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Active, not recruitingNCT03363373Updated Jul 30, 2026

Naxitamab for High-Risk Neuroblastoma Patients With Primary Refractory Disease or Incomplete Response to Salvage Treatment in Bone and/or Bone Marrow

A Phase 2 interventional study of GM-CSF + Naxitamab in Neuroblastoma, sponsored by Y-mAbs Therapeutics. Active, not recruiting at 20 sites in 9 countries. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2026-07-30.

Sponsored by Y-mAbs Therapeutics · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
122
Allocation
Not applicable
Ages
1 Year and older
Sex
All
01

Where this study stands

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

Among 11 studies testing Granulocyte-Macrophage Colony-Stimulating Factor in Neuroblastoma — 2 open to participants now, 4 under way, none of them phase 3. Granulocyte-Macrophage Colony-Stimulating Factor · Neuroblastoma.

Planned enrollment
4th of 11
122 · median 62
Started
2018
the only one that year
Phase 2
6 of 11
2 open now
Registered
8th of 11
by date
Lead sponsor
2 of 11
Y-mAbs Therapeutics

Among the 11 studies testing Granulocyte-Macrophage Colony-Stimulating Factor in Neuroblastoma, this one is the 4th largest by planned enrollment, is the only one that started in 2018, is one of 6 in phase 2, and was the 8th registered.

By phase

11 studies; the count open now beside each. This study's row is marked.

Phase 2this study6 · 2 open
Phase 1/23 · 0 open
No phase1 · 0 open
Phase 41 · 0 open

By the year they started

First in 2012; this study’s year is marked. 1 started in 2018.

Size and results

Median enrollment 62 across the 11 interventional studies. Of the 5 that completed or were terminated, 5 (100%) have results posted.

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02

Study summary

Children and adults diagnosed with high-risk neuroblastoma patients with primary refractory disease or incomplete response to salvage treatment in bone and/or bone marrow will be treated for up to 101 weeks with naxitamab and granulocyte-macrophage colony stimulating factor (GM-CSF). Patients will be followed for up to five years after first dose.

Naxitamab, also known as hu3F8 is a humanised monoclonal antibody targeting GD2

Read the detailed description

Each patient will receive treatment for up to 101 weeks following the first Naxitamab administration. After the end of trial visit, each patient will enter a long-term follow-up where they will be monitored for up to 5 years after first treatment cycle.

Each investigational cycle is started with 5 days, days -4 to 0, of Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) administered at 250 µg/m2/day in advance of the start of Naxitamab administration. GM-CSF is thereafter administered at 500 µg/m2/day on days 1 to 5. As standard treatment, Naxitamab is administered at 3 mg/kg/day on days 1, 3, and 5, totalling 9 mg/kg per cycle.

Treatment cycles are repeated every 4 weeks (±1 week) until complete response or partial response followed by 5 additional cycles every 4 weeks (±1 week). Subsequent cycles are repeated every 8 weeks (±2 weeks) through 101 weeks from first infusion at the discretion of the investigator. End of treatment will take place around 8 weeks after the last cycle and thereafter long-term follow-up will continue.

03

Conditions studied

  • Neuroblastoma

Browse trials for

Keywords

  • Antibody, Neuroblastoma, Pediatric, Adult
04

Who can participate

Ages eligible
1 Year and older
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

  • Diagnosis of neuroblastoma as defined per International Neuroblastoma Response Criteria
  • High-risk neuroblastoma patients with either primary disease or incomplete response to salvage treatment (in both cases including stable disease, minor response and partial response) evaluable in bone and/or bone marrow.
  • ≥ 6 months

Exclusion criteria

Exclusion Criteria:

  • Any systemic anti-cancer therapy, including chemotherapy or immunotherapy, within 3 weeks before 1st dose of GM-CSF
  • Evaluable neuroblastoma outside bone and bone marrow
  • Existing major organ dysfunction > Grade 2, with the exception of hearing loss, hematological status, kidney and liver function
  • Active life-threatening infection
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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

05

Study design

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

Study arms

  • Experimental
    GM-CSF + Naxitamab

    Each investigational cycle is started with 5 days of GM-CSF administered at 250 µg/m2/day in advance of the start of Naxitamab administration. GM-CSF is thereafter administered at 500 µg/m2/day on days 1 to 5. As standard treatment, Naxitamab is administered at 3 mg/kg/day on days 1, 3, and 5 totalling 9 mg/kg per cycle. Treatment cycles are repeated every 4 weeks until CR or PR followed by 5 additional cycles every 4 weeks (±1 week). Subsequent cycles are repeated every 8 weeks (±2 weeks) through 101 weeks from first infusion at the discretion of the investigator. After end of treatment patients will enter a long-term follow up for up to 3 years after end of treatment visit.

    Biological: GM-CSF + Naxitamab

Interventions

06

What researchers measure

Primary outcomes

  1. Response rate during Naxitamab treatment

    Overall objective response rate (ORR) during the Naxitamab treatment period that will be centrally assessed according to the International Neuroblastoma Response Criteria (INRC) modified with 123I-MIBG criteria and following the use of 18F FDG-PET for MIBG non-avid lesions.

    Time frame: 101 weeks

Secondary outcomes

  1. Incidence of adverse events and serious adverse events

    Safety will be evaluated by the incidence of adverse events (AE) and serious adverse events (SAEs) graded according to CTCAE, version 4.0.

    Time frame: 101 weeks

  2. Duration of Response (DoR)

    Length of time from patient response to disease progression.

    Time frame: 101 weeks

  3. Complete Response Rate

    The complete response (CR) rate is defined as the fraction of patients experiencing a CR according to International Neuroblastoma Response Criteria (INRC) criteria during the treatment period.

    Time frame: 101 weeks

  4. Assessment of the maximum serum concentration (cmax) of naxitamab

    Calculation of maximum serum concentration of naxitamab will be calculated and summarized with descriptive statistics.

    Time frame: Pre-naxitamab dose - 552 hours

  5. Assessment of the minimum serum concentration (cmin) of naxitamab

    Calculation of minimum serum concentration of naxitamab will be calculated and summarized with descriptive statistics.

    Time frame: Pre-naxitamab dose - 552 hours

  6. Assessment of the clearance of naxitamab

    Calculation of clearance of naxitamab will be calculated and summarized with descriptive statistics.

    Time frame: Pre-naxitamab dose - 552 hours

  7. Assessment of the volume of distribution of naxitamab

    Calculation of the volume of distribution of naxitamab will be calculated and summarized with descriptive statistics.

    Time frame: Pre-naxitamab dose - 552 hours

  8. Assessment of the Area under the Curve (AUC) of naxitamab

    Calculation of the AUC of naxitamab will be calculated and summarized with descriptive statistics.

    Time frame: Pre-naxitamab dose - 552 hours

  9. Assessment of the terminal half-life (t½) of naxitamab

    Calculation of the t½ of naxitamab will be calculated and summarized with descriptive statistics.

    Time frame: Pre-naxitamab dose - 552 hours

  10. Assessment of anti-drug antibody (ADA) formation

    ADA formation will be investigated following a multi-tiered approach: A screening confirmation-titration analysis plus a ligand binding assay to examine a potential neutralizing effect of anti-naxitamab antibodies.

    Time frame: Pre-naxitamab dose - 552 hours

  11. Intravenous (IV) opioid use (cycle 1)

    IV opioid use during cycle 1 defined as total dosage of IV morphine (or equivalent opioid) administered 2 hours before infusion until 4 hours after end of infusion of naxitamab

    Time frame: 6 hours

  12. Intravenous (IV) opioid use (all cycles)

    IV opioid use for each cycle during the trial defined as total dosage of IV morphine (or equivalent opioid) administered 2 hours before infusion until 4 hours after end of infusion of naxitamab

    Time frame: 101 weeks

  13. Hospitalization days (cycle 1)

    Number of hospitalization days related to naxitamab during cycle 1, defined as number of overnight stays. Hospitalizations required solely for protocol-specified assessments (e.g., PK sampling) or non-medical circumstances are excluded

    Time frame: 4 weeks

  14. Safety of patients with positive human anti-drug antibody (ADA)

    In patients with positive ADA at trial inclusion, safety will be evaluated by the incidence of AEs and SAEs graded according to CTCAE, version 4.0

    Time frame: 101 weeks

  15. Number of infusions done in an outpatient setting

    Number of infusions done in an outpatient setting

    Time frame: 101 weeks

  16. Percentage of infusions done in an outpatient setting

    Percentage of infusions done in an outpatient setting

    Time frame: 101 weeks

  17. Incidence of adverse events and serious adverse events in ADA positive patients

    Safety will be evaluated by the incidence of adverse events (AE) and serious adverse events (SAEs) graded according to CTCAE, version 4.0 in ADA positive patients.

    Time frame: 101 weeks

  18. Progression Free Survival (PFS)

    PFS, defined as the time from the first 1st infusion of naxitamab until progressive disease or death, whichever comes first

    Time frame: 5 years

  19. Overall Survival

    The interval from the date of first dose of Naxitamab until the date of death due to any cause.

    Time frame: 5 years

  20. Happiness and activity levels

    Happiness and activity levels will be measured over time and assessed by caretaker

    Time frame: 39 days

07

Study locations

20 sites
08

References and documents

Individual participant data

Plan to share: Undecided

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 2018 to primary completion in Jun 2026, 98 months.

Of 67 phase 2 interventional studies under Neuroblastoma, half reached primary completion within 74 months of starting (the median), counting those still running; a quarter within 52 and three quarters within 99. This study's 98 months is above that.

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

Registered
Nov 6, 2017
First posted
Dec 6, 2017
StartActual
Apr 3, 2018
Primary completionActual
Jun 30, 2026
CompletionEst.
Apr 2028
Last update
Jul 30, 2026
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 Jul 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03363373
Lead sponsor
Y-mAbs Therapeutics
Responsible party
Sponsor
First posted
Dec 6, 2017
Start date
Apr 3, 2018
Primary completion
Jun 30, 2026
Completion
Apr 2028 (estimated)
Last update
Jul 30, 2026

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 active, not recruiting, as verified in Jun 2026. 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: Granulocyte-Macrophage Colony-Stimulating Factor · Naxitamab

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