Unrecognized Condition Clinical Trial
Official title:
Phase I Study of Pegylated Liposomal Doxorubicin Combined With Cyclophosphamide and Vincristine in Treatment Progress, Relapse, and Refractory Solid Tumors in Children
Doxorubicin is an anthracycline antibiotic that is part of the standard treatment for many
pediatric malignancies, but its long-term cardiotoxicity cannot be ignored. Without affecting
overall survival, in order to improve the quality of life of childhood tumor survivors and
reduce cardiotoxicity, drugs with less cardiotoxicity should be selected; compared with
ordinary doxorubicin, PEGylated doxorubicin (PLD ) The biggest advantage is the low
cardiotoxicity.
PEGylated doxorubicin (Caelyx®) has undergone a Phase I dose climbing clinical trial in
children with solid tumors. The drug is safe by testing PK. The results of Phase II clinical
studies of Caelyx® in children with progressive soft tissue sarcoma show that the drug is
safe. Domestically produced PEGylated doxorubicin has no data on childhood tumors in China.
Therefore, we plan to conduct a phase I study in pediatric solid tumors of pegylated
doxorubicin combined with cyclophosphamide, vincristine, relapsed, and refractory childhood
solid tumors. Maximum tolerated dose and effectiveness of stellate in children with solid
tumors, thus laying the foundation for future phase II / III clinical studies
Purpose of Phase I:
the main purpose: To evaluate the safety of PLD in combination with cyclophosphamide,
vincristine, regenerative, and refractory solid tumors in children, including dose absorption
toxicity (DLT)
Secondary purpose:
- determine the appropriate maximum tolerated dose (MTD) and /or PLD for further clinical
studies in this patient population;
- Describe the antitumor activity of PLD combined with cyclophosphamide and vincristine in
children with advanced solid tumors or primary CNS tumors;
Exploratory purpose:
Effectiveness of PLD combined with cyclophosphamide and vincristine in treatment progress,
relapse, and refractory solid tumors in children.
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