Clinical trial · Interventional
Irofulven in Treating Children With Recurrent or Refractory Solid Tumors
A Trial of MGI 114 in Children With Solid Tumors: A Pediatric Oncology Group Phase I Cooperative Agreement Study
NCT00003370CI-TRIAL-00009307completedPhase 1ClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Phase I trial to study the effectiveness of irofulven in treating children with recurrent or refractory solid tumors. Drugs used in chemotherapy use different ways to stop tumor cells so they stop growing or die.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Unspecified Childhood Solid Tumor, Protocol Specific | Childhood Solid Neoplasm | ALIAS | 0.85 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| irofulven | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Arm I
- description
- If the dose limiting toxicity is myelosuppression in stratum 1, then stratum 1 is closed and stratum 2 opens. Stratum 2 consists of the following: patients receiving no more than 2 prior chemotherapy regimens; patients who have not received prior central axis radiation or bone marrow transplantation; and patients with no known bone marrow involvement. Patients receive intravenous 6-hydroxymethylacylfulvene over 10 minutes daily for 5 days. The course is repeated every 28 days unless disease progression or unacceptable toxic effects are observed. Patients with stable or responding disease may receive up to 1 year of therapy. If dose limiting toxicity occurs in 2 of 6 patients at a given dose level, then dose escalation ceases and the next lower dose is declared the maximum tolerated dose. Dose escalation will not occur until all patients within a cohort have been observed for 28 days from day 1 of therapy. Patients are followed until death.
- interventionNames
- Drug: irofulven
Primary outcomes (0)
[]Eligibility
Eligibility (as posted)
- Sex
- All
- Maximum age
- 21 Years
Show eligibility criteria text
DISEASE CHARACTERISTICS: * Histologically or cytologically proven recurrent or refractory solid tumors * No leukemia * Patients with brain tumors are not eligible until the first 2 patients at each dose level are evaluable for toxicity PATIENT CHARACTERISTICS: * Age: 21 and under * Performance status: Karnofsky 50-100% Lansky play scale 50-100% (for infants) * Life expectancy: At least 8 weeks * Absolute neutrophil count at least 1,000/mm3 * Hemoglobin at least 9 g/dL * Platelet count at least 75,000/mm3 * Bilirubin less than 1.5 mg/dL * SGPT less than 5 times upper limit of normal * Creatinine normal for age OR GFR at least 70 mL/min * Cardiac shortening fraction at least 27% OR institutional normal OR cardiac ejection fraction greater than 50% OR institutional normal * Neurologic deficits in patients with CNS tumors must be stable for at least 2 weeks * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception during and for 6 months after the study * No uncontrolled infection PRIOR CONCURRENT THERAPY: * At least 1 week since prior growth factor therapy and recovered * At least 6 months since prior bone marrow transplantation and no evidence of graft versus host disease * At least 2 weeks since prior myelosuppressive chemotherapy and recovered * At least 6 weeks since prior nitrosourea and recovered * At least 2 weeks on stable dexamethasone for patients with CNS tumors * No concurrent chemotherapy * At least 2 weeks since prior palliative radiotherapy (small port) * At least 6 months since prior substantial bone marrow radiation * At least 6 months since total abdominal, pelvic, chest, mantle, and Y ports radiotherapy * No other concurrent anticancer therapy or investigational agents
References
Publications (1)
- RESULTBomgaars LR, Megason GC, Pullen J, Langevin AM, Dale Weitman S, Hershon L, Kuhn JG, Bernstein M, Blaney SM. Phase I trial of irofulven (MGI 114) in pediatric patients with solid tumors. Pediatr Blood Cancer. 2006 Aug;47(2):163-8. doi: 10.1002/pbc.20686. PMID 16317728