Phase I Study of Umbilical Cord Blood Natural Killer (NK) Cell Therapy for Children With High-risk, R/R Neuroblastoma.
NCT06631391 · Status: RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2025-02-20
Summary
Neuroblastoma is the most common extracranial solid tumor, with more than half of the patients diagnosed at the metastatic stage, classified as high-risk. High-risk neuroblastoma has a poor prognosis and low survival rate. Despite treatment with induction, consolidation, and maintenance therapy including GD2 monoclonal antibody, the survival rate is only about 60%, and many patients still relapse, progress, and die.
NK cell therapy is an emerging immunotherapy that can effectively inhibit and kill tumor cells without significant adverse reactions, reducing the risk of tumor recurrence and metastasis, and improving patients' immunity and quality of life. Its safety has been widely recognized. Currently, clinical trials of NK cell infusion therapy for neuroblastoma patients are ongoing, and NK cell-based immunotherapy holds great clinical promise for neuroblastoma. We plan to conduct a phase I clinical trial on umbilical cord blood NK cell therapy in combination with other treatments (GD2 antibody, chemotherpay, etc) for high-risk, recurrent/refractory neuroblastoma in children to determine the maximum tolerated dose of umbilical cord blood NK cell therapy in these patients, thereby laying the foundation for future combination therapies and phase II and III clinical studies.
Conditions
Interventions
- BIOLOGICAL
-
umbilical cord blood NK cells
This is a phase I prospective clinical trial, including phase Ia and phase Ib. Phase Ia include 3 dose levels, utilizing a 3+3 design principle, and each dose level will enroll at least 3 subjects. The recommended dose for phase Ia was used in phase Ib. Each patient receives two courses of umbilical cord blood NK cell therapy (a total of 8 infusions of umbilical cord blood NK cells) and other therapy.
Sponsors & Collaborators
-
Sun Yat-sen University
lead OTHER
Principal Investigators
-
Yizhuo Zhang · SunYat Sen University Cancer Center
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 1 Day
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-11-01
- Primary Completion
- 2026-11-30
- Completion
- 2029-11-30
Countries
- China
Study Locations
More Related Trials
-
Phase I Study of 131-I mIBG Followed by Nivolumab & Dinutuximab Beta Antibodies in Children With Relapsed/Refractory Neuroblastoma
NCT02914405 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Monoclonal Antibody Therapy in Treating Children With Metastatic Neuroblastoma in Second Remission
NCT00002458 ·Status: COMPLETED ·Phase: PHASE2
-
High-Risk Neuroblastoma Chemotherapy Without G-CSF
NCT02786719 ·Status: COMPLETED ·Phase: NA
-
High-Dose 3F8/GM-CSF Immunotherapy Plus 13-Cis-Retinoic Acid for Consolidation of First Remission After Myeloablative Therapy and Autologous Stem-Cell Transplantation
NCT01183416 ·Status: COMPLETED ·Phase: PHASE2
-
Gene Therapy in Treating Children With Refractory or Recurrent Neuroblastoma
NCT00002748 ·Status: COMPLETED ·Phase: PHASE1
-
Response and Biology-Based Risk Factor-Guided Therapy in Treating Younger Patients With Non-high Risk Neuroblastoma
NCT02176967 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
High-Dose 131I-MIBG Therapy Combined With Vincristine and Five Days of Irinotecan for Resistant/Relapsed Neuroblastoma
NCT01313936 ·Status: COMPLETED ·Phase: PHASE1
-
N10: A Study of Reduced Chemotherapy and Monoclonal Antibody (mAb)-Based Therapy in Children With Neuroblastoma
NCT06528496 ·Status: RECRUITING ·Phase: PHASE2
-
NK Cells Infusions With Irinotecan, Temozolomide, and Dinutuximab
NCT04211675 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Biological Therapy and Gene Therapy in Treating Children With Recurrent or Refractory Neuroblastoma
NCT00006480 ·Status: COMPLETED ·Phase: PHASE1
-
Quadruple Immunotherapy for Neuroblastoma
NCT05754684 ·Status: RECRUITING ·Phase: PHASE2
-
Combination Chemotherapy, Monoclonal Antibody, and Natural Killer Cells in Treating Young Patients With Recurrent or Refractory Neuroblastoma
NCT01576692 ·Status: COMPLETED ·Phase: PHASE1
-
Clinical Study on the Safety, Efficacy and Pharmacokinetics of Telpegfilgrastim in Pediatric Cancer Patients with Chemotherapy
NCT06857292 ·Status: RECRUITING ·Phase: PHASE2
-
Therapy for Children With Advanced Stage Neuroblastoma
NCT01857934 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy of NK520 to Treat Pediatric Relapsed/Refractory Acute Myeloid Leukemia
NCT06541405 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Donor Natural Killer Cells, Cyclophosphamide, and Etoposide in Treating Children and Young Adults With Relapsed or Refractory Solid Tumors
NCT03420963 ·Status: TERMINATED ·Phase: PHASE1
-
Dinutuximab With Chemotherapy, Surgery and Stem Cell Transplantation for the Treatment of Children With Newly Diagnosed High Risk Neuroblastoma
NCT06172296 ·Status: RECRUITING ·Phase: PHASE3
-
R(+)XK469 in Treating Patients With Advanced Neuroblastoma
NCT00028522 ·Status: COMPLETED ·Phase: PHASE1
-
Induction Chemoimmunotherapy for Patients With High-risk Neuroblastoma
NCT06071897 ·Status: RECRUITING ·Phase: PHASE3
-
Study of Donor Derived, Multi-virus-specific, Cytotoxic T-Lymphocytes for Relapsed/Refractory Neuroblastoma
NCT01460901 ·Status: COMPLETED ·Phase: PHASE1
-
Surgery in Treating Patients With Neuroblastoma
NCT00003122 ·Status: UNKNOWN ·Phase: PHASE2
-
Therapy Based on Stage of Disease and Risk Assessment in Treating Children With Neuroblastoma
NCT00002802 ·Status: COMPLETED ·Phase: PHASE3
-
Autologous Transplant Followed by Allogeneic Transplant for High Risk Neuroblastoma
NCT00670410 ·Status: TERMINATED ·Phase: PHASE1
-
Gene Modified Allogeneic Neuroblastoma Cells For Treatment of Relapsed/Refractory Neuroblastoma
NCT00186862 ·Status: COMPLETED ·Phase: PHASE1
-
Combination Chemotherapy Plus Peripheral Stem Cell Transplantation Followed by Surgery and/or Radiation Therapy in Treating Young Patients With Advanced Neuroblastoma
NCT00002740 ·Status: COMPLETED ·Phase: PHASE1