ClinicalTrials.gg
RecruitingNCT07932808NEXT-NBUpdated Nov 12, 2026

Naxitamab Enabled Transplant-Free Study in High-Risk Neuroblastoma

A Phase 2 interventional study of Naxitamab and GM-CSF in combination with irinotecan and temozolomide and Dinutuximab. Immunotherapy in Neuroblastoma, sponsored by Giselle Sholler. Recruiting at 1 site in United States. Open to participants aged 1 Year to 30 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Giselle Sholler · Phase 2, Interventional, and Treatment

Updated Nov 12, 2026Newly registeredGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
101
Allocation
Not applicable
Ages
1 Year to 30 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 17 studies testing naxitamab in Neuroblastoma — 9 open to participants now, 12 under way, none of them phase 3. naxitamab · Neuroblastoma.

Planned enrollment
4th of 17
101 · median 62
Started
2026
with 1 other
Phase 2
11 of 17
7 open now
Primary completion
2031-11
later than 11 of 11 live
Registered
17th of 17
by date
Lead sponsor
3 of 17
Giselle Sholler

Among the 17 studies testing naxitamab in Neuroblastoma, this one is the 4th largest by planned enrollment, is one of 2 that started in 2026, is one of 11 in phase 2, reaches primary completion later than 11 of the 11 other live ones, and was the 17th registered.

Neuroblastoma

676 studies on the registry are indexed under Neuroblastoma; 128 are open to participants now.

Browse Neuroblastoma studies →

Open to participants now

9 of the 17 studies testing naxitamab in Neuroblastoma are open now, in 7 countries. Recruiting first, the newest first:

3 more — sign in →

By country, each count listing its studies:

All 9 open studies →

About naxitamab

naxitamab: first FDA approval 2020 (DANYELZA). What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 105 Neuroblastoma studies recruiting now, 25 (24%) set no upper age limit and 75 (71%) stop at 75 or younger; 102 take children under 18; 3 take healthy volunteers.

This study: 1 Year to 30 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 17 studies testing naxitamab in Neuroblastoma, or all of them as a file.
02

Study summary

A prospective, multicenter, clinical trial in participants with high-risk neuroblastoma that have completed induction therapy, evaluating the feasibility, efficacy, and toxicity of using anti-GD2 chemo-immunotherapy (naxitamab/irinotecan/temozolomide/GM-CSF) as consolidation followed by standard radiation, then standard anti-GD2 immunotherapy, and 2 years of DFMO maintenance.

03

Conditions studied

  • Neuroblastoma

Browse trials for

Keywords

  • neuroblastoma
  • transplant
  • consolidation
  • naxitamab
04

Who can participate

Ages eligible
1 Year to 30 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

  • Age

    1. Participants must be age ≤ 21 years at High-Risk NB diagnosis
    2. Participants must be >12 months of age at enrollment. Diagnosis
    3. Participants must have a confirmed diagnosis of neuroblastoma and classified as high risk by the criteria used by COG or SIOPEN at the time of diagnosis.

      Exception: patients who are initially diagnosed as non high-risk neuroblastoma, but later converted to high-risk neuroblastoma are also eligible.

      Prior Therapy

    4. Participants must have completed standard induction therapy for initial diagnosis of high-risk neuroblastoma (5-7 cycles of induction chemotherapy with or without anti-GD2 antibody as per section 4.2, may include an additional cycle of therapy given prior to starting HRNB induction), and local control (surgery). Participants will enroll after completion of upfront induction therapy.

      Disease Response

    5. Participants must have a disease response by revised 2017 International Neuroblastoma Response Criteria (INRC) at the end of standard 5-7 cycles of Induction of GEIR:

      o Overall INRC Response ≥PR or

      o Primary tumor ≥SD, AND soft tissue/ bone ≥PR, AND bone marrow ≥MD*

      • Includes bone marrow response of minimal disease or complete response. Timing
    6. Start of therapy to occur ≤ 45 days after completion of last induction cycle (from last day of cycle).

      Organ Function Requirements

    7. Hematological: Hematological recovery as defined by ≥750/μL (unsupported- >24 hrs off G-CSF and 7 days off pegylated filgrastim).
    8. Renal: Participants must have adequate renal function defined:

      o For participants \< 17 years old: estimated (eGFR) as calculated from the Bedside Schwartz equation (in units of mL/min/1.73 m2) or via radioisotope GFR of ≥ 70 mL/min/1.73 m2. The Bedside Schwartz equation is: [(0.413) X (Height in cm)] / SCr

      o For participants ≥17 years old: estimated Glomerular Filtration rate (eGFR) as calculated from the Cockcroft and Gault formula (in units of mL/min/1.73 m2) or via radioisotope GFR of ≥ 70 mL/min/1.73 m2. The Cockcroft and Gault formula is: [(140-age) x (Wt in kg) x (0.85 if female)] / (72 x SCr)

    9. Cardiac: Adequate cardiac function defined as:

      • Shortening fraction of ≥28%, or
      • of ≥50%
    10. Liver: Adequate liver function defined as:

      • Total ≤ 1.5 x (ULN) for age
      • (SGPT) \< 10 x upper limit of normal (ULN) for age
    11. Post-pubertal study participants must be willing to use a highly effective method (i.e., achieves a failure rate of \<1% per year when used consistently and correctly) from the time of (and assent, as applicable) until 6 months after study treatment discontinuation. Participants who are lactating must agree to stop breast-feeding.
    12. Informed Consent: All participants and/or legal guardians must sign informed written consent. Assent, when appropriate, will be obtained according to institutional guidelines and applicable local regulations.

Exclusion criteria

Exclusion Criteria:

  • 1. Participants who are less than 1 year of age 2. Participants that had progressive disease (PD) at any time post cycle 4 during upfront induction therapy.

    3. Participants who required additional therapy after the end of standard Induction (5-7 cycles) to achieve adequate response.

    4. Drugs: Participants who are currently receiving another investigational drug are excluded from participation.

    5. Anti-cancer Agents: Participants who are currently receiving other anticancer agents are not eligible. Participants must have fully recovered from the hematological and bone marrow suppression effects of prior chemotherapy.

    6. Infection: Participants who have an uncontrolled infection are not eligible until the infection is judged to be well controlled in the opinion of the investigator.

    7. Participants who, in the opinion of the investigator, may not be able to comply with the safety monitoring requirements of the study, or in whom compliance is likely to be suboptimal, should be excluded.

Terms in these criteria, in plain language(11)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

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.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    Consolidation with anti-GD2 chemo-immunotherapy (naxitamab/irinotecan/temozolomide/GM-CSF)

    Consolidation Cycles 1-6: Naxitamab/Irinotecan/Temozolomide/GM-CSF + Radiation Immunotherapy Cycles 1-5: Dinutuximab + GM-CSF + Isotretinoin (or Dinutuximab-Beta) Immunotherapy Cycle 6: Isotretinoin alone DFMO Monotherapy: DFMO for 730 days (2 years)

    Drug: Naxitamab and GM-CSF in combination with irinotecan and temozolomide · Drug: Dinutuximab. Immunotherapy · Drug: DFMO

Interventions

  • DrugNaxitamab and GM-CSF in combination with irinotecan and temozolomide

    Drug pages: Naxitamab · Granulocyte-Macrophage Colony-Stimulating Factor · Irinotecan · Temozolomide

    anti-GD2 chemo-immunotherapy (naxitamab/irinotecan/temozolomide/GM-CSF) as consolidation

  • DrugDinutuximab. Immunotherapy

    Dinutuximab + GM-CSF + Isotretinoin (or Dinutuximab-Beta) for 5 cycles plus Isotretinoin alone in Cycle 6

  • DrugDFMO

    DFMO Monotherapy: DFMO for 730 days (2 years)

    Also known as: IWILFIN

06

What researchers measure

Primary outcomes

  1. Number of days that subjects remain in event free

    To determine whether transplant-free chemo-immunotherapy consolidation (naxitamab/irinotecan/temozolomide/GM-CSF) is non-inferior to the transplant-containing standard with respect to 3-year event-free survival (EFS) from the start of consolidation in participants with high-risk neuroblastoma who have a good end-of-induction response

    Time frame: 3 years

Secondary outcomes

  1. Number of days that subjects remain in event free

    To estimate 5-year EFS from the start of consolidation and compare it descriptively with the 5-year historical transplant-containing benchmark.

    Time frame: 5 years

  2. Number of days that subjects remain alive

    To estimate 3-year and 5-year overall survival (OS) from the start of consolidation and compare it descriptively with the historical transplant-containing benchmark.

    Time frame: 5 years

  3. Number of participants with treatment-related adverse events

    To characterize the morbidity burden of transplant-free consolidation relative to published rates for the transplant-containing standard.

    Time frame: 5 years

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Nov 2031, 60 months later.

Of 62 non-industry 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 planned 60 months is below that.

Counting every sponsor, half of 67 studies reached it within 74 months; a quarter within 52 and three quarters within 99.

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

Registered
Nov 5, 2026
First posted
Nov 12, 2026
StartEst.
Nov 26, 2026
Primary completionEst.
Nov 26, 2031
CompletionEst.
Nov 26, 2040
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07932808
Lead sponsor
Giselle Sholler
Collaborators
SERB Pharmaceuticals
Responsible party
Giselle Sholler (Beat Childhood Cancer Chair, Milton S. Hershey Medical Center) — Sponsor-investigator
First posted
Nov 12, 2026
Start date
Nov 26, 2026 (estimated)
Primary completion
Nov 26, 2031 (estimated)
Completion
Nov 26, 2040 (estimated)
Last update
Nov 12, 2026

Study contacts

BCC Enroll
Contact
BCCEnroll@pennstatehealth.psu.edu
7175310003
Giselle SaulnierSholler, MD
study chair · Penn State Health Golisano Children's Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Naxitamab · Granulocyte-Macrophage Colony-Stimulating Factor · Irinotecan · Temozolomide · Eflornithine

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