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Status unknownNCT02638428Updated Mar 19, 2020

Genomics-Based Target Therapy for Children With Relapsed or Refractory Malignancy

A Phase 2 interventional study of CancerSCAN™ and Ifosfamide in Relapsed Pediatric Solid Tumor, Refractory Pediatric Solid Tumor and Relapsed Pediatric AML, sponsored by Samsung Medical Center. Status unknown at 1 site in Korea, Republic of. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2020-03-19.

Sponsored by Samsung Medical Center · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2020), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
90
Allocation
Not applicable
Ages
Up to 18 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and feasibility of combination chemotherapy with target agents according to the result of targeted deep sequencing in pediatric patients with relapsed/refractory solid tumor or AML.

Read the detailed description

Outcome of pediatric cancer has been improved substantially over the past few decades, but the prognosis of relapsed/refractory pediatric cancer still remains poor. Advances in genomic technologies have improved the ability to detect diverse somatic and germline genomic aberrations of cancer patients, and it has been incorporated in the clinical management of cancer.

Samsung Genomic Institute developed a targeted next-generation sequencing (NGS) platform, CancerSCAN™, which can detect clinically significant genomic aberrations of tumors. In this study, tumor samples of refractory/relapsed pediatric cancer patients will be tested with CancerSCAN™ and the patients will receive combination chemotherapy with matched single-targeted agent or multi-targeted receptor tyrosine kinase inhibitor according to the result of CancerSCAN™.

I. Relapsed/refractory solid tumor

  • Perform CancerSCAN™ at enrollment
  • Conventional chemotherapy (ifosfamide, carboplatin, etoposide) with matched single-targeted agent (axitinib, crizotinib, dasatinib, erlotinib, everolimus, imatinib, pazopanib, ruxolitinib, sorafenib, vandetanib, vemurafenib, or trastuzumab) or multi-targeted receptor tyrosine kinase inhibitor (pazopanib or sorafenib) according to the result of CancerSCAN™

II. Relapsed/refractory AML

  • Perform CancerSCAN™ at enrollment
  • Conventional chemotherapy (fludarabine, cytarabine) with matched single-targeted agent (axitinib, crizotinib, dasatinib, erlotinib, everolimus, imatinib, pazopanib, ruxolitinib, sorafenib, vandetanib, vemurafenib, or trastuzumab) or multi-targeted receptor tyrosine kinase inhibitor (pazopanib or sorafenib) according to the result of CancerSCAN™
02

Conditions studied

  • Relapsed Pediatric Solid Tumor
  • Refractory Pediatric Solid Tumor
  • Relapsed Pediatric AML
  • Refractory Pediatric AML

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03

In context

Leukemia, Myeloid

2,443 studies on the registry are indexed under Leukemia, Myeloid; 210 are open to participants now.

This study's planned enrollment of 90 is above the median of 40 across 1,977 interventional studies indexed under Leukemia, Myeloid.

Browse Leukemia, Myeloid studies →

Lead sponsor

Samsung Medical Center is the lead sponsor of 980 studies on the registry; 146 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Under 18 years of age at initial diagnosis
  • Patients with refractory/relapsed solid tumor or AML (Solid tumor: Stable or progressive disease after 1st-line treatment or relapse; AML: Persistence after 2 cycles of induction chemotherapy or relapse)
  • Patient with tumor sample which is adequate for targeted deep sequencing

Exclusion criteria

Exclusion Criteria:

  • Patients who had salvage chemotherapy previously
  • Patients with organ dysfunction as follows (creatinine elevation ≥ 3 x upper limit of normal (ULN), ejection fraction \<40%, significant arrhythmia or conduction disturbance)
  • Patients who are not eligible to have scheduled treatment due to the other significant impaired organ function
  • Patients whose tumor samples are not sufficient for targeted deep sequencing
  • Pregnant or nursing women
05

Study design

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

Study arms

  • Experimental
    Refractory/relapsed solid tumor or AML

    Conventional chemotherapy (Ifosfamide carboplatin etoposide for solid tumor and fludarabine cytarabine for AML) with matched single-targeted agent (axitinib, crizotinib, dasatinib, erlotinib, everolimus, imatinib, pazopanib, ruxolitinib, sorafenib, vandetanib, vemurafenib, or trastuzumab) or multi-targeted receptor tyrosine kinase inhibitor (pazopanib or sorafenib) according to the result of CancerSCAN™

    Procedure: CancerSCAN™ · Drug: Ifosfamide · Drug: Carboplatin · Drug: Etoposide · Drug: Fludarabine · Drug: Cytarabine · Drug: Pazopanib · Drug: Sorafenib · Drug: Axitinib · Drug: Crizotinib · Drug: Dasatinib · Drug: Erlotinib · Drug: Everolimus · Drug: Imatinib · Drug: Ruxolitinib · Drug: Vandetanib · Drug: Vemurafenib · Drug: Trastuzumab

Interventions

  • ProcedureCancerSCAN™

    Targeted deep sequencing

  • DrugIfosfamide
  • DrugCarboplatin
  • DrugEtoposide
  • DrugFludarabine
  • DrugCytarabine
  • DrugPazopanib
  • DrugSorafenib
  • DrugAxitinib
  • DrugCrizotinib
  • DrugDasatinib
  • DrugErlotinib
  • DrugEverolimus
  • DrugImatinib
  • DrugRuxolitinib
  • DrugVandetanib
  • DrugVemurafenib
  • DrugTrastuzumab
06

What researchers measure

Primary outcomes

  1. Rate of event free survival

    Event is defined as relapse, disease progression or treatment-related mortality.

    Time frame: Up to 5 years

Secondary outcomes

  1. Rate of treatment-related adverse events as assessed by CTCAE v4.0

    Time frame: Up to 1 year

07

Study locations

1 of 1 sites recruiting
  • Samsung Medical Center
    Seoul, Korea, Republic of
    • Ki Woong Sung · Contact · kwsped@skku.edu · 82-2-3410-3529
    • Ki Woong Sung · Principal investigator
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02638428
Lead sponsor
Samsung Medical Center
Collaborators
Ministry of Health, Republic of Korea
Responsible party
Sponsor
First posted
Dec 23, 2015
Start date
Dec 2015
Primary completion
Dec 2021 (estimated)
Completion
Dec 2023 (estimated)
Last update
Mar 19, 2020

Study contacts

Ki Woong Sung, MD, PhD
Contact
kiwoong.sung@samsung.com
82-2-3410-3529
Ki Woong Sung, MD, PhD
principal investigator · Samsung Medical Center

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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