Clinical trial · Interventional
Safety of Fluvastatin-Celebrex Association in Low-grade and High Grade Optico-chiasmatic Gliomas
Phase I Study of Fluvastatin-Celebrex Association for Optico-chiasmatic Low Grade Gliomas and High Grade Gliomas Localized Outside the Brainstem, Relapsed or Refactory, in Children or Young Adults
- 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)
Optico-chiasmatic gliomas have therapeutic feature since surgical resection plays a secondary role. Unlike other sites, many of these tumors are not amenable to complete resection either because of anatomical location, and sometimes they only can be biopsied. A substantial number of children will have recurrences following resection or will experience progression following incomplete tumor removal or biopsy. Celebrex is a Cox-2 inhibitor with anti-angiogenic and anti-tumor properties, while statins are known to increase the sensitivity of gliomas to anti-tumor agents. Their association could be administered for long periods, in the hope of much reduced risk of toxicities. This is a national, multicentric, interventional, open-label, non-comparative, and non-randomized phase I study evaluating the maximum tolerated dose of the Fluvastatin in combination with fixed-dose of Celebrex. This project involves 10 SFCE health centers accustomed to phase I / II studies(Société Française de Lutte contre les Cancers et Leucémies de l'Enfant et de l'Adolescent - French Society for the Fight against Cancer and Leukemia in Children and Adolescents).
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 |
|---|---|---|---|
| Glioma | Glioma | ONTOLOGY_EXACT | 0.98 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Celebrex | Drug | Celecoxib | ALIAS |
| Fluvastatine | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Fluvastatine Celebrex
- description
- dose escalation for Fluvastatine
- interventionNames
- Drug: Fluvastatine
- Drug: Celebrex
Primary outcomes (1)
- measure
- Maximum tolerated dose (MTD) of Fluvastatine combined to a fixed-dose of Celebrex
- timeFrame
- 28 days (at the end of the first cycle)
- description
- The MTD is evaluated according to NCI-CTC v4.0 scale, and is defined as follows: * grade 3 or 4 neutropenia leading to a delay of therapy superior to 7 days * grade 3 or 4 thrombocytopenia requiring transfusions over a period superior to 7 days * grade 3 or 4 non-hematologic toxicities, excepted the following events: * nausea and vomiting despite appropriate symptomatic treatment, * grade 3 fever, and grade 3 liver toxicity but rapidly reversible, * grade 3 elevation of creatine phosphokinase (CPK) levels, but rapidly reversible (back \<3 X normal within 2 weeks after interruption of treatment) * Toxicity leading to dose reduction (\<75% dose protocol) will also be considered as a DLT, although the grade of toxicity does not in itself justify this classification
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 6 Years
- Maximum age
- 21 Years
Show eligibility criteria text
Inclusion Criteria: * Histologically confirmed recurrent or progressive primary hypothalamic-chiasmatic low grade glioma, and not warranting a biopsy or surgery * Histologically confirmed recurrent or progressive primary hypothalamic-chiasmatic high grade glioma, or in complete remission after a new exeresis, excepted brainstem gliomas * Relapsed or refractory disease after at least 1 line adjuvant treatment including radiation therapy, but not surgery * Measurable lesions according to RANO criteria for the patients with low grade glioma and for the patients with high grade glioma included in RP2D level (Recommended Phase 2 Dose). * Non-measurable lesions according to RANO criteria for patients with high grade glioma included in the dose escalation step. * Age \> 6 years and \< 21 years old * Lansky score \> 70 or WHO score \< 2 (neurological conditions associated with the disease should not be taken into consideration) * Haematological conditions: ANC \> 1000/mm3 and platelets \> 75000/mm3 * Creatinine \< 1.5 x normal for age or calculated clearance \> 70 ml/mn/1.73m2 * Hepatic function: Total bilirubin \< 3 N and SGOT and SGPT \< 4 N * Muscle enzymes : CPK \< 2 N * No organ toxicity superior to grade 2 according to NCI-CTCAE v4.0 * No allergy, hypersensibility to one of the compounds of the treatment * Patients able to swallow capsules * Life expectancy at least \> 6 months for low grade gliomas and \> 3 months for high grade gliomas * Patient affiliated with a health insurance system * Effective contraception for patients (male and female) with reproductive potential throughout the treatment period * Written informed consent of patient and/or parents/guardians prior to the study participation Exclusion Criteria: * Chemotherapy within 21 days before D1 of experimental treatment. This period may be shortened in case of previous chemotherapy with vincristine (2 weeks), or extended in case of targeted therapies (4 weeks), or treatment by nitrosoureas (6 weeks) * Radiotherapy within 6 months before D1 of experimental treatment * Peptic ulcer disease, or gastrointestinal bleeding * Known hypersensitivity to sulfonamides. * History of asthma, acute rhinitis, nasal polyps, angioedema, urticaria or other allergic-type reactions induced by acetylsalicylic acid or NSAIDs , including COX-2 inhibitors (cyclo-oxygenase- 2) * Inflammatory bowel disease. * Known congestive heart failure (NYHA II- IV) * Ischemic proven, peripheral and/or history of arterial stroke (including transient ischemic attack) * Pregnancy or breast feeding woman * Known allergy to experimental treatment * Organ toxicity superior to grade 2 according to NCI-CTCAE v4.0 * Active infection * Pre-existing muscle pathology * Unsuitable for medical follow-up (geographic, social or mental reasons)
References
Publications (0)
Data not yet available