ClinicalTrials.gg
CompletedNCT01868269Updated Feb 3, 2025

Opsoclonus Myoclonus Syndrome/Dancing Eye Syndrome (OMS/DES) in Children With and Without Neuroblastoma (NBpos and NBneg)Opsoclonus Myoclonus Syndrome/Dancing Eye Syndrome (OMS/DES) in Children With and Without Neuroblastoma (NBpos and NBneg)

A Phase 3 interventional study of Dexamethasone acetate and dexamethasone and cyclophosphamide in Opsoclonus Myoclonus Syndrome and Neuroblastoma, sponsored by Institut Curie. Completed at 36 sites in 7 countries. Open to participants aged 6 Months to 8 Years. Per ClinicalTrials.gov, last updated 2025-02-03.

Sponsored by Institut Curie · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
102
Allocation
Not applicable
Ages
6 Months to 8 Years
Sex
All
01

Study summary

The OMS/DES study is a multinational European Trial for Children with the Opsoclonus Myoclonus Syndrome / Dancing Eye Syndrome.

This trial brought on the way by specialists of the EPNS (European Paediatric Neurology Society), the GPOH (Gesellschaft für Pädiatrische Hematologic und Oncologie) and the SIOPEN (SIOP (International Society Oncology Pediatric) Europe Neuroblastoma).

This protocol will investigate an escalating treatment schedule starting with a corticosteroid standard treatment with dexamethasone pulses (first step), which is followed, if response has been inadequate after 3 months of treatment, by the addition of CP (second step) and, if still no sufficient improvement, by the replacement of CP by Rituximab (third step). Treatment intensification is decided on the basis of standardized scoring of OMS/DES severity.

02

Conditions studied

  • Opsoclonus Myoclonus Syndrome
  • Neuroblastoma

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03

In context

Neuroblastoma

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

This study's enrollment of 102 is above the median of 32 across 507 interventional studies indexed under Neuroblastoma.

Browse Neuroblastoma studies →

Lead sponsor

Institut Curie is the lead sponsor of 135 studies on the registry; 29 are open to participants now.

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

04

Who can participate

Ages eligible
6 Months to 8 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

  • Children with newly diagnosed OMS/DES either NB-pos or NB-neg.

Three out of the following four components are necessary for the diagnosis of OMS/DES:

  • Opsoclonus or ocular flutter (but not nystagmus)
  • Ataxia and/or myoclonus
  • Behavioural change and/or sleep disturbance
  • Neuroblastoma The diagnosis of OMS/DES may be difficult in some patients. Opsoclonus, in particular, may be intermittent or late in onset. A video example will be available at www.dancingeyes.org.uk. If uncertain, please contact the national coordinator for support in interpreting clinical features.

    • Age 6 months or over up to less than 8 years (\< 8th birthday) The date of diagnosis of OMS/DES is the date on which a doctor confirms the condition to be OMS/DES. The date of symptom onset needs also to be documented.
    • Treatment start with the standard treatment with dexamethasone pulses as proposed by the guidelines given in this trial protocol (see 11.10, page 71).
    • In patients with presumed NB-neg OMS/DES, neuroblastoma must be excluded according the guidelines of this trial (see chapter 4.4.1.4, page 30, and appendix 11.9, page 70)
    • Documented for treatment and enrolment in the trial by parents / legal representatives.

Exclusion criteria

Exclusion Criteria:

•Patients with opsoclonus, myoclonus or ataxia caused by other identified disease (e.g. current active CNS infection, neurometabolic disorder or demyelination).

An identified viral precursor is not an exclusion criterion.

  • prior or parallel use of chemotherapy (other than required for treatment of the neuroblastoma)
  • Corticoid for OMS/DES or other reasons lasting 14 days or more immediately before treatment start according the standard treatment proposed (treatment with corticosteroids for less than 14 days will be allowed)
  • contre-indication of use of one of the experimental study drug (cf Summary of Product Characteristics used in this study)
Terms in these criteria, in plain language(2)

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
102 participants (actual)

Study arms

  • Other
    Dexamethasone Cyclophosphamide Rituximab

    Drug: Dexamethasone acetate · Drug: dexamethasone and cyclophosphamide · Drug: dexamethasone and rituximab

Interventions

  • First step: immunosuppressive treatment with dexamethasone

  • Drugdexamethasone and cyclophosphamide

    Drug pages: Dexamethasone · Cyclophosphamide

    second step (in case of insufficient response): immunosuppressive treatment with dexamethasone and cyclophosphamide

  • Drugdexamethasone and rituximab

    Drug pages: Dexamethasone · Rituximab

    third step (in case of insufficient response): immunosuppressive treatment with dexamethasone and rituximab

06

What researchers measure

Primary outcomes

  1. The response to treatment schedule as defined by the percentage of patients with disappearance of all symptoms.

    Time frame: at 48 weeks after treatment start

07

Study locations

36 sites
  • St. Anna Kinderkrebsforschung e.V. CHILDREN'S CANCER RESEARCH INSTITUTE
    Wien, 1090, Austria
  • Chu de Bicetre
    Le Kremlin-Bicêtre, LE Kremlin Bicetre 94275, France
  • Centre Oscar Lambret
    Lille, Lille Cedex 59020, France
  • Centre Leon Berard
    Lyon, LYON Cedex 08 69373, France
  • Hopita D'Enfants de La Timone
    Marseille, Marseille Cedex 5 13385, France
  • Hopital Arnaud de Villeneuve
    Montpellier, Montpellier Cedex 4 34295, France
  • Chr de Nantes
    Nantes, Nantes Cedex01 44093, France
  • Chu de Nice Archet 2
    Nice, NICE Cedex 03 06202, France
  • Ch Trousseau
    Paris, Paris Cedex 12 75571, France
  • Chu Hopital Sud
    Rennes, Rennes Cedex 02 35056, France
  • Chu de Rouen
    Rouen, Rouen Cedex 76031, France
  • CHU DE STRASBOURG HOPITAL Hautepierre
    Strasbourg, Strasbourg Cedex 67098, France
  • Chu Toulouse Hopital Des Enfants
    Toulouse, Toulouse Cedex 9 31059, France
  • Chu Amiens
    Amiens, 80054, France
  • Chu Angers
    Angers, 49933, France
  • Hopital Jean Minjoz
    Besancon, 25030, France
  • Chr Pellegrin
    Bordeaux, 33076, France
  • CHU CAEN
    Caen, 14033, France
  • Chu D'Estaing
    Clermont Ferrand, 63003, France
  • Chu Dijon
    Dijon, 21079, France
  • Chu de Grenoble
    Grenoble, 38045, France
  • Chu de Limoges
    Limoges, 87042, France
  • Institut Curie
    Paris, 75005, France
  • Chu de Poitiers
    Poitiers, 86021, France
  • Chu de Reims
    Reims, 51092, France
  • CHU LA REUNION Site Félix Guyon
    Saint-denis, 97400, France
  • Chu Saint Etienne
    Saint-Étienne, 42055, France
  • Chu Tours Hopital Clocheville
    Tours, 37044, France
  • Hopital Nancy Brabois
    Vandoeuvre Les Nancy, 54500, France
  • Institut de Cancerologie Gustave Roussy
    Villejuif, 94805, France
  • G. Gaslini Institut
    Genova, 16148, Italy
  • The Fundación para la Formación e Investigación Sanitarias de la Región de Murcia
    El Palmar, 30120, Spain
  • University Hospital Lund
    Lund, 22185, Sweden
  • Universitätskinderklinik
    Bern, CH 3010, Switzerland
  • Kinderspital Zurich
    Zurich, 8032, Switzerland
  • John Radcliffe Hospital
    Oxford, 0X3 9DU, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — Sponsor will share de-identified data sets. Documents generated under the project will be disseminated in accordance with Institut Curie policies.

Supporting information: Statistical analysis plan

Time frame: Data requests can be submitted starting 9 months after last article publication and will be made accessible for up to 12 months.

Access criteria: Access to trial individual participant data can be requested by qualified researchers engaging in independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a data sharing agreement (DSA).

No publications or documents are linked to this record.

09

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 Apr 2013 to primary completion in May 2021, 96 months.

Of 19 phase 3 interventional studies under Neuroblastoma, half reached primary completion within 96 months of starting (the median), counting those still running; a quarter within 80 and three quarters within 122. This study's 96 months is close to that.

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

Registered
May 27, 2013
First posted
Jun 4, 2013
StartActual
Apr 18, 2013
Primary completionActual
May 9, 2021
CompletionActual
Jan 17, 2025
Last update
Feb 3, 2025
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 Feb 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01868269
Lead sponsor
Institut Curie
Responsible party
Sponsor
First posted
Jun 4, 2013
Start date
Apr 18, 2013
Primary completion
May 9, 2021
Completion
Jan 17, 2025
Last update
Feb 3, 2025

Study contacts

Gudrun Schleiermacher, MD
principal investigator · Institut Curie

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Dexamethasone acetate · Dexamethasone · Cyclophosphamide · Rituximab

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