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Ranibizumab for Neurofibromas Associated With Neurofibromatosis 1

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ClinicalTrials.gov Identifier: NCT00657202
Recruitment Status : Completed
First Posted : April 14, 2008
Last Update Posted : July 7, 2016
Sponsor:
Information provided by (Responsible Party):
Scott Randall Plotkin, MD, PhD, Massachusetts General Hospital

Study Description
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Brief Summary:
The purpose of this research study is to determine if ranibizumab can prevent the growth of neurofibromas. We will also be collecting extra blood and serum samples to help us learn more about NF1. Ranibizumab is a drug that affects the development of blood vessels that feed tumors. It targets a substance in the body called VEGF (Vascular Endothelial Growth Factor). VEGF helps tumors to grow and survive by supporting the growth of blood vessels that bring nutrients to the tumor. VEGF is made by cancerous tumors and also by non-cancerous tumors such as neurofibromas.

Condition or disease Intervention/treatment Phase
Neurofibromatosis Type 1 Cutaneous Neurofibromas Drug: Ranibizumab Early Phase 1

Detailed Description:
  • Participants will receive one injection of ranibizumab into 3 tumors on their skin (one dose per tumor) on day 1 of treatment. One other tumor will be injected with normal saline solution. The saline solution-called a control-is necessary to determine whether injections (without medicine) can cause a tumor to shrink. Tumors will be measured and photographed prior to treatment. Ranibizumab tumors will be removed on days 8, 15, and 29; the saline treated tumor will be removed on day 29.
  • Participants will come into the clinic once a week for a total of 4 weeks and then again on Days 35. 57 and 85 for post-treatment visits. Some of the following tests and procedures will be performed: physical examination (including photographs of tumors), review of current medications, vital signs, routine blood tests, serum chemistry blood tests, interstitial fluid pressure measurements and tumor samples.

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 11 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Pilot Study of Ranibizumab (Lucentis) for Neurofibromas Associated With Neurofibromatosis 1
Study Start Date : March 2008
Actual Primary Completion Date : October 2009
Actual Study Completion Date : December 2013

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Neurofibromatosis
Drug Information available for: Ranibizumab

Arms and Interventions
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Arm Intervention/treatment
Experimental: Ranibizumab Drug: Ranibizumab
Given as an injection into three cutaneous neurofibromas on day 1 of the study treatment.
Other Name: Lucentis


Outcome Measures
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Primary Outcome Measures :
  1. Determine the effect of inhibiting VEGF signaling on tumor volume and tumor interstitial fluid pressure by local injection of ranibizumab into cutaneous neurofibromas. [ Time Frame: 2 years ]

Secondary Outcome Measures :
  1. To identify angiogenic molecules upregulated in neurofibromas treated with ranibizumab. [ Time Frame: 2 years ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients must have diagnosis of NF1 based on NIH criteria with two or more of the following characteristics: a) Six or more cafe-au-lait macules b) Skin fold freckling in the axilla or groin c) Optic pathway glioma d) Two or more Lisch nodules of the iris e) Distinctive bony lesions such as dysplasia of the sphenoid wing or of a long bone such as the tibia f) Two or more neurofibromas of any type or 1 or more plexiform neurofibroma g) First degree relative with NF1
  • At least four cutaneous neurofibromas on skin exam with the following qualities: a) the lesion must be discrete by clinical exam and must be at least 5mm away from another skin tumor b) the lesion must be amenable to measurement with calipers with minimum dimension of 5mm and maximum dimension of 20mm c)the lesions cannot be located on the face, scalp, or groin and must be located in an area that can be photographed d) histologic confirmation of tumor type is not required in the setting of compatible clinical setting
  • Must be willing to have treated CNF surgically removed during the study
  • 18 years of age or older
  • Normal organ and marrow function as described in the protocol

Exclusion Criteria:

  • Pregnant or breast-feeding women
  • Chemotherapy or radiotherapy within 6 weeks prior to entering the study
  • Receiving any other investigational agent
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition as ranibizumab
  • Hypertension that cannot be controlled by medications
  • Known coagulopathy that increases risk of bleeding or a history of clinically significant hemorrhages in the past
  • NCI CTCAE grade 3 hemorrhage within 4 weeks of starting the study treatment
  • Pre-existing thyroid abnormality with thyroid function that cannot be maintained in the normal range with medication
  • Uncontrolled intercurrent illness
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00657202


Locations
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United States, Massachusetts
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Massachusetts General Hospital
Investigators
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Principal Investigator: Scott Plotkin, MD, PhD Massachusetts General Hospital
More Information
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Responsible Party: Scott Randall Plotkin, MD, PhD, Associate Professor, Massachusetts General Hospital
ClinicalTrials.gov Identifier: NCT00657202     History of Changes
Other Study ID Numbers: 07-332
First Posted: April 14, 2008    Key Record Dates
Last Update Posted: July 7, 2016
Last Verified: July 2016

Keywords provided by Scott Randall Plotkin, MD, PhD, Massachusetts General Hospital:
NF1
neurofibroma
ranibizumab
Lucentis

Additional relevant MeSH terms:
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Neurofibromatoses
Neurofibromatosis 1
Neurofibroma
Nerve Sheath Neoplasms
Neoplasms, Nerve Tissue
Neoplasms by Histologic Type
Neoplasms
Neoplastic Syndromes, Hereditary
Neurocutaneous Syndromes
Nervous System Diseases
Heredodegenerative Disorders, Nervous System
Neurodegenerative Diseases
 Genetic Diseases, Inborn
Peripheral Nervous System Diseases
Neuromuscular Diseases
Peripheral Nervous System Neoplasms
Nervous System Neoplasms
Ranibizumab
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Physiological Effects of Drugs
Growth Inhibitors
Antineoplastic Agents