Vestibular Schwannoma Clinical Trial
Official title:
Recombinant Human Endostatin Injection Study for Patients With Neurofibromatosis Type 2 (NF2) and NF2-Related Tumors by Continuous Intravenous Pumping
1)Preliminarily evaluate the treatment effect of continuous vein injection of recombinant human endostatin on NF2; 2)Preliminarily evaluate the safety and the patient's tolerance of the treatment of endostatin; 3)Provide an objective basis for an enlarged randomized double-blind trial.
Neurofibromatosis type 2 (NF2) is a hereditary tumor predisposition syndrome caused by
mutations in the NF2 tumor suppressor gene. Individuals with NF2 have a higher likelihood to
develop multiple nervous system tumors, including schwannomas, meningiomas, and ependymomas.
The hallmark of NF2 is bilateral vestibular schwannomas. Historically, most NF2 patients
experience complete hearing loss either from tumor progression or after treatment of the
tumors with surgery or radiation. Effective treatments are urgently needed for NF2 patients
with progressive hearing loss because hearing loss is associated with impairment in social,
emotional,and communication function and with increased depression.
Previous studies of NF2 patients treated with bevacizumab suggested that inhibition of
vascular endothelial growth factor (VEGF) could result in hearing improvement and reduction
in tumor size.Recombinant human endostatin can inhibit the formation of blood vessels by
inhibiting the migration of vascular endothelial cells .In this way, endostatin can inhibit
the nutrition of the tumor and decrease the tumor's growth and metastasis. In vitro tests,
endostatin can inhibit the cell migration and Tube formation of the microvascular
endothelial cell line HHEC. Besides, it can inhibit blood vessels' formation of the chicken
embryo sac membrane. Based on these studies, we perform this clinical trial to known the
treatment effect and tolerability of endostatin on NF2.
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