A Phase 1 interventional study of Crizotinib and Cyclophosphamide in Childhood Solid Neoplasm, Recurrent Childhood Anaplastic Large Cell Lymphoma and Recurrent Neuroblastoma, sponsored by Children's Oncology Group. Completed at 23 sites in 2 countries. Open to participants aged 13 Months to 21 Years. Per ClinicalTrials.gov, last updated 2024-01-05.
Sponsored by Children's Oncology Group · Phase 1, Interventional, and Treatment
This phase I trial studies the side effects and the best dose of crizotinib when given together with combination chemotherapy in treating younger patients with solid tumors or anaplastic large cell lymphoma that has returned or does not respond to treatment. Crizotinib may stop the growth of tumor or cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as cyclophosphamide, topotecan hydrochloride, dexrazoxane hydrochloride, doxorubicin hydrochloride, and vincristine sulfate, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving crizotinib together with combination chemotherapy may be a better treatment for patients with solid tumors or anaplastic large cell lymphoma.
PRIMARY OBJECTIVES:
I. To estimate the recommended phase 2 dose (RP2D) or maximum tolerated dose (MTD) of crizotinib administered orally twice daily in combination with topotecan (topotecan hydrochloride) and cyclophosphamide in children with refractory/relapsed solid tumors or anaplastic large cell lymphoma (ALCL).
II. To define and describe the toxicities of crizotinib in combination with topotecan and cyclophosphamide administered on this schedule.
III. To estimate the recommended phase 2 dose (RP2D) or maximum tolerated dose (MTD) of crizotinib administered orally twice daily in combination with vincristine (vincristine sulfate) and doxorubicin (doxorubicin hydrochloride)/dexrazoxane (dexrazoxane hydrochloride) in children with refractory/relapsed solid tumors or ALCL.
IV. To define and describe the toxicities of crizotinib in combination with vincristine and doxorubicin/dexrazoxane administered on this schedule.
V. To characterize the pharmacokinetics of crizotinib in children with relapsed/refractory cancer when combined with either topotecan and cyclophosphamide or vincristine and doxorubicin/dexrazoxane.
SECONDARY OBJECTIVES:
I. To preliminarily define the antitumor activity of crizotinib in combination with either topotecan and cyclophosphamide or vincristine and doxorubicin/dexrazoxane within the confines of a Phase 1 study.
II. To preliminarily examine the relationship between anaplastic lymphoma kinase (ALK) status in patients with neuroblastoma or ALCL and response to crizotinib in combination with either topotecan and cyclophosphamide or vincristine and doxorubicin/dexrazoxane.
III. To preliminarily examine the relationship between minimal residual disease (MRD) status and clinical response to crizotinib in combination with either topotecan and cyclophosphamide or vincristine and doxorubicin/dexrazoxane in patients with ALCL.
IV. To use a questionnaire to gather preliminary information on the palatability of the oral solution formulation of crizotinib.
V. To examine ALK and MET proto-oncogene (c-Met) expression, copy number and mutations status in archival tumor tissue from solid tumor and ALCL patients.
VI. To use a questionnaire to gather information on the acceptability of the crizotinib capsule formulation.
OUTLINE: This is a dose-escalation study of crizotinib. Patients are assigned to Part A or Part B based on the treating physician's choice and availability of a reservation. After closure of Part A and Part B, patients are assigned to Part C.
PART A (CLOSED TO ACCRUAL 10/3/14): Patients receive crizotinib (oral solution) orally (PO) twice daily (BID) on days 1-21, cyclophosphamide intravenously (IV) once daily (QD) on days 1-5, and topotecan hydrochloride IV QD on days 1-5. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.
PART B (CLOSED TO ACCRUAL 10/3/14): Patients receive crizotinib (oral solution) PO BID as in Part A. Patients also receive vincristine sulfate IV on day 1, dexrazoxane hydrochloride IV on day 1, and doxorubicin hydrochloride IV over 15 minutes on day 1. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.
PART C: Patients receive crizotinib (capsule formulation) PO BID, cyclophosphamide IV QD, and topotecan hydrochloride IV QD as in Part A. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.
PART D: Patients receive crizotinib (microsphere formulation) PO BID, cyclophosphamide IV QD, and topotecan hydrochloride IV QD as in Part A. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.
5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.
This study's enrollment of 46 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.
Browse Lymphoma studies →Children's Oncology Group is the lead sponsor of 436 studies on the registry; 34 are open to participants now.
Of its 12 completed or terminated interventional studies of FDA-regulated products, 11 (92%) have results posted.
Counted across the registry records on this site, refreshed daily.
Patients must have fully recovered from the acute toxic effects of all prior anti-cancer chemotherapy
Myelosuppressive chemotherapy:
ALCL:
Radiation therapy (XRT):
For patients with solid tumors or ALCL without known bone marrow involvement:
Creatinine clearance or radioisotope glomerular filtration rate (GFR) >= 70 ml/min/1.73 m\^2 or a serum creatinine based on age/gender as follows:
Exclusion Criteria:
Patients receive crizotinib (oral solution) PO BID on days 1-21, cyclophosphamide IV QD on days 1-5, and topotecan hydrochloride IV QD on days 1-5. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity. (closed to accrual 10/3/14)
Drug: Crizotinib · Drug: Cyclophosphamide · Other: Laboratory Biomarker Analysis · Other: Pharmacological Study · Other: Questionnaire Administration · Drug: Topotecan Hydrochloride
Patients receive crizotinib (oral solution) PO BID as in Part A. Patients also receive vincristine sulfate IV on day 1, dexrazoxane hydrochloride IV on day 1, and doxorubicin hydrochloride IV over 15 minutes on day 1. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity. (closed to accrual 10/3/14)
Drug: Crizotinib · Drug: Dexrazoxane Hydrochloride · Drug: Doxorubicin Hydrochloride · Other: Laboratory Biomarker Analysis · Other: Pharmacological Study · Other: Questionnaire Administration · Drug: Vincristine Sulfate
Patients receive crizotinib (capsule formulation) PO BID, cyclophosphamide IV QD, and topotecan hydrochloride IV QD as in Part A. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.
Drug: Crizotinib · Drug: Cyclophosphamide · Other: Laboratory Biomarker Analysis · Other: Pharmacological Study · Other: Questionnaire Administration · Drug: Topotecan Hydrochloride
Patients receive crizotinib (microsphere formulation) PO BID, cyclophosphamide IV QD, and topotecan hydrochloride IV QD as in Part A. Treatment repeats every 21 days for up to 35 courses in the absence of disease progression or unacceptable toxicity.
Drug: Crizotinib · Drug: Cyclophosphamide · Other: Laboratory Biomarker Analysis · Other: Pharmacological Study · Other: Questionnaire Administration · Drug: Topotecan Hydrochloride
Given PO
Also known as: MET Tyrosine Kinase Inhibitor PF-02341066, PF-02341066, PF-2341066, Xalkori
Given IV
Also known as: (-)-Cyclophosphamide, 2H-1,3,2-Oxazaphosphorine, 2-[bis(2-chloroethyl)amino]tetrahydro-, 2-oxide, monohydrate, Carloxan, Ciclofosfamida, Ciclofosfamide, Cicloxal, Clafen, Claphene, CP monohydrate, CTX, CYCLO-cell, Cycloblastin, Cycloblastine, Cyclophospham, Cyclophosphamid monohydrate, Cyclophosphamidum, Cyclophosphan, Cyclophosphane, Cyclophosphanum, Cyclostin, Cyclostine, Cytophosphan, Cytophosphane, Cytoxan, Fosfaseron, Genoxal, Genuxal, Ledoxina, Mitoxan, Neosar, Revimmune, Syklofosfamid, WR- 138719
Given IV
Also known as: Cardioxane, Totect, Zinecard
Given IV
Also known as: 5,12-Naphthacenedione, 10-[(3-amino-2,3,6-trideoxy-alpha-L-lyxo-hexopyranosyl)oxy]-7,8, 9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyacetyl)-1-methoxy-, hydrochloride, (8S-cis)- (9CI), ADM, Adriacin, Adriamycin, Adriamycin Hydrochloride, Adriamycin PFS, Adriamycin RDF, ADRIAMYCIN, HYDROCHLORIDE, Adriamycine, Adriblastina, Adriblastine, Adrimedac, Chloridrato de Doxorrubicina, DOX, DOXO-CELL, Doxolem, Doxorubicin.HCl, Doxorubin, Farmiblastina, FI 106, FI-106, hydroxydaunorubicin, Rubex
Correlative studies
Correlative studies
Ancillary studies
Given IV
Also known as: Hycamptamine, Hycamtin, SKF S-104864-A, Topotecan HCl, topotecan hydrochloride (oral)
Given IV
Also known as: Kyocristine, Leurocristine sulfate, Leurocristine, sulfate, Oncovin, Vincasar, Vincosid, Vincrex, Vincristine, sulfate
Maximum Tolerated Dose (MTD) of Crizotinib
The MTD of crizotinib administered with combination chemotherapy based on the incidence of dose-limiting toxicity (DLT) at which fewer than one-third of patients experience DLT, as assessed by NCI CTCAE version 4.0.
Time frame: Up to 21 days
Number of Patients With Dose Limiting Toxicity (DLT)
Number of patients of all DLT reported as assessed by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. stratified by dose level and study part.
Time frame: Up to 21 days
Area Under the Concentration
Median (min, max) of the area under the concentration time curve for crizotinib assessed in course 1 at 1, 2, 4, 6-8 hours, and 15-21 days post-administration stratified by dose level and study part.
Time frame: Up to 21 days
Response Rate
Number of patients of response-evaluable participants with response (CR/PR) assessed according to Response Evaluation Criteria in Solid Tumors version 1.1 including CR: disappearance of all target and non-target lesions; PR: at least 30% decrease in the sum of the diameters of target lesions
Time frame: Up to 2 years
ALK Status and Response to Crizotinib
Number of patients who respond (CR/PR) to crizotinib in combination with either topotecan and cyclophosphamide or vincristine and doxorubicin/dexraroxane stratified by ALK positive or negative status
Time frame: up to 2 years
MRD Status and Response to Crizotinib
Frequency (%) of patients who respond (CR/PR) to crizotinib in combination with either topotecan and cyclophosphamide or vincristine and doxorubicin/dexraroxane stratified by MRD status
Time frame: Up to 2 years
ALK Expression for Crizotinib
Median (p25, p75) ALK expression stratified by dose level and study part
Time frame: Up to 7 days
Acceptability of Crizotinib Capsule Formulation Palatability
Number of patients who at least accept palatability of capsule formulation in the first week
Time frame: Up to 1 week
Acceptability of Crizotinib Microsphere Formulation Palatability
Number of patients who at least accept palatability of microsphere formation in the first week
Time frame: Up to 1 week
This is a dose-escalation study of crizotinib. Patients are assigned to Part A or Part B based on the treating physician's choice and availability of a reservation. After closure of Part A and Part B, patients are assigned to Part C and Part D.
| Milestone | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 6 | 4 | 5 | 3 | 3 | 4 | 6 | 3 | 6 | 3 | 3 |
| Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Not completed | 6 | 4 | 5 | 3 | 3 | 4 | 6 | 3 | 6 | 3 | 3 |
| Withdrew: Adverse event | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 3 | 0 |
| Withdrew: Lack of efficacy | 1 | 1 | 1 | 2 | 1 | 2 | 1 | 2 | 2 | 0 | 1 |
| Withdrew: Physician decision | 1 | 0 | 2 | 1 | 1 | 1 | 2 | 0 | 1 | 0 | 0 |
| Withdrew: Withdrawal by subject | 3 | 2 | 2 | 0 | 1 | 1 | 2 | 1 | 2 | 0 | 2 |
The MTD of crizotinib administered with combination chemotherapy based on the incidence of dose-limiting toxicity (DLT) at which fewer than one-third of patients experience DLT, as assessed by NCI CTCAE version 4.0.
| mg/m^2 | Part C (Crizotinib, Cyclophosphamide, Topotecan Hydrochloride) |
|---|---|
| Maximum Tolerated Dose (MTD) of Crizotinib | 215 |
Number of patients of all DLT reported as assessed by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 4.0. stratified by dose level and study part.
| Participants | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of Patients With Dose Limiting Toxicity (DLT) | 2 | 2 | 0 | 0 | 2 | 0 | 1 | 2 | 3 | 3 | 1 |
Median (min, max) of the area under the concentration time curve for crizotinib assessed in course 1 at 1, 2, 4, 6-8 hours, and 15-21 days post-administration stratified by dose level and study part.
| hr*ug/mL | Part A Dose Level 1 | Part B Dose Level 1 | Part B Dose Level 2 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 2 | Part PK Dose Level 2 |
|---|---|---|---|---|---|---|---|---|
| Area Under the Concentration | 3792.5 (1808.8 to 5520.3) | 1549.3 (811.4 to 2544.3) | 4070.5 (3588.0 to 10145.9) | 1612 (1612.0 to 1612.0) | 3796.6 (2976.0 to 7299.3) | 7462.8 (7462.8 to 7462.8) | 3248 (3109.9 to 3386.1) | 8881.3 (5701.6 to 12061.0) |
Number of patients of response-evaluable participants with response (CR/PR) assessed according to Response Evaluation Criteria in Solid Tumors version 1.1 including CR: disappearance of all target and non-target lesions; PR: at least 30% decrease in the sum of the diameters of target lesions
| Participants | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Response Rate | 2 | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 0 | 0 | 0 |
Number of patients who respond (CR/PR) to crizotinib in combination with either topotecan and cyclophosphamide or vincristine and doxorubicin/dexraroxane stratified by ALK positive or negative status
| Participants | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ALK Positive | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| ALK Negative | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Frequency (%) of patients who respond (CR/PR) to crizotinib in combination with either topotecan and cyclophosphamide or vincristine and doxorubicin/dexraroxane stratified by MRD status
No measurements were reported for this outcome.
Median (p25, p75) ALK expression stratified by dose level and study part
No measurements were reported for this outcome.
Number of patients who at least accept palatability of capsule formulation in the first week
| Participants | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Acceptability of Crizotinib Capsule Formulation Palatability | 0 | 0 | 0 | 0 | 0 | 3 | 5 | 3 | 0 | 0 | 3 |
Number of patients who at least accept palatability of microsphere formation in the first week
| Participants | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Acceptability of Crizotinib Microsphere Formulation Palatability | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 4 | 2 | 0 |
Collected over Up to 2 years. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Part A Dose Level 1 | 0/6 (0%) | 3/6 (50%) | 6/6 (100%) |
| Part A Dose Level 2 | 0/4 (0%) | 3/4 (75%) | 4/4 (100%) |
| Part B Dose Level 1 | 1/5 (20%) | 1/5 (20%) | 5/5 (100%) |
| Part B Dose Level 2 | 0/3 (0%) | 1/3 (33.3%) | 3/3 (100%) |
| Part B Dose Level 3 | 0/3 (0%) | 2/3 (66.7%) | 3/3 (100%) |
| Part C Dose Level 1 | 1/4 (25%) | 3/4 (75%) | 4/4 (100%) |
| Part C Dose Level 2 | 0/6 (0%) | 3/6 (50%) | 6/6 (100%) |
| Part C Dose Level 3 | 0/3 (0%) | 1/3 (33.3%) | 3/3 (100%) |
| Part D Dose Level 1 | 0/6 (0%) | 3/6 (50%) | 6/6 (100%) |
| Part D Dose Level 2 | 0/3 (0%) | 3/3 (100%) | 3/3 (100%) |
| Part PK Dose Level 2 | 0/3 (0%) | 2/3 (66.7%) | 3/3 (100%) |
| Event | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HypotensionVascular disorders | 0/6 | 0/4 | 0/5 | 0/3 | 0/3 | 0/4 | 1/6 | 1/3 | 0/6 | 2/3 | 0/3 |
| HypoxiaRespiratory, thoracic and mediastinal disorders | 1/6 | 1/4 | 0/5 | 0/3 | 0/3 | 1/4 | 0/6 | 0/3 | 0/6 | 2/3 | 0/3 |
| DehydrationMetabolism and nutrition disorders | 0/6 | 2/4 | 0/5 | 0/3 | 1/3 | 0/4 | 0/6 | 0/3 | 1/6 | 0/3 | 0/3 |
| Back painMusculoskeletal and connective tissue disorders | 0/6 | 0/4 | 0/5 | 0/3 | 1/3 | 0/4 | 0/6 | 0/3 | 0/6 | 0/3 | 0/3 |
| DysphagiaGastrointestinal disorders | 0/6 | 0/4 | 0/5 | 0/3 | 0/3 | 0/4 | 0/6 | 0/3 | 0/6 | 0/3 | 1/3 |
| DyspneaRespiratory, thoracic and mediastinal disorders | 0/6 | 0/4 | 0/5 | 0/3 | 1/3 | 1/4 | 0/6 | 0/3 | 0/6 | 0/3 | 0/3 |
| EsophagitisGastrointestinal disorders | 0/6 | 0/4 | 0/5 | 0/3 | 0/3 | 0/4 | 0/6 | 0/3 | 0/6 | 0/3 | 1/3 |
| Febrile neutropeniaBlood and lymphatic system disorders | 0/6 | 0/4 | 0/5 | 1/3 | 0/3 | 0/4 | 0/6 | 0/3 | 0/6 | 0/3 | 0/3 |
| FeverGeneral disorders | 1/6 | 1/4 | 0/5 | 0/3 | 1/3 | 0/4 | 0/6 | 0/3 | 0/6 | 0/3 | 0/3 |
| HyperuricemiaMetabolism and nutrition disorders | 0/6 | 0/4 | 0/5 | 0/3 | 1/3 | 0/4 | 0/6 | 0/3 | 0/6 | 0/3 | 0/3 |
| Event | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Alanine aminotransferase increasedInvestigations | 3/6 | 3/4 | 4/5 | 3/3 | 3/3 | 1/4 | 5/6 | 2/3 | 6/6 | 2/3 | 2/3 |
| AlopeciaSkin and subcutaneous tissue disorders | 3/6 | 3/4 | 3/5 | 3/3 | 0/3 | 4/4 | 6/6 | 0/3 | 3/6 | 2/3 | 0/3 |
| AnemiaBlood and lymphatic system disorders | 6/6 | 4/4 | 5/5 | 3/3 | 3/3 | 4/4 | 6/6 | 3/3 | 6/6 | 3/3 | 2/3 |
| AnorexiaMetabolism and nutrition disorders | 3/6 | 2/4 | 5/5 | 2/3 | 3/3 | 1/4 | 4/6 | 3/3 | 4/6 | 2/3 | 1/3 |
| Aspartate aminotransferase increasedInvestigations | 4/6 | 3/4 | 2/5 | 2/3 | 3/3 | 1/4 | 5/6 | 2/3 | 4/6 | 2/3 | 1/3 |
| Blurred visionEye disorders | 1/6 | 2/4 | 2/5 | 1/3 | 0/3 | 2/4 | 2/6 | 2/3 | 1/6 | 1/3 | 3/3 |
| DiarrheaGastrointestinal disorders | 5/6 | 4/4 | 3/5 | 2/3 | 2/3 | 2/4 | 4/6 | 2/3 | 3/6 | 2/3 | 2/3 |
| DizzinessNervous system disorders | 2/6 | 0/4 | 1/5 | 0/3 | 1/3 | 2/4 | 1/6 | 2/3 | 1/6 | 3/3 | 2/3 |
| FatigueGeneral disorders | 4/6 | 3/4 | 3/5 | 2/3 | 2/3 | 4/4 | 6/6 | 3/3 | 5/6 | 3/3 | 1/3 |
| HeadacheNervous system disorders | 4/6 | 2/4 | 1/5 | 1/3 | 0/3 | 1/4 | 4/6 | 2/3 | 2/6 | 3/3 | 2/3 |
| Age, Categorical(Participants) | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| <=18 years | 4 | 4 | 2 | 2 | 3 | 2 | 5 | 3 | 6 | 3 | 1 | 35 |
| Between 18 and 65 years | 2 | 0 | 3 | 1 | 0 | 2 | 1 | 0 | 0 | 0 | 2 | 11 |
| >=65 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Age, Continuous(years) | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Median | 16 (4.0 to 21.0) | 12.5 (7.0 to 17.0) | 19 (7.0 to 21.0) | 6 (6.0 to 19.0) | 11 (10.0 to 17.0) | 17.5 (15.0 to 20.0) | 15 (9.0 to 20.0) | 17 (13.0 to 17.0) | 13.5 (1.0 to 17.0) | 17 (10.0 to 18.0) | 20 (11.0 to 21.0) | 15 (1.0 to 21.0) |
| Sex: Female, Male(Participants) | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Female | 2 | 3 | 2 | 1 | 2 | 2 | 3 | 1 | 3 | 1 | 2 | 22 |
| Male | 4 | 1 | 3 | 2 | 1 | 2 | 3 | 2 | 3 | 2 | 1 | 24 |
| Ethnicity (NIH/OMB)(Participants) | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 1 | 1 | 1 | 0 | 2 | 0 | 1 | 0 | 1 | 7 |
| Not Hispanic or Latino | 6 | 4 | 4 | 2 | 2 | 4 | 4 | 3 | 5 | 3 | 2 | 39 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Part A Dose Level 1 | Part A Dose Level 2 | Part B Dose Level 1 | Part B Dose Level 2 | Part B Dose Level 3 | Part C Dose Level 1 | Part C Dose Level 2 | Part C Dose Level 3 | Part D Dose Level 1 | Part D Dose Level 2 | Part PK Dose Level 2 | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| Asian | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 2 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 9 |
| White | 3 | 3 | 4 | 3 | 2 | 3 | 5 | 2 | 4 | 3 | 3 | 35 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 |
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