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Competing study opened
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This is a study for children with cancer with no curative treatment options. The investigators will be giving eribulin, a new chemotherapy agent, for the first time to children. This study is designed to determine a safe dose the investigators can give to children in larger studies. The investigators will be monitoring the children on this study for the safety of the treatment and levels of eribulin in the blood after treatment. The investigators will also study the effect of the agent on the cancer.
This is a phase I study of eribulin, a novel tubulin inhibitor in children with relapsed and refractory solid tumors including lymphoma. Dose escalation will be performed in a classic 3+3 design starting with 75% of the adult maximum tolerated dose (MTD). Pharmacokinetics will be done on each patient. Primary endpoint will be the pediatric MTD.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Eribulin | Experimental | All patients will receive the experimental agent eribulin. The dose will increase with subsequent cohorts of patients. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Eribulin mesylate | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Maximum tolerated dose | The dose that does not cause dose limiting toxicity during the first cycle in more than 1 of 6 subjects | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of eribulin in children with cancer | 13 blood samples will be drawn from each subject over first 8 days of protocol to measure serum levels of the agent eribulin. | 8 days after first dose |
| Tumor expression of BRCP and ABCB1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rene Y McNall-Knapp, MD | University of Oklahoma | Principal Investigator |
| Amanda Linz, MD | University of Oklahoma | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jimmy Everest Center for Cancer and Blood Disorders in Children | Oklahoma City | Oklahoma | 73104 | United States |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D008223 | Lymphoma |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| C490954 | eribulin |
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Archival tumor samples from each subject will be stained for expression of BRCP and ABCB1, transporter proteins responsible for some resistance to chemotherapy. Will compare expression and response data
| 1 year |
| Tumor response | Subjects receiving eribulin will have scans approximately every 6 weeks to assess whether the tumors are growing, shrinking, or remaining stable. | 2 years |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |