Clinical trial · Interventional
A Clinical Trial Using Metronomic Oral Low-dose Cyclophosphamide Alternating With Low-dose Oral Methotrexate With Continuous Celecoxib and Weekly Vinblastine in Children and Adolescents With Relapsed or Progressing soliD Tumours.
A Phase II Clinical Trial Using Metronomic Oral Low-dose Cyclophosphamide Alternating With Low-dose Oral Methotrexate With Continuous Celecoxib and Weekly Vinblastine in Children and Adolescents With Relapsed or Progressing Solid Tumours.
- 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)
To establish the anti-tumour effect of this metronomic combination regimen defined by progression-free survival (PFS) after two cycles of treatment (4 months) and 12 months of treatment, as well as response rate after any number of cycles of treatment ("best response"). To define the safety profile of the combination. To characterize pharmacodynamics of the drug combination with the use of angiogenic markers (CEP, CEC, microparticles).
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 |
|---|---|---|---|
| Survival Without Progression | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| celecoxib, Vinblastine, Cyclophosphamide , methotrexate , | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- traetment
- interventionNames
- Drug: celecoxib, Vinblastine, Cyclophosphamide , methotrexate ,
Primary outcomes (1)
- measure
- Anti-tumour efficacy
- timeFrame
- 3 YEARS
Secondary outcomes (1)
- measure
- Safety AND Pharmacodynamic Study
- timeFrame
- 3 YEARS
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 4 Years
- Maximum age
- 21 Years
Show eligibility criteria text
Inclusion Criteria: * Patients must have a histologically or cytologically confirmed malignant solid tumour. * Progression or recurrence of the tumour radiologically established or confirmed within the 4 weeks prior to inclusion. * Disease must be considered refractory to any line of conventional therapy or for which no effective conventional treatment exists. * Age: ≥4 to 21 years of age at study entry * Life expectancy: at least 8 weeks * ECOG Performance status ≤ 1 or Lansky-Play Scale ≥ 70% * Written informed consent of parent/guardian and patient assent * Wash out of 4 weeks in case of prior chemotherapy, 6 weeks if treatment included nitrosoureas, 2 weeks in case of vincristine alone; 6 weeks in case of prior radiotherapy (except palliative radiotherapy on non measurable lesions). * Patients must have recovered from the acute toxic effects of all prior therapy before enrolment into the study * Able to comply with scheduled follow-up and with management of toxicity * All patients with reproductive potential must practice an effective method of birth control while on study. * Female patients aged \> 12 years must have a negative pregnancy test within 7 days before study treatment. * Capable of swallowing oral medication Exclusion Criteria: * Pregnant and breast feeding women. * Uncontrolled intercurrent illness or active infection * Inability to swallow oral medication. * Patients on anticonvulsants will be allowed on study
References
Publications (2)
- DERIVEDVerschuur A, Heng-Maillard MA, Dory-Lautrec P, Truillet R, Jouve E, Chastagner P, Leblond P, Aerts I, Honore S, Entz-Werle N, Sirvent N, Gentet JC, Corradini N, Andre N. Metronomic Four-Drug Regimen Has Anti-tumor Activity in Pediatric Low-Grade Glioma; The Results of a Phase II Clinical Trial. Front Pharmacol. 2018 Sep 27;9:00950. doi: 10.3389/fphar.2018.00950. eCollection 2018. PMID 30319400
- DERIVEDAndre N, Abed S, Orbach D, Alla CA, Padovani L, Pasquier E, Gentet JC, Verschuur A. Pilot study of a pediatric metronomic 4-drug regimen. Oncotarget. 2011 Dec;2(12):960-5. doi: 10.18632/oncotarget.358. PMID 22156656