Histiocytosis, Langerhans-Cell Clinical Trial
Official title:
Treatment of Resistant Langerhans Cell Histiocytosis With Etanercept (ENBREL, IMMUNEX, SEATTLE)
The purpose of this study is to learn about the response of Langerhans cell histiocytosis (LCH) to Enbrel in patients who have failed to respond to standard therapies. We are also looking specifically at what side effects Enbrel has on patients. We expect to enroll 20 patients on this study and anticipate the subjects active participation to last up to one year.
After subjects have completed the pretreatment evaluations, they will receive an injection of
Enbrel - the study drug -(given under the skin) twice weekly. If the subjects disease
stabilizes or regresses, they may continue to receive treatment for up to 1 year.
Subjects with disease involvement of risk organs (this means patients have disease in their
liver, lung, spleen, or bone marrow): will be admitted to the hospital for observation during
the first week of administration of Enbrel. If after the first two doses there appears to be
no problems, subjects may be followed as an outpatient with twice weekly evaluation visits
(similar to those performed before treatment began) until abnormal blood tests have become
normal. Then the frequency of clinic visits will decrease and be similar to those described
below for subjects without disease involvement of risk organs.
Subjects without disease involvement of risk organs will be treated as an outpatient. While
receiving the treatment, subjects may not receive any other chemotherapy agents. Doctors will
be monitoring subjects closely for side effects. Most side effects usually disappear after
the treatment is stopped. In the meantime, however, the doctor may prescribe medication to
keep these side effects under control.
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