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Study of Erbitux™ (Cetuximab) in Pediatric Patients With Refractory Solid Tumors
This study has been completed.
Study NCT00110357   Information provided by Bristol-Myers Squibb
First Received: May 6, 2005   Last Updated: August 10, 2009   History of Changes
Study Type: Interventional
Study Design: Non-Randomized, Open Label, Uncontrolled, Single Group Assignment
Conditions: Cancer
Refractory Solid Tumor
Interventions: Drug: Cetuximab + Irinotecan
Drug: Cetuximab + Irinotecan

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
No text entered.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
48 subjects were enrolled; 1 additional subject withdrew informed consent before any measurements or treatment. 46 subjects (27 in the 1- to 12-yrs-old group and 19 subjects in the 13- to 18-yrs-old group) were treated; 2 subjects in the 13-18 yrs group were not treated, and are NOT included in Participant Flow or Baseline Characteristics tables.

Reporting Groups
  Description
1- to 12-years-old No text entered.
13- to 18-years-old No text entered.

Participant Flow:   Overall Study
  1- to 12-years-old 13- to 18-years-old
STARTED   27     19  
COMPLETED   0[1]   0[2]
NOT COMPLETED   27     19  
      Deterioration without progression               2                 0  
      Disease progression/relapse               20                 15  
      Study Closure               1                 0  
      Study Drug Toxicity               1                 3  
      Withdrawal by Subject               3                 1  
[1] Number Still on Study
[2] Number Still on Study



  Baseline Characteristics
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Reporting Groups
  Description
1- to 12-years-old No text entered.
13- to 18-years-old No text entered.

Baseline Measures
  1- to 12-years-old 13- to 18-years-old Total
Number of Participants  
[units: participants]
27 19 46
Age  
[units: years]
Median ( Full Range )
8.0
( 1.0 to 12.0 )
16.0
( 13.0 to 18.0 )
10
( 1.0 to 18.0 )
Gender  
[units: participants]
     
Female 15 9 24
Male 12 10 22
Race/Ethnicity, Customized  
[units: Participants]
     
Asian 0 2 2
Black or African American 5 2 7
White 21 14 35
Other 1 1 2
Disease diagnosis  
[units: Participants]
     
CNS Primary Tumor 17 9 26
Non-CNS Primary Tumor 10 10 20
Performance Status[1]
[units: Participants]
     
>70-100 19 16 35
≥50-70 8 3 11
<50 0 0 0
[1] For participants ≤10 years of age, Lansky play scale is used; for participants >10 years of age, Karnofsky scale is used. The Lansky scale runs from 100 to 0, where 100 is "fully active/normal" and 0 is "unresponsive." Karnofsky score runs from 100 to 0, where 100 is "perfect" health and 0 is death.



  Outcome Measures
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1.  Primary:   Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RPIID) of Cetuximab in Combination With Irinotecan   [ Continuous assessment of safety throughout the entire study period and determination of doe-limiting toxicities during and at the end of Cycle 1. ]

2.  Secondary:   Number of Participants With a Dose-Limiting Toxicity   [ Prior to each 21-day cycle until dose-limiting toxicities ]

3.  Secondary:   Maximum Plasma Concentration (Cmax)   [ up to 168 hours after the start of the cetuximab infusion during the first 21-day cycle of the study ]

4.  Secondary:   Area Under the Curve, Extrapolated to Infinity (AUC[INF])   [ up to 168 hours after the start of the cetuximab infusion during the first 21-day cycle of the study ]

5.  Secondary:   Terminal Half-Life (T-Half)   [ up to 168 hours after the start of the cetuximab infusion during the first 21-day cycle of the study ]

6.  Secondary:   Clearance Corrected for Body Surface Area (CL/BSA)   [ up to 168 hours after the start of the cetuximab infusion during the first 21-day cycle of the study ]

7.  Secondary:   Volume of Distribution at Steady State Corrected for Body Surface Area (VSS/BSA)   [ up to 168 hours after the start of the cetuximab infusion during the first 21-day cycle of the study ]

8.  Secondary:   Tumor Response   [ Every other 21-day cycle ]

9.  Secondary:   Human Anti-cetuximab Antibody (HACA) Response   [ Blood was drawn immediately prior to cetuximab infusions, on a 21-day cycle ]

10.  Secondary:   Number of Deaths, Serious Adverse Events (SAEs), and Adverse Events (AEs)   [ Weekly throughout the study and every 4 weeks thereafter ]

11.  Secondary:   Grade 3-4 Laboratory Abnormalities - Leukopenia   [ pretreatment visit, prior to each treatment cycle, weekly, and at the end of treatment ]

12.  Secondary:   Grade 3-4 Laboratory Abnormalities - Neutropenia   [ pretreatment visit, prior to each treatment cycle, weekly, and at the end of treatment ]

13.  Secondary:   Grade 3-4 Laboratory Abnormalities - Thrombocytopenia   [ pretreatment visit, prior to each treatment cycle, weekly, and at the end of treatment ]

14.  Secondary:   Grade 3/4 Laboratory Abnormalities - Hypomagnesemia   [ pretreatment visit, prior to each treatment cycle, weekly, and at the end of treatment ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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