigator · National Cancer Institute (NCI)

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Interleukin 7

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