Clinical trial • Not applicable • Oncology
LOMUSTINE for Medulloblastoma
Not applicable trial of LOMUSTINE for Medulloblastoma.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Medulloblastoma
- Trial Stage
- Not applicable
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 28-08-2024
- First CTIS Authorization Date
- 26-09-2024
Trial design
Randomised, sr arm: radiotherapy (23.4 gy neuraxis irradiation plus boost to primary tumour) without carboplatin versus radiotherapy with carboplatin concomitantly (followed by modified maintenance chemotherapy). lr and wnt-hr arms: neuraxis irradiation plus boost and reduced-intensity chemotherapy (not described as randomized); shh-tp53 arm: treatment adapted to tp53 mutation status compared to a historic mb shh tp53-mutant cohort (historic comparator).-controlled Not applicable trial in Austria, Belgium, Czechia and others.
- Randomised
- Yes
- Comparator
- SR arm: radiotherapy (23.4 Gy neuraxis irradiation plus boost to primary tumour) without carboplatin versus radiotherapy with carboplatin concomitantly (followed by modified maintenance chemotherapy). LR and WNT-HR arms: neuraxis irradiation plus boost and reduced-intensity chemotherapy (not described as randomized); SHH-TP53 arm: treatment adapted to TP53 mutation status compared to a historic MB SHH TP53-mutant cohort (historic comparator).
- Real World Control
- True, SHH-TP53 arm compares outcomes to a historic MB SHH TP53mut cohort (historic/real-world comparator).
- Biomarker Stratified
- True, biomarkers: WNT activation (β-catenin mutation) for LR/WNT-HR; SHH activation and TP53 mutation for SHH-TP53; genetic subgroup status (WNT/SHH/group 3/group 4) used in subgroup allocation.
- Target Sample Size
- 41
Eligibility
Recruits 41 paediatric patients.
- Pregnancy Exclusion
- All arms: Patients who are pregnant
- Vulnerable Population
- Study includes children and adolescents. "All arms: Written informed consent (and patient assent where appropriate) for therapy according to the laws of each participating country." Age-specific information and consent/assent handling is documented: there are numerous age- and country-specific subject information and informed consent forms for parents, children and adolescents (e.g. L1_SIS and ICF files for children, juveniles, parents in multiple country versions). Parental consent and patient assent are required as appropriate by local law.
Inclusion criteria
- {"criterion_text":"- LR: Age at diagnosis, at least 3 - 5 years (depending on the country) and less than 16 years\n- SR: WNT-subgroup negativity\n- SR: For patients with SHH activated tumours: exclusion of germline alteration of TP53, PTCH and SUFU is required, and recommended for BRCA2 and PALB2. Exclusion of somatic mutation is sufficient for enrolment of the patient. In case of somatic alteration, urgent diagnostic evaluation for germline alteration after appropriate consent is necessary\n- LR: Histologically proven and genetically defined medulloblastoma including the following subgroups, as defined in the WHO classification (2016): medulloblastoma, WNT-activated Histologic subtype: medulloblastoma, classic or medulloblastoma, desmoplastic/nodular; Pre-treatment central pathology review, as well as central molecular confirmation of WNT-activation is considered mandatory\n- WNT-HR, SHH-TP53: Age at diagnosis, at least 3–5 years (depending on the country)\n- WNT-HR: Histologically proven and genetically defined medulloblastoma including the following subgroups, as defined in the WHO classification (2016): medulloblastoma, WNT-activated; Histologic subtype: classic medulloblastoma, desmoplastic/nodular medulloblastoma, large-cell/anaplastic medulloblastoma\n- LR, SR: Clinically standard -risk medulloblastoma\n- All arms: Submission of high quality biological material including fresh frozen tumour samples and blood for the molecular assessment of biological markers (such as the assessment of MYC gene copy number status) in national biological reference centersSubmission of CSF is recommended\n- LR: No amplification of MYC or MYCN (determined by FISH or aCGH)\n- LR: Low-risk biological profile, defined as presence of β-catenin mutation (mandatory testing) resulting in WNT activation\n- LR, SR, WNT-HR: No prior therapy for medulloblastoma other than surgery\n- LR-, SR-, WNT-HR-arm: No significant sensineural hearing deficit as defined by pure tone audiometry with bone conduction or air conduction and normal tympanogram showing no impairement ≥ 20 dB at 1-3 kHz (best ear). If performance of pure tone audiometry is not possible postoperatively, normal otoacoustic emissions are acceptable, if there is no history for hearing deficit\n- All arms: Postoperative therapy aiming to start no more than 28 days after surgery. Foreseeable inability to start therapy within 40 days after surgery renders patients ineligible for the study\n- All arms: CTC grades < 2 for liver, renal, haematological function\n- WNT-HR: Low-risk biological profile, defined as WNT-subgroup positivity\n- WNT-HR: Clinical high risk features\n- SHH-TP53: Histologically proven medulloblastoma, genetically defined as SHH-activated TP53 mutant, as defined in the WHO classification (2016)\n- SHH-TP53: Patients can be included irrespective of histological subtype of medulloblastoma (inclusion of AMB, DMB, CMB, LCMB and MBEN allowed) and irrespective of evidence of MYC/MYCN amplification (inclusion if MYC/MYCN amplification is absent or present)\n- SHH-TP53: Complete postoperative staging investigations according to PNET 5 MB – standards (pre- and postoperative MRI, spinal MRI, cytospin of lumbar CSF with sufficient quality and central review where applicable) is required; patients are eligible irrespective of staging result, i.e. with or without residual tumor, and localized or metastatic disease\n- SHH-TP53: Evaluation of germline TP53 status is required before start of irradiation. Patients with germline TP53 mutation, TP53 mosaicism and/ or somatic TP53 mutation are eligible.\n- SHH-TP53: Diagnosis of SHH-activated TP53-mutant medulloblastoma as first or secondary malignancy\n- LR-, SR-, WNT-HR-arm: No identified germline APC, PTCH, SUFU, TP53, PALB2, or BRCA2 gene alteration (evaluation of PALB2 and BRCA2 not mandatory). No unrefuted clinical suspect for patient or familial APC-associated polyposis conditions, biallelic mismatch repair syndrome, Li Fraumeni Syndrome, Gorlin Snydrome, Fanconi anaemia, or other hereditary condition that affects tolerance of antitumour treatment, or may prone to secondary tumours\n- All arms: No other medical contraindication to protocol therapy\n- All arms: Written informed consent (and patient assent where appropriate) for therapy according to the laws of each participating country. Information must be provided to the patient on biological studies (tumour and germline), and written informed consent obtained of agreement for participation\n- All arms: National and local ethical committee approval according to the laws of each participating country (to include approval for biological studies)\n- SR: Age at diagnosis, at least 3 - 5 years (depending on the country) and less than 22 years\n- SR: Histologically proven and genetically defined medulloblastoma including the following subtypes, as defined in the WHO classification (2016): -\tmedulloblastoma, SHH-activated and TP53-wildtype -\tmedulloblastoma, non-WNT/non-SHH \tmedulloblastoma, group 3 \tmedulloblastoma, group 4 Histologic subtype: -\tmedulloblastoma, classic -\tmedulloblastoma, desmoplastic/nodular Pre-treatment central pathology review, as well as central molecular diagnosis of genetically defined subgroup is mandatory\n- SR: No amplification of MYC or MYCN (determined by FISH or aCGH); MYCN amplification allowed for patients with group 4 medulloblastoma"}
Exclusion criteria
- {"criterion_text":"- All arms: One of the inclusion criteria is lacking\n- LR, SR: Unfavourable or undeterminable biological profile, defined as amplification of MYC or MYCN, or WNT subgroup status not determinable\n- LR, SR: Metastatic medulloblastoma (on CNS MRI and/or positive cytospin of postoperative lumbar CSF)\n- LR, SR, WNT-HR: Patient previously treated for a brain tumour or any type of malignant disease\n- LR, SR, WNT-HR: Identified germline APC, PTCH, SUFU, TP53, PALB2, or BRCA2 gene alteration. Unrefuted clinical suspect for patient or familial APC-associated polyposis conditions, biallelic mismatch repair syndrome, Li Fraumeni Syndrome, Gorlin Snydrome, Fanconi anaemia, or other hereditary condition that affects tolerance of antitumour treatment, or may prone to secondary tumours\n- SR: Identified somatic TP53 mutation in SHH activated tumours\n- SHH-TP53: Patients who refuse testing for germline TP53-mutations\n- All arms: Brainstem or supratentorial embryonal tumour\n- All arms: Atypical teratoid rhabdoid tumour\n- All arms: Patients who are pregnant\n- All arms: Female patients who are sexually active and not taking reliable contraception\n- All arms: Patients who cannot be regularly followed up due to psychological, social, familial or geographic reasons\n- All arms: Patients in whom non-compliance with toxicity management guidelines can be expected\n- LR, SR: Medulloepithelioma, embryonal tumour with multi-layered rosettes\n- LR, SR: Large cell/anaplastic medulloblastoma, or medulloblastoma with extensive nodularity (MBEN), confirmed on central pathological review"}
Endpoints
Primary endpoints
- {"endpoint_text":"- All arms: The primary outcome measure is event-free survival (EFS).","definition_or_measurement_approach":"Primary endpoint: event-free survival (EFS); main-objective references 3-year EFS rate for specific arms (e.g. LR: confirm 3-year EFS >80%)."}
Secondary endpoints
- {"endpoint_text":"- All arms: The rate of overall survival (OS), and the rate of progression-free survival (PFS), estimated by the Kaplan-Meier method, are secondary outcome measures.","definition_or_measurement_approach":"OS and PFS estimated by Kaplan-Meier method."}
- {"endpoint_text":"- All arms: Pattern of relapse is a secondary outcome measure. The site and time to local progression will be the measures for local tumour control. Particular attention will be given to posterior fossa relapse, i.e. local relapse within the tumour bed, or metastatic relapse to the posterior fossa outside the tumour bed. The time period begins on the date of surgery and ends on the date of appearance of relapse/progression. The appearance of metastases will not be regarded as local progression.","definition_or_measurement_approach":"Pattern of relapse measured by site and time to local progression; time period begins on date of surgery and ends on date of relapse/progression."}
- {"endpoint_text":"- SR: Feasibility of carboplatin treatment concomitantly to radiotherapy is a secondary outcome measure. The timely delivery of maintenance chemotherapy, the number of interruption days, and the grade of weight change, dysphagia and esophagitis, transfusion requirement, haematological toxicities, and infection during therapy, as well as ototoxicity are measures of the feasibility of additional carboplatin.","definition_or_measurement_approach":"Feasibility measured by timely delivery of maintenance chemotherapy, number of interruption days, grades of weight change, dysphagia, esophagitis, transfusion requirement, haematological toxicities, infections, and ototoxicity."}
- {"endpoint_text":"- All arms: Indirect measures of quality of survival (QoS) are a secondary outcome measure. Standardized, patients/ parents rated scales for measurement of health status (HUI3), executive function (BRIEF), behavioural outcome (SDQ), medical, educational, employment and social situation (MEES), Fatigue (PedsQL Multidimensional Fatigue Scale and, in adults, the MFI), and quality of life (PedsQL and, in adults, the QLQ-C30) will be the indirect measures for QoS.","definition_or_measurement_approach":"QoS measured using standardized patient/parent-rated instruments: HUI3, BRIEF, SDQ, MEES, PedsQL Multidimensional Fatigue Scale (and MFI in adults), and PedsQL/QLQ-C30 for quality of life."}
- {"endpoint_text":"- All arms: Audiological toxicity is a secondary outcome measure. The extent of ototoxicity based dose modifications of maintenance chemotherapy, as well as the results of Pure Tone Audiometry (PTA) graded by the Chang criteria evaluated 2 years after diagnosis will be the measures for audiological toxicity.","definition_or_measurement_approach":"Audiological toxicity assessed by dose modifications due to ototoxicity and PTA graded by Chang criteria evaluated 2 years after diagnosis."}
- {"endpoint_text":"- All arms: Endocrine function is a secondary outcome measure. FSH levels (cut-off level >15 IU/l) will be used as biomarker for subfertility. Growth retardation will be calculated as the difference in height standard deviation score (sds) from diagnosis, and the need for, time to, and duration of hormone supplementation will be used as surrogate markers for endocrine deficits. All measures will be evaluated 2 and 5 years from diagnosis/surgery and again in adulthood at 18 years.","definition_or_measurement_approach":"Endocrine function measured by FSH (>15 IU/l as biomarker for subfertility), growth SDS change, need/time/duration of hormone supplementation; evaluated at 2 and 5 years and at 18 years."}
- {"endpoint_text":"- All arms: Neurological function is an outcome measure. The occurrence and severity of posterior fossa syndrome (as measured by the cerebellar mutism syndrome survey), and the occurrence and severity of persisting cerebellar symptoms (measured by the brief ataxia rating scale) will be the measures for neurological function.","definition_or_measurement_approach":"Neurological function assessed by cerebellar mutism syndrome survey and brief ataxia rating scale for persisting cerebellar symptoms."}
- {"endpoint_text":"- All arms: The prognostic value of biological tumour markers is an outcome measure. Results of protein expression (including immunohistochemistry), RNA expression, and DNA analysis assays undertaken on tumour, blood or CSF material will be the measures for biological properties.","definition_or_measurement_approach":"Prognostic value assessed via protein expression (IHC), RNA expression, and DNA analyses on tumour, blood or CSF."}
- {"endpoint_text":"- SHH-TP53: Response rate","definition_or_measurement_approach":"Response rate measured per SHH-TP53 arm (no further detail provided in record)."}
- {"endpoint_text":"- SHH-TP53: Duration of response","definition_or_measurement_approach":"Duration of response measured per SHH-TP53 arm (no further detail provided in record)."}
- {"endpoint_text":"- SHH-TP53: Incidence of secondary malignancies","definition_or_measurement_approach":"Incidence of secondary malignancies monitored and recorded (no further detail provided)."}
- {"endpoint_text":"- SHH-TP53: Incidence of local, metastastatic and combined relapses in relation to radiation field (inside or outside of radiation field)","definition_or_measurement_approach":"Incidence of relapses classified by location relative to radiation field (inside/outside)."}
- {"endpoint_text":"- SHH-TP53: Incidence of somatic, germline, and mosaic TP53 mutations","definition_or_measurement_approach":"Incidence assessed by genetic testing for somatic, germline, and mosaic TP53 mutations."}
Recruitment
- Registry Or Advocacy Recruitment
- True, Registry for MB occurring in the context of genetic predisposition (MB registry) is part of the study; Deutsche Kinderkrebsstiftung is listed as a source of monetary support.
- Planned Sample Size
- 359
- Recruitment Window Months
- 162
- Consent Approach
- "All arms: Written informed consent (and patient assent where appropriate) for therapy according to the laws of each participating country." Age-specific consent/assent is used: numerous age- and arm-specific subject information and informed consent forms are provided (parents/children/adolescents/adults), with country-language versions (examples include ENG, FR, NL, CZ, FI, IT, DE, SE documents listed). Parental consent and child/adolescent assent are handled per local law and with age-appropriate ICFs.
Geography
- Total Number Of Sites
- 117
- Total Number Of Participants
- 359
Austria
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 12-11-2024
- Processing Time Days
- 62
- Number Of Sites
- 5
- Number Of Participants
- 11
Sites
- Site Name
- Medizinische Universitaet Innsbruck
- Department Name
- Department für Kinder- und Jugendheilkunde
- Contact Person Name
- Roman Crazzolara
- Contact Person Email
- Roman.Crazzolara@i-med.ac.at
- Site Name
- Kepler Universitaetsklinikum GmbH
- Department Name
- Universitätsklinik für Kinder- und Jugendheilkunde Med Campus IV.
- Contact Person Name
- Georg Ebetsberger-Dachs
- Contact Person Email
- Georg.EbetsbergerDachs@kepleruniklinikum.at
- Site Name
- Medical University Of Graz
- Department Name
- Klinische Abteilung für Pädiatrische Hämatologie/Onkologie
- Contact Person Name
- Martin Benesch
- Contact Person Email
- martin.benesch@medunigraz.at
- Site Name
- Gemeinnuetzige Salzburger Landeskliniken Betriebsgesellschaft mbH
- Department Name
- Universitätsklinik für Kinder- und Jugendheilkunde
- Contact Person Name
- Neil Jones
- Contact Person Email
- n.jones@salk.at
- Site Name
- Medical University Of Vienna
- Department Name
- Universitätsklinik für Kinder- und Jugendheilkunde
- Contact Person Name
- Andreas Peyrl
- Contact Person Email
- andreas.peyrl@meduniwien.ac.at
Belgium
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 27-09-2024
- Processing Time Days
- 16
- Number Of Sites
- 8
- Number Of Participants
- 8
Sites
- Site Name
- Antwerp University Hospital
- Department Name
- Paediatric haemato-oncology
- Contact Person Name
- Joris Verlooy
- Contact Person Email
- joris.verlooy@uza.be
- Site Name
- Universitair Ziekenhuis Gent
- Department Name
- Paediatric haemato-oncology
- Contact Person Name
- Leen Willems
- Contact Person Email
- leen.willems@uzgent.be
- Site Name
- Centre Hospitalier Regional De La Citadelle
- Department Name
- Paediatric haemato-oncology
- Contact Person Name
- Caroline Piette
- Contact Person Email
- caroline.piette@chuliege.be
- Site Name
- CHC MontLegia
- Department Name
- Paediatric haemato-oncology
- Contact Person Name
- Christophe Chantrain
- Contact Person Email
- christophe.chantrain@chc.be
- Site Name
- UZ Leuven
- Department Name
- Paediatric haemato-oncology
- Contact Person Name
- Sandra Jacobs
- Contact Person Email
- sandra2.jacobs@uzleuven.be
- Site Name
- Cliniques Universitaires Saint-Luc
- Department Name
- Paediatric haemato-oncology
- Contact Person Name
- An Van Damme
- Contact Person Email
- an.vandamme@saintluc.uclouvain.be
- Site Name
- Association Hospitaliere De Bruxelles Hopital Universitaire Des Enfants Reine Fabiola
- Department Name
- Paediatric haemato-oncology
- Contact Person Name
- Diallo Safiatou
- Contact Person Email
- safiatou.diallo@hubruxelles.be
- Site Name
- Centre Hospitalier Regional De La Citadelle (duplicate entry not expected)
Czechia
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 26-09-2024
- Processing Time Days
- 15
- Number Of Sites
- 1
- Number Of Participants
- 7
Sites
- Site Name
- Fakultni Nemocnice Brno
- Department Name
- Pediatric Oncology
- Contact Person Name
- Jaroslav Štěrba
- Contact Person Email
- sterba.jaroslav@fnbrno.cz
Finland
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 30-09-2024
- Processing Time Days
- 19
- Number Of Sites
- 5
- Number Of Participants
- 12
Sites
- Site Name
- Pirkanmaan hyvinvointialue
- Department Name
- Department of Pediatric Hematology and Oncology
- Contact Person Name
- Kristiina Nordfors
- Contact Person Email
- kristiina.nordfors@pirha.fi
- Site Name
- Varsinais-Suomen hyvinvointialue
- Department Name
- Department of Pediatric Hematology and Oncology
- Contact Person Name
- Päivi Lähteenmäki
- Contact Person Email
- paivi.maria.lahteenmaki@tyks.fi
- Site Name
- Pohjois-Savon hyvinvointialue
- Department Name
- Paediatric Haematology and Oncology Ward
- Contact Person Name
- Jouni Pesola
- Contact Person Email
- jouni.pesola@pshyvinvointialue.fi
- Site Name
- HUS-Yhtymae
- Department Name
- Children and Adolescents
- Contact Person Name
- Virve Pentikäinen
- Contact Person Email
- virve.pentikainen@hus.fi
- Site Name
- Pohjois-Pohjanmaan hyvinvointialue
- Department Name
- Department of pediatric hemato-oncology
- Contact Person Name
- Anne Hekkala
- Contact Person Email
- anne.hekkala@pohde.fi
France
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 09-10-2024
- Processing Time Days
- 28
- Number Of Sites
- 24
- Number Of Participants
- 86
Sites
- Site Name
- Centre Hospitalier Regional Et Universitaire De Brest
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Liana Carausu
- Contact Person Email
- liana.carausu@chu-brest.fr
- Site Name
- Centre Hospitalier Universitaire Grenoble Alpes
- Department Name
- immuno-onco-hemato-pediatrie
- Contact Person Name
- Anne Pagnier
- Contact Person Email
- APagnier@chu-grenoble.fr
- Site Name
- Centre Hospitalier Regional Universitaire (Besancon)
- Department Name
- pediatrie oncologie hematologie
- Contact Person Name
- Sebastien Klein
- Contact Person Email
- s1klein@chu-besancon.fr
- Site Name
- Centre Hospitalier Et Universitaire De Limoges
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Christophe Piguet
- Contact Person Email
- Christophe.Piguet@chu-limoges.fr
- Site Name
- Centre Hospitalier Regional Universitaire (Poitiers)
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Frédéric Millot
- Contact Person Email
- Frederic.MILLOT@chu-poitiers.fr
- Site Name
- Centre Hospitalier Regional De Marseille
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Nicolas Andre
- Contact Person Email
- Nicolas.ANDRE@ap-hm.fr
- Site Name
- Centre Oscar Lambret (Lille)
- Department Name
- Pôle Oncologie, comité pédiatrique
- Contact Person Name
- Sandra Raimbault
- Contact Person Email
- s-raimbault@o-lambret.fr
- Site Name
- University Hospital Of Clermont-Ferrand
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Justyna Kanold
- Contact Person Email
- jkanold@chu-clermontferrand.fr
- Site Name
- Centre Hospitalier Universitaire De Bordeaux
- Department Name
- Pediatrie
- Contact Person Name
- Cécile De Bouyn-Icher
- Contact Person Email
- celine.icher@chu-bordeaux.fr
- Site Name
- Centre Hospitalier Regional Universitaire De Tours
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Pascale Blouin
- Contact Person Email
- p.blouin@chu-tours.fr
- Site Name
- Institut Gustave Roussy
- Department Name
- Département de cancérologie de l'enfant et de l'adolescent
- Contact Person Name
- Christelle Dufour
- Contact Person Email
- Christelle.DUFOUR@gustaveroussy.fr
- Site Name
- Centre Hospitalier Universitaire De Toulouse
- Department Name
- pediatrie oncologie hematologie
- Contact Person Name
- Anne-Isabelle Bertozzi
- Contact Person Email
- bertozzi.ai@chu-toulouse.fr
- Site Name
- Centre Hospitalier Universitaire Amiens Picardie
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Antoine Gourmel
- Contact Person Email
- Gourmel.Antoine@chu-amiens.fr
- Site Name
- Centre Hospitalier Universitaire De Rennes
- Department Name
- Hématologie infantile
- Contact Person Name
- Chloé Puiseux
- Contact Person Email
- Chloe.PUISEUX@chu-rennes.fr
- Site Name
- Institut Curie
- Department Name
- pediatrie oncologie hematologie
- Contact Person Name
- François Doz
- Contact Person Email
- francois.doz@curie.fr
- Site Name
- Centre Hospitalier Universitaire De Nice
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Gwénaëlle Duhil De Benaze
- Contact Person Email
- duhil-de-benaze.g@chu-nice.fr
- Site Name
- Centre Hospitalier Universitaire D'Angers
- Department Name
- Onco-hémato-immunologie pédiatrique, Service des spécialités Pôle Femme Mère Enfant
- Contact Person Name
- Emilie De Carli
- Contact Person Email
- EmDeCarli@chu-angers.fr
- Site Name
- Centre Hospitalier Universitaire De Caen Normandie
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Damien Bodet
- Contact Person Email
- bodet-d@chu-caen.fr
- Site Name
- Les Hopitaux Universitaires De Strasbourg
- Department Name
- Onco hématologie pédiatrique
- Contact Person Name
- Natacha Entz-Werle
- Contact Person Email
- Natacha.Entz-Werle@chru-strasbourg.fr
- Site Name
- Centre Hospitalier Universitaire De Montpellier
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Gilles Palenzuela
- Contact Person Email
- g-palenzuela@chu-montpellier.fr
- Site Name
- Centre Hospitalier Universitaire De Saint Etienne
- Department Name
- Onco-hématologie pédiatrique
- Contact Person Name
- Sandrine Thouveni-Doulet
- Contact Person Email
- sandrine.thouvenin@chu-st-etienne.fr
- Site Name
- Centre Hospitalier Universitaire De La Reunion
- Department Name
- oncologie pediatrie
- Contact Person Name
- Yves Reguerre
- Contact Person Email
- yves.reguerre@chu-reunion.fr
Germany
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 10-10-2024
- Processing Time Days
- 29
- Number Of Sites
- 40
- Number Of Participants
- 118
Sites
- Site Name
- Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
- Department Name
- Pädiatrische Onkologie und Hämatologie
- Contact Person Name
- Jörg Faber
- Contact Person Email
- faber@uni-mainz.de
- Site Name
- Martin-Luther-Universitaet Halle-Wittenberg
- Department Name
- Klinik und Poliklinik für Kinder- und Jugendmedizin
- Contact Person Name
- Toralf Bernig
- Contact Person Email
- toralf.bernig@uk-halle.de
- Site Name
- Universitaetsklinikum Essen AöR
- Department Name
- Klinik für Kinderheilkunde III
- Contact Person Name
- Gudrun Fleischhack
- Contact Person Email
- Gudrun.Fleischhack@uk-essen.de
- Site Name
- Universitaetsklinikum Erlangen AöR
- Department Name
- Pädiatrische Hämatologie und Onkologie
- Contact Person Name
- Markus Metzler
- Contact Person Email
- markus.metzler@uk-erlangen.de
- Site Name
- Klinikum rechts der Isar der TU Muenchen AöR
- Department Name
- Pädiatrische Hämatologie und Onkologie
- Contact Person Name
- Irene Teichert-von Lüttichau
- Contact Person Email
- irene.teichert-vonluettichau@mri.tum.de
- Site Name
- HELIOS Kliniken Schwerin GmbH
- Department Name
- Kinderonkologie
- Contact Person Name
- Aram Prokop
- Contact Person Email
- aram.prokop@helios-gesundheit.de
- Site Name
- Medizinische Hochschule Hannover
- Department Name
- Klinik für Päd. Hämatologie und Onkologie
- Contact Person Name
- Martin Stanulla
- Contact Person Email
- stanulla.martin@mh-hannover.de
- Site Name
- Universitaetsklinikum Mannheim GmbH
- Department Name
- Päd. Hämatologie und Onkologie
- Contact Person Name
- Matthias Dürken
- Contact Person Email
- matthias.duerken@umm.de
- Site Name
- Klinikum Kassel GmbH
- Department Name
- Klinik für Päd. Hämatologie und Onkologie
- Contact Person Name
- Michaela Nathrath
- Contact Person Email
- michaela.nathrath@gnh.net
- Site Name
- Sana Kliniken Duisburg GmbH
- Department Name
- Kinderklinik
- Contact Person Name
- Tanja Höll
- Contact Person Email
- tanja.hoell@sana.de
- Site Name
- Universitaet Leipzig
- Department Name
- Abteilung für Päd. Hämatologie, Onkologie und Hämostaseologie
- Contact Person Name
- Lars Fischer
- Contact Person Email
- lars.fischer@medizin.uni-leipzig.de
- Site Name
- University Hospital Cologne AöR
- Department Name
- Päd. Onkologie und Hämatologie
- Contact Person Name
- Thorsten Simon
- Contact Person Email
- thorsten.simon@uk-koeln.de
- Site Name
- Charite Universitaetsmedizin Berlin KöR
- Department Name
- Pädiatrische Klinik mit Schwerpunkt Onkologie und Hämatologie
- Contact Person Name
- Pablo Hernáiz Driever
- Contact Person Email
- pablo.hernaiz@charite.de
- Site Name
- Universitaetsklinikum Aachen AöR
- Department Name
- Päd. Hämatologie, Onkologie und SZT
- Contact Person Name
- Udo Kontny
- Contact Person Email
- ukontny@ukaachen.de
- Site Name
- University Medical Center Hamburg-Eppendorf
- Department Name
- Päd. Hämatologie und Onkologie
- Contact Person Name
- Stefan Rutkowski
- Contact Person Email
- s.rutkowski@uke.de
- Site Name
- Universitaetsklinikum Bonn AöR
- Department Name
- Pädiatrische Hämatologie/ Onkologie
- Contact Person Name
- Gabriele Calaminus
- Contact Person Email
- gabriele.calaminus@ukbonn.de
- Site Name
- Universitaetsklinikum Augsburg
- Department Name
- Schwäbisches Kinderkrebszentrum
- Contact Person Name
- Michael Frühwald
- Contact Person Email
- michael.fruehwald@uk-augsburg.de
- Site Name
- Universitaetsklinikum Duesseldorf AöR
- Department Name
- Klinik für Kinder Onkologie,Hämatologie und Klinische Immunologie
- Contact Person Name
- Arndt Borkhardt
- Contact Person Email
- arndt.borkhardt@med.uni-duesseldorf.de
- Site Name
- Klinikum Dortmund gGmbH
- Department Name
- Westfälisches Kinderzentrum
- Contact Person Name
- Dominik Schneider
- Contact Person Email
- dominik.schneider@klinikumdo.de
- Site Name
- Medical Center - University Of Freiburg
- Department Name
- Klinik für Päd. Hämatologie und Onkologie
- Contact Person Name
- Simone Hettmer
- Contact Person Email
- simone.hettmer@uniklinik-freiburg.de
- Site Name
- Universitaetsklinikum Wuerzburg AöR
- Department Name
- Päd. Onkologie und Hämatologie
- Contact Person Name
- Paul-Gerhardt Schlegel
- Contact Person Email
- schlegel_p@ukw.de
- Site Name
- Otto Von Guericke Universitaet Magdeburg
- Department Name
- Päd. Hämatologie und Onkologie
- Contact Person Name
- Antje Redlich
- Contact Person Email
- Antje.Redlich@med.ovgu.de
- Site Name
- Carl-Thiem-Klinikum Cottbus gGmbH
- Department Name
- Klinik für Kinder- und Jugendmedizin
- Contact Person Name
- Georg Schwabe
- Contact Person Email
- g.schwabe@ctk.de
- Site Name
- Universitaet Muenster
- Department Name
- Päd. Hämatologie und Onkologie
- Contact Person Name
- Claudia Rössig
- Contact Person Email
- rossig@uni-muenster.de
- Site Name
- Asklepios Klinik Sankt Augustin GmbH
- Department Name
- Pädiatrische Onkologie
- Contact Person Name
- Harald Reinhard
- Contact Person Email
- H.Reinhard@asklepios.com
- Site Name
- Universitaetsklinikum Giessen und Marburg GmbH
- Department Name
- Päd. Hämatologie und Onkologie
- Contact Person Name
- Christine Mauz-Körholz
- Contact Person Email
- christine.mauz-koerholz@paediat.med.uni-giessen.de
- Site Name
- Universitaetsmedizin Goettingen
- Department Name
- Päd. Onkologie und Hämatologie
- Contact Person Name
- Ingrid Kühnle
- Contact Person Email
- ikuehnle@med.uni-goettingen.de
- Site Name
- Klinikum Der Landeshauptstadt Stuttgart gKAöR
- Department Name
- Zentrum für Kinder-, Jugend- und Frauenmedizin
- Contact Person Name
- Claudia Blattmann
- Contact Person Email
- c.blattmann@klinikum-stuttgart.de
- Site Name
- Gemeinschaftsklinikum Mittelrhein gGmbH
- Department Name
- Klinik für Kinderheilkunde und Jugendmedizin
- Contact Person Name
- Ümmügül Behr
- Contact Person Email
- Uemmueguel.behr@gk.de
- Site Name
- Rostock University Medical Center
- Department Name
- Kinder- und Jugendklinik
- Contact Person Name
- Carl-Friedrich Classen
- Contact Person Email
- carl-friedrich.classen@med.uni-rostock.de
- Site Name
- Universitaetsklinikum Schleswig-Holstein AöR
- Department Name
- Päd. Hämatologie und Onkologie
- Contact Person Name
- Christiane Heydrich-Karsten
- Contact Person Email
- christiane.heydrich-karsten@uksh.de
- Site Name
- Gesundheit Nord gGmbH Klinikverbund Bremen
- Department Name
- Eltern-Kind-Zentrum Prof. Hess, Kinderonkologie
- Contact Person Name
- Arnulf Pekrun
- Contact Person Email
- arnulf.pekrun@klinikum-bremen-mitte.de
- Site Name
- Universitaetsklinikum des Saarlandes AöR
- Department Name
- Klinik für Päd. Hämatologie und Onkologie
- Contact Person Name
- Marc Remke
- Contact Person Email
- marc.remke@uks.eu
Italy
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 07-10-2024
- Processing Time Days
- 26
- Number Of Sites
- 13
- Number Of Participants
- 60
Sites
- Site Name
- Azienda Ospedaliero-Universitaria Policlinico G. Rodolico-San Marco Di Catania
- Department Name
- Ematologia Oncologica Pediatrica con Trapianto di Midollo Osseo
- Contact Person Name
- Milena La Spina
- Contact Person Email
- mlaspina@unict.it
- Site Name
- Universita Degli Studi Di Cagliari
- Department Name
- Oncoematologia Pediatrica
- Contact Person Name
- Rosamaria Mura
- Contact Person Email
- rosamaria.mura@aob.it
- Site Name
- Azienda Sanitaria Universitaria Friuli Centrale (Udine)
- Department Name
- Dipartimento Materno-Infantile, SOC Clinica Pediatrica
- Contact Person Name
- Chiara Pilotto
- Contact Person Email
- chiara.pilotto@asuiud.sanita.fvg.it
- Site Name
- Azienda Ospedaliera Universitaria Meyer IRCCS
- Department Name
- Neurologia Pediatrica
- Contact Person Name
- Iacopo Sardi
- Contact Person Email
- iacopo.sardi@meyer.it
- Site Name
- Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino
- Department Name
- Oncoematologia pediatrica e centro trapianti
- Contact Person Name
- Franca Fagioli
- Contact Person Email
- franca.fagioli@unito.it
- Site Name
- Azienda Ospedaliero Universitaria Parma
- Department Name
- UO Pediatria e Oncoematologia
- Contact Person Name
- Patrizia Bertolini
- Contact Person Email
- pbertolini@ao.pr.it
- Site Name
- Azienda Ospedaliera di Padova
- Department Name
- U.O.C. Oncoematologia Pediatrica
- Contact Person Name
- Elisabetta Viscardi
- Contact Person Email
- elisabetta.viscardi@unipd.it
- Site Name
- IRCCS Istituto Giannina Gaslini
- Department Name
- UOSD Neuro-Oncologia
- Contact Person Name
- Claudia Milanaccio
- Contact Person Email
- claudiamilanaccio@gaslini.org
- Site Name
- Azienda Ospedaliero Universitaria Integrata Verona
- Department Name
- U.O.C. Oncoematologia Pediatrica
- Contact Person Name
- Simone Cesaro
- Contact Person Email
- simone.cesaro@aovr.veneto.it
- Site Name
- Fondazione IRCCS Istituto Nazionale Dei Tumori (Milan)
- Department Name
- S.C. Pediatria Oncologica
- Contact Person Name
- Maura Massimino
- Contact Person Email
- Maura.Massimino@istitutotumori.mi.it
- Site Name
- Ospedale Pediatrico Bambino Gesu
- Department Name
- Oncoematologia
- Contact Person Name
- Angela Mastronuzzi
- Contact Person Email
- angela.mastronuzzi@opbg.net
- Site Name
- Azienda Ospedaliero Universitaria Ospedali Riuniti Umberto I G M Lancisi G Salesi (Ancona)
- Department Name
- SOSD Oncoematologia Pediatrica
- Contact Person Name
- Paola Coccia
- Contact Person Email
- paola.coccia@ospedaliriuniti.marche.it
- Site Name
- University Of Bari Aldo Moro
- Department Name
- Oncoematologia pediatrica
- Contact Person Name
- Nicola Santoro
- Contact Person Email
- nicola.santoro@policlinico.ba.it
Spain
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 27-09-2024
- Processing Time Days
- 16
- Number Of Sites
- 14
- Number Of Participants
- 33
Sites
- Site Name
- Hospital Universitari Vall D Hebron
- Department Name
- Pediatric
- Contact Person Name
- Ana Llort sales
- Contact Person Email
- anna.llort@vallhebron.cat
- Site Name
- Hospital Universitario De Cruces
- Department Name
- Pediatric
- Contact Person Name
- Miguel Alejandro Garcia Ariza
- Contact Person Email
- miguelalejandro.garciaariza@osakidetza.eus
- Site Name
- Hospital General Universitario Gregorio Maranon
- Department Name
- Pediatric
- Contact Person Name
- Carmen Garrido
- Contact Person Email
- cgarrido.hgugm@salud.madrid.org
- Site Name
- University Hospital Virgen Del Rocio S.L.
- Department Name
- Pediatric
- Contact Person Name
- Eduardo Quiroga
- Contact Person Email
- eduardoquirogacantero@gmail.com
- Site Name
- Hospital Universitario Reina Sofia
- Department Name
- Pediatric
- Contact Person Name
- Elena Mateos
- Contact Person Email
- mariae.mateos.sspa@juntadeandalucia.es
- Site Name
- Hospital Universitario Miguel Servet
- Department Name
- Pediatric
- Contact Person Name
- Ascension Muñoz
- Contact Person Email
- amunnozmel@salud.aragon.es
- Site Name
- Hospital Universitario De Canarias
- Department Name
- Pediatric
- Contact Person Name
- Macarena González
- Contact Person Email
- macarenacruz@hotmail.com
- Site Name
- Hospital Universitario La Paz
- Department Name
- Pediatric
- Contact Person Name
- Diego Plaza
- Contact Person Email
- diego_dea@yahoo.es
- Site Name
- Universidade De Santiago De Compostela
- Department Name
- Pediatric
- Contact Person Name
- Alexandra Regueiro Garcia
- Contact Person Email
- Alexandra.Regueiro.Garcia@sergas.es
- Site Name
- Hospital Sant Joan De Deu Barcelona
- Department Name
- Pediatric
- Contact Person Name
- Vicente Santamaría
- Contact Person Email
- vicente.santamaria@sjdeu.es
- Site Name
- Hospital Infantil Universitario Nino Jesus
- Department Name
- Pediatric
- Contact Person Name
- Alvaro Lassaletta
- Contact Person Email
- alvaro.lassaletta@salud.madrid.org
- Site Name
- University Clinical Hospital Virgen De La Arrixaca
- Department Name
- Pediatric
- Contact Person Name
- Irene Jimenez
- Contact Person Email
- irene.jimenez@carm.es
- Site Name
- Hospital Universitario De Toledo
- Department Name
- Pediatric
- Contact Person Name
- Marcos Zamora Gómez
- Contact Person Email
- mzamorag@sescam.jccm.es
- Site Name
- University Hospital Son Espases
- Department Name
- Pediatric
- Contact Person Name
- Jose-Antonio Salinas
- Contact Person Email
- salisanzja@gmail.com
Sweden
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 27-09-2024
- Processing Time Days
- 16
- Number Of Sites
- 6
- Number Of Participants
- 19
Sites
- Site Name
- Uppsala University Hospital
- Department Name
- Pediatric Hematology and Oncology
- Contact Person Name
- Anders Öberg
- Contact Person Email
- anders.oberg@akademiska.se
- Site Name
- Karolinska University Hospital
- Department Name
- Pediatric Hematology and Oncology
- Contact Person Name
- Stefan Holm
- Contact Person Email
- stefan.o.holm@sll.se
- Site Name
- Universitetssjukhuset I Linkoping
- Department Name
- Pediatric Hematology and Oncology
- Contact Person Name
- Per Nyman
- Contact Person Email
- per.nyman@regionostergotland.se
- Site Name
- Region Vaesterbotten (Umea)
- Department Name
- Päd. Hämatologie und Onkologie
- Contact Person Name
- Peer-Erik Sandström
- Contact Person Email
- pererik.sandstrom@regionvasterbotten.se
- Site Name
- Region Skane Skanes Universitetssjukhus (Lund)
- Department Name
- Pediatric Hematology and Oncology
- Principal Investigator Name
- Per Nyman
- Principal Investigator Email
- per.nyman@regionostergotland.se
- Contact Person Name
- Per
- Contact Person Email
- per.nyman@regionostergotland.se
- Site Name
- Queen Silvia Childrens Hospital - Sahlgrenska University Hospital - Vaestra Goetalandsregionen (Gothenburg)
- Department Name
- Pediatric Hematology and Oncology
- Contact Person Name
- Magnus Sabel
- Contact Person Email
- magnus.sabel@vgregion.se
Netherlands
- Earliest CTIS Part Ii Submission Date
- 11-09-2024
- Latest Decision Or Authorization Date
- 26-09-2024
- Processing Time Days
- 15
- Number Of Sites
- 1
- Number Of Participants
- 5
Sites
- Site Name
- Prinses Maxima Centrum voor Kinderoncologie B.V.
- Department Name
- Neurooncology
- Contact Person Name
- Sabine Plasschaert
- Contact Person Email
- s.l.a.plasschaert-2@prinsesmaximacentrum.nl
Sponsor
Primary sponsor
- Full Name
- University Medical Center Hamburg-Eppendorf
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Germany
Third parties
- {"country":"","full_name":"Deutsche Kinderkrebsstiftung","duties_or_roles":"Source of monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- LOMUSTINE
- Active Substance
- LOMUSTINE
- Modality
- Small molecule
- Routes Of Administration
- ORAL
- Route
- ORAL
- Maximum Dose
- maxTotalDoseAmount 280 mg/m2
- Investigational Product Name
- CARBOPLATIN
- Active Substance
- CARBOPLATIN
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- Maximum Dose
- maxTotalDoseAmount 2650 mg/m2
- Investigational Product Name
- METHOTREXATE (intravenous)
- Active Substance
- METHOTREXATE
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- Maximum Dose
- maxTotalDoseAmount 20 gm/m2
- Investigational Product Name
- METHOTREXATE (intraventricular)
- Active Substance
- METHOTREXATE
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENTRICULAR USE
- Route
- INTRAVENTRICULAR USE
- Maximum Dose
- maxTotalDoseAmount 48 mg
- Investigational Product Name
- VINCRISTINE
- Active Substance
- VINCRISTINE
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- Maximum Dose
- maxTotalDoseAmount 24 mg/m2
- Investigational Product Name
- DOXORUBICIN HYDROCHLORIDE
- Active Substance
- DOXORUBICIN HYDROCHLORIDE
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- Maximum Dose
- maxTotalDoseAmount 150 mg/m2
- Investigational Product Name
- VINBLASTINE SULFATE
- Active Substance
- VINBLASTINE SULFATE
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- Maximum Dose
- maxTotalDoseAmount 240 mg/m2
- Investigational Product Name
- CYCLOPHOSPHAMIDE
- Active Substance
- CYCLOPHOSPHAMIDE
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENIOUS INFUSION
- Route
- INTRAVENIOUS INFUSION
- Maximum Dose
- maxTotalDoseAmount 16000 mg/m2
- Investigational Product Name
- CISPLATIN
- Active Substance
- CISPLATIN
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENOUS
- Route
- INTRAVENOUS
- Maximum Dose
- maxTotalDoseAmount 280 mg/m2
- Combination Treatment
- Yes
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