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Desmoplastic Small Round Cell TumorPhase 2NCT04022213

A Study of the Drug I131-Omburtamab in People With Desmoplastic Small Round Cell Tumors and Other Solid Tumors in the Peritoneum

A Phase 2 study testing 131 I-omburtamab and WAP-IMRT in people with Desmoplastic Small Round Cell Tumor and Peritoneal Cancer, run by Memorial Sloan Kettering Cancer Center at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

The purpose of this study is to test any good and bad effects of the study drug 131I-omburtamab. 131I-omburtamab could prevent the cancer from returning, or delay the cancer from getting worse, but it could also cause side effects. Read more about this study

Who is it for?
Ages 1 year and older
What is being tested?
131 I-omburtamab and WAP-IMRT
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
31 participants
Where
1 siteUnited States
Study dates
15 Jul 2019to Jul 2027
Phase
Phase 2

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 1 year and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Have the diagnosis of DSRCT confirmed at MSKCC
  • Age >1 year and able to cooperate with radiation safety restrictions during therapy period.
  • Prior to intraperitoneal catheter placement
  • At least 1 weeks must have elapsed since prior chemotherapy
  • At least 2 weeks must have elapsed since biologic therapy
  • Toxicities of prior therapy must have resolved to grade 1 or less or to the patient's baseline
  • At the completion of surgery, patients must fulfill all of the additional following criteria:
  • Have no definitive radiological evidence of disease active in liver or outside the abdomen/pelvic OR have had GTR of this disease at the time of catheter placement

Who cannot join

  • Prior progression of disease
  • Prior hypothermic intraperitoneal chemotherapy (HIPEC)
  • Cardiac, pulmonary, and neurologic toxicities are greater grade 1 per NCI CTCAE version 5
  • Renal, gastrointestinal, and hepatic, toxicities are greater than grade 2 (per NCI CTCAE version 5)
  • History of allergy to mouse proteins
  • Patients with grade 4 hypersensitivity reaction to radiolabeled iodine

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

Other trials in United States

About this study

Official title: Phase II Combination of 131I-Omburtamab Radioimmunotherapy and External Beam Radiotherapy for Desmoplastic Small Round Cell Tumor

The purpose of this study is to test any good and bad effects of the study drug 131I-omburtamab. 131I-omburtamab could prevent the cancer from returning, or delay the cancer from getting worse, but it could also cause side effects. Researchers hope to learn more about how 131I-omburtamab works in the body, and how effective it is in treating cancer. 131I-Omburtamab is not approved by the FDA to treat DSRCT or other cancers of the peritoneum.

Being tested
131 I-omburtamab, WAP-IMRT
Keywords
Solid Tumor, Peritoneal Solid Tumor, DSRC, I131-Omburtamab, Memorial Sloan Kettering Cancer Center, 19-182
Medical subject headings
Desmoplastic Small Round Cell Tumor

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 131 I-omburtamabDrug

    Single dose of IP RIT administered through an IP catheter with 131 I-omburtamab at 80mCi/m2

  • WAP-IMRTRadiation

    Also called Intensity Modulated Radiation Therapy

    Group A participants will receive WAP-IMRT approximately 2-4 weeks after completing IP RIT. A dose of 30 Gy will be delivered in 20 fractions of 1.5 Gy given once daily, 5 days per week over the course of approximately 4 weeks

Study groups in NCT04022213
Study groupRoleWhat they receive
Group AExperimentalParticipants with DSRCT who have undergone GTR of their abdominopelvic disease and who have no definitive radiological evidence of disease in liver or outside the abd/pelvis. Patients if deemed of likely benefit to the patient after completing IP RIT plus WAP-IMRT, or will be mandated if ANC is persistently <500/ul despite use of G-CSF for >1 week, or if patients experience life threatening febrile neutropenia.
Receives: Drug: 131 I-omburtamab; Radiation: WAP-IMRT
Group BExperimentalDSRCT patients who have macroscopic residual disease OR who have previously experienced progression of disease while on treatment but have subsequently had a GTR
Receives: Drug: 131 I-omburtamab
Group CExperimentalParticipants with tumors other than DSRCT and will be enrolled onto an assessment arm to determine eligibility. Immunohistochemistry to assess B7H3 expression will be performed on frozen or paraffin embedded tissue using omburtamab (frozen tissue) or a commercially available anti-B7H3 antibody (if paraffin embedded).
Receives: Drug: 131 I-omburtamab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival/PFS

    Progression free survival after RIT + WA-IMRT.

    Measured: Up to 2 years after treatment is discontinued

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jul 2019
  2. Study start15 Jul 2019
  3. Primary completionJul 2027 (estimated)
  4. Study completionJul 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
31 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04022213
Sponsor's protocol ID
19-182
Status last verified
Jul 2026
First submitted
15 Jul 2019
Last updated
21 Jul 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Memorial Sloan Kettering Cancer Center supports the international committee of medical journal editors (ICMJE) and the ethical obligation of responsible sharing of data from clinical trials. The protocol summary, a statistical summary, and informed consent form will be made available on clinicaltrials.gov when required as a condition of Federal awards, other agreements supporting the research and/or as otherwise required. Requests for deidentified individual participant data can be made beginning 12 months after publication and for up to 36 months post publication. Deidentified individual participant data reported in the manuscript will be shared under the terms of a Data Use Agreement and may only be used for approved proposals. Requests may be made to: crdatashare@mskcc.org.

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