UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000026497
Receipt number R000030362
Scientific Title Phase I trial of nivolumab in pediatric patients with malignant solid tumors or Hodgkin lymphoma
Date of disclosure of the study information 2017/03/10
Last modified on 2022/10/31 12:51:02

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Basic information

Public title

Phase I trial of nivolumab in pediatric patients with malignant solid tumors or Hodgkin lymphoma

Acronym

Phase I trial of nivolumab in pediatric patients with malignant solid tumors or Hodgkin lymphoma (PENGUIN trial)

Scientific Title

Phase I trial of nivolumab in pediatric patients with malignant solid tumors or Hodgkin lymphoma

Scientific Title:Acronym

Phase I trial of nivolumab in pediatric patients with malignant solid tumors or Hodgkin lymphoma (PENGUIN trial)

Region

Japan


Condition

Condition

Pediatric malignant solid tumors, Hodgkin lymphoma

Classification by specialty

Hematology and clinical oncology Pediatrics

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To assess the safety, efficacy and pharmacokinetics of nivolumab and to determine the recommended dose of nivolumab in pediatric patients with malignant solid tumors or Hodgkin lymphoma.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I


Assessment

Primary outcomes

Frequency of adverse effects equivalent to dose-limiting toxicity

Key secondary outcomes

Pharmacokinetics
Safety
Overall response rate
Progression-free survival
Overall survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Administration of Nivolumab 3 mg/kg every two weeks as an intravenous infusion

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

1 years-old <=

Age-upper limit

24 years-old >=

Gender

Male and Female

Key inclusion criteria

1)Patients with pediatric malignancy corresponding to any of the followings
a.Patients with defined malignant solid tumors with residual tumors after at least two previous chemotherapy regimens
2)Patients with Hodgkin lymphoma with residual tumors after at least two previous chemotherapy regimensIn patients with malignant solid tumor, either or both of the followings are satisfied
a.One or more lesions confirmed by CT or MRI, regardless of measurable or unmeasurable
b.Having tumor infiltration confirmed by bone-marrow examination
3)In patients with Hodgkin lymphoma, the following all conditions are satisfied
a.One or more lesions confirmed by CT or MRI, regardless of measurable or unmeasurable
b.One or more FDG-PET-positive lesions
c.Not having bone-marrow and/or central nerve system infiltration
4)Aged between 1and 18 in cohort 1. Aged between 1 and 24 in cohort 2
5)Performance Status (ECOG) 0, 1, or 2
6)Not having any of the followings: symptomatic brain metastasis, carcinomatous meningitis, or spinal metastasis requiring radiotherapy or surgical intervention
7)Not having any of the followings: pericardial fluid, pleural effusion or ascites requiring treatment
8)No prior treatment with anti-PD-1 antibody, anti-PD-L1 antibody, anti-CTLA-4 antibody or other treatment related to T cell regulation
9)Not received systemic corticosteroid at a daily dose of more than 10 mg in prednisolone equivalent or immunosuppressant drug within 14 days before registration
10)Not received anti-cancer drug or other study drug within 28 days before registration
11)Not received operation under general anesthesia within 28 days before registration
12)Leaving a certain interval between radiotherapy and registration
13)Adequate organ function in laboratory tests performed within 14 days before registration
14)>= 94% of SpO2 under room air conditions within 14 days before registration
15)Consent to contraception
16)Written informed consent

Key exclusion criteria

1)Active double cancer (except for completely resected basal cell carcinoma, squamous cell carcinoma, carcinoma in situ, intramucosal cancer, superficial bladder cancer, gastrointestinal cancer resected by ESD or EMR, and other cancer free of relapse for more than 5 years)
2)Infection requiring systemic therapy
3)Active gastrointestinal ulceration
4)Current or previous pneumonitis or pulmonary fibrosis diagnosed based on imaging or clinical findings (except for inactive scar or fibrosis associated with radiotherapy)
5)Current or previous severe hypersensitive reaction to medicines
6)Currently active or previously chronic or recurrent auto immune disease (except for type 1 diabetes mellitus, hypothyroidism requiring hormone replacement therapy only, skin disorder requiring no systemic therapy, and any auto immune disease expected not to relapse without external factors)
7)HIV antibody-positive, or HTLV-1 antibody-positive, or HBs antigen-positive, or HCV antibody-positive (except for HCV-RNA-negative even if HCV antibody-positive)
8)Though HBs antigen-negative, HBs antibody-positive and/or HBc antibody-positive, and HBV-DNA quantitative test positive
9)Pregnant or breast-feeding women, or women suspected of being pregnant
10)Psychiatric diseases or psychological symptoms interfering with participation in the trial

Target sample size

26


Research contact person

Name of lead principal investigator

1st name Chitose
Middle name
Last name Ogawa

Organization

National Cancer Center Hospital

Division name

Department of Pediatric Oncology

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Email

NCCH1606_office@ml.res.ncc.go.jp


Public contact

Name of contact person

1st name Ayumu
Middle name
Last name Arakawa

Organization

National Cancer Center Hospital

Division name

Department of Pediatric Oncology

Zip code

104-0045

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

TEL

03-3542-2511

Homepage URL


Email

NCCH1606_office@ml.res.ncc.go.jp


Sponsor or person

Institute

National Cancer Center

Institute

Department

Personal name



Funding Source

Organization

ONO PHARMACEUTICAL CO., LTD.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Cancer Center Institutional Review Board

Address

5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan

Tel

03-3542-2511

Email

NCC_IRBoffice@ml.res.ncc.go.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

国立研究開発法人国立がん研究センター中央病院


Other administrative information

Date of disclosure of the study information

2017 Year 03 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

26

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 01 Month 13 Day

Date of IRB

2017 Year 03 Month 01 Day

Anticipated trial start date

2017 Year 04 Month 03 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 03 Month 10 Day

Last modified on

2022 Year 10 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030362


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name