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CompletedNCT01145170POLARISUpdated Jul 27, 2015

Nimotuzumab and Radiotherapy in Pediatric Patients With Glioma

A Phase 2 interventional study of Radiotherapy and Nimotuzumab in Diffuse Intrinsic Brainstem Gliomas, sponsored by Eurofarma Laboratorios S.A.. Completed at 5 sites in 2 countries. Open to participants aged 3 Years to 18 Years. Per ClinicalTrials.gov, last updated 2015-07-27.

Sponsored by Eurofarma Laboratorios S.A. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
3 Years to 18 Years
Sex
All
01

Study summary

The study consists in only one treatment group, which will receive the first-line therapy for the disease - standard radiotherapy and a 150 mg/m2 dose of the investigational product (nimotuzumab)

Read the detailed description

General Purpose

  1. To determine the therapeutic efficacy of the treatment with nimotuzumab in combination with radiotherapy in pediatric patients with diffuse intrinsic astrocytic of the brainstem glioma

Specific Purposes

  1. To determine the efficacy regarding the event-free survival (EFS) rate by 6 months of treatment.
  2. To determine the overall survival time of the patients with diffuse intrinsic astrocytic tumors of the cerebral trunk treated with combined radiotherapy and nimotuzumab.
  3. To determine the antitumoral objective response of the patients treated with combined radiotherapy and nimotuzumab.
  4. To determine the duration time of the response in the cases of objective response reached (CR or PR) or disease stabilization.
  5. To assess the toxicity of the combination AcM h-R3-nimotuzumab and radiotherapy in the patients enrolled in the clinical study.
02

Conditions studied

  • Diffuse Intrinsic Brainstem Gliomas

Keywords

  • brainstem gliomas
  • pediatric patients
03

In context

Lead sponsor

Eurofarma Laboratorios S.A. is the lead sponsor of 64 studies on the registry; 7 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Pediatric patients with diffuse intrinsic brainstem gliomas, documented by standard imaging techniques (MRI). Note: Tumor and histological confirmation are not required in this study.
  2. Patients eligible for radiotherapy with Cobalt60. The patients should not have received a previous specific oncological treatment.
  3. Aged > 3 years old \< 18 years old
  4. Patients with , defined as those that can be accurately measured in at least 2 dimensions (the 2 largest perpendicular diameters), using standard techniques (MRI).
  5. Female patients with should present a negative pregnancy test and adopt effective methods, in case they are sexually active.
  6. Male patients who can father a child should adopt effective birth control methods, in case they are sexually active.
  7. > 12 weeks
  8. Health general status, according to Index > 40% (Karnofsky Index for patients > 16 years old), Lansky > 40% (for patients \< 16 years old)
  9. Laboratory parameters within the normal limits, defined as: Hematopoietic: > 10 g/L, Total Leukocytes > 2 x 109 cells/L, > 100 x 109/L; Hepatic: Liver functioning within the normal limits and without hepatic diseases demonstrated by , AST \< 2.5 x above the reference value and Total \< 1.5 x above the reference value; Renal function: Serum Creatinine \< 1.5 x above the reference value.
  10. The parents or legal guardians should express, voluntarily, in writing, that the patient will be enrolled in the study upon signature of the form. At the investigator's discretion, where applicable, the consent will be obtained from the minor.

Exclusion criteria

Exclusion Criteria:

  1. Low-grade brainstem glioma (e.g., focal, cervicomedullary, tectal brainstem glioma).
  2. Patients previously treated with some AcM.
  3. Patients previously treated with some antineoplastic therapy, including chemotherapy, immunotherapy or radiotherapy.
  4. Concurrent treatment with some antineoplastic therapy not conceived in the study protocol.
  5. Breastfeeding or pregnant patients.
  6. Patients that, at the time of enrollment, have some related chronic disease under decompensation (e.g., cardiopathy, diabetes, hypertension).
  7. Patients who have history of to this or another similar product.
  8. Fever, severe septic processes and/or severe or acute allergy.
  9. Patients who are participating in another clinical study with therapeutic purposes for their disease based on the time of the study enrollment.
  10. Presence of a second tumor.
Terms in these criteria, in plain language(12)

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.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

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).

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.

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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Nimotuzumab

    The study consists of a single treatment group, which will receive the first-line therapy for the disease. The therapy is the standard radiotherapy and a dose of the investigational product (nimotuzumab) at 150 mg/m2.

    Radiation: Radiotherapy · Biological: Nimotuzumab

Interventions

  • RadiationRadiotherapy

    Radiotherapy will be given at the standard dose between 54 and 60 Gy for irradiation of tumors of the central nervous system.

  • BiologicalNimotuzumab

    The patients will receive the induction therapy for 12 weeks. If the patient reaches a complete, partial response (CR, PR) to the treatment or is at least evaluated as stable disease (SD) on week 12, the consolidation therapy should be initiated. The consolidation therapy will consist of the nimotuzumab administration, every 2 weeks.

06

What researchers measure

Primary outcomes

  1. Tumor Volume

    A Magnetic Resonance Imaging (MRI) will be used for measuring the tumor volume and it will be performed before the enrollment in the clinical study and every 12 weeks. The patient follow-up will be performed for 2 years after his/her inclusion in the investigation. The final evaluation will be performed 2 years after the inclusion of the last patient. The main response variable will be the progression-free survival by 6 months.

    Time frame: 6 months

07

Study locations

5 sites
  • Hospital de Clínicas de Porto Alegre
    Porto Alegre, RS, Brazil
  • Casa de Saúde Santa Marcelina
    São Paulo, SP, Brazil
  • Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
    São Paulo, SP, Brazil
  • Hospital Amaral Carvalho
    Jau, São Paulo, Brazil
  • Hospital Juan Manuel Márquez
    Havana, Cuba
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01145170
Collaborators
Centro de Immunologia Molecular, Cuba
Responsible party
Sponsor
First posted
Jun 16, 2010
Start date
Mar 2011
Primary completion
Jun 2014
Completion
Jul 2014
Last update
Jul 27, 2015

Study contacts

Sidnei Epelman
principal investigator · Casa de Saúde santa Marcelina
Vicente Odone Filho
principal investigator · Hospital das Clínicas da Faculda de Medicina da USP
Algemir L Brunetto
principal investigator · Hospital de Clínicas de Porto Alegre
Claudia T Oliveira
principal investigator · Hospital Amaral Carvalho

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2012. 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: Nimotuzumab

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