High-Risk Neuroblastoma Study 2 of SIOP-Europa-Neuroblastoma (SIOPEN)

NCT ID: NCT04221035

Last Updated: 2025-06-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-05

Study Completion Date

2032-11-30

Brief Summary

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This is an international multicenter, open-label, randomized phase III trial including three sequential randomizations to assess efficacy of induction and consolidation chemotherapies and radiotherapy for patients with high-risk neuroblastoma.

Detailed Description

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This is an international multicenter, open-label, randomized phase III trial including three sequential randomizations to assess efficacy of induction and consolidation chemotherapies and radiotherapy for patients with high-risk neuroblastoma.

The first randomization (R-I) will compare the efficacy of two induction chemotherapies (RAPID COJEC and GPOH regimens) in a phase III setting. The primary endpoint will be the 3-year EFS from date of randomization . The R-I randomization will be stratified on age, stage, MYCN status and countries.

The second randomization (R-HDC) will compare the efficacy of single HDC with Bu-Mel versus tandem HDC with Thiotepa followed by Bu-Mel. The primary endpoint is 3-year EFS calculated from the date of the R-HDC randomization. The R-HDC randomization will be stratified on the age, stage, MYCN status, induction chemotherapy regimen, response to induction phase and countries.

The impact of local treatment in this phase III setting will be assessed, according to the presence or not of a macroscopic residual disease after surgery and HDC.

In case of macroscopic residual disease, 21.6 Gy radiotherapy to the preoperative tumor bed will be randomized (R-RTx) versus the same treatment plus a sequential boost of additional 14.4 Gy to the residual tumor. The primary endpoint of R-RTx is 3-year EFS from the date of the R-RTx randomization. The R-RTx randomization will be stratified on age, stage, MYCN status, induction chemotherapy regimen, HDC regimen and countries.

In case of no macroscopic residual disease, 21.6 Gy radiotherapy will be delivered to the preoperative tumor bed.

Conditions

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High-Risk Neuroblastoma Patient With Insufficient Response Chemoimmunotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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phase induction-R-I

R-I: induction regimens RAPID COJEC vs GPOH Assuming a baseline 3-year EFS of 40%, with a sample size of 686 patients (343 in each arm) and a two-sided alpha=5% this trial will have 90% power to demonstrate an improvement of 12% in 3-year EFS, within a recruitment period of 3 years and a minimum follow up of 1.5 years.

Patients with insufficient metastatic response at the end of induction chemotherapy, defined as SIOPEN score \> 3 or less than 50% reduction in mIBG score (or \> 3 bone lesions or less 50% reduction in number of FDG-PET-avid bone lesions for mIBG-non avid tumours), have a poorer prognosis.

Chemoimmunotherapy arm Metastatic response rate after 4 courses of irinotecan-temozolomide (TEMIRI) combined with dinutuximab beta (DB) in patients with insufficient metastatic response at the end of induction chemotherapy (TEMIRI/DB).

Group Type EXPERIMENTAL

Vincristine

Intervention Type DRUG

1.5 mg/m2 (max dose 2 mg)

Carboplatin

Intervention Type DRUG

750 mg/m2

Etoposide

Intervention Type DRUG

175 mg/m2

Vindesine

Intervention Type DRUG

3 mg/m2/day (max dose 6 mg)

Dacarbazine

Intervention Type DRUG

200 mg/m2/day

Ifosfamide

Intervention Type DRUG

1500 mg/m2/day

Doxorubicin

Intervention Type DRUG

30 mg/m2/dose

Dinutuximab Beta

Intervention Type DRUG

Patients \>12 kg are dosed based on the BSA: 10 mg/m\^2/day Patients ≤ 12 kg are dosed according to their body weight: 0.33 mg/kg/day

Cisplatin

Intervention Type DRUG

80 mg/m2/24h

Temozolomide 100 MG

Intervention Type DRUG

100 mg/m²/Day

Irinotecan

Intervention Type DRUG

50 mg/m²/jour de J0 à J4

Cyclophosphamid

Intervention Type DRUG

Cyclophosphamide has been demonstrated to have a cytostatic effect in many tumour types. The active metabolites of cyclophosphamide are alkylating agents which transfer alkyl groups to DNA during the process of cell division, thus preventing normal synthesis of DNA.

Phase high dose chemotherapy consolidation

R-HDC: consolidation regimen Bu-Mel vs Thiotepa + Bu-Mel The 3-year EFS in the Bu-Mel arm (with immunotherapy) is estimated to be 55%. This study aims to show an improvement of 12% for the Thiotepa + Bu-Mel arm (3-year EFS of 67%). With a recruitment of 448 patients (224 in each arm) over a period of 3 years and a minimum follow-up of 2 years, the power to show a 12% difference is 80% (two-sided logrank test and α=5%).

Group Type EXPERIMENTAL

Busulfan

Intervention Type DRUG

\< 9kg: 1.0 mg/kg/dose 9 kg to \< 16 kg : 1.2 mg/kg/dose 16 kg to 23 kg : 1.1 mg/kg/dose \>23 kg to 34 kg: 0.95 mg/kg/dose \>34 kg: 0.8 mg/kg/dose Infusion IV over 2 hours Administration every 6 hours for a total of 16 doses

Melphalan

Intervention Type DRUG

140 mg/m2/dose IV short infusion (15'), at least 24 h after the last busulfan dose

Thiotepa

Intervention Type DRUG

300 mg/m2/day over 2 hours

Phase of radiotherapy

R-RTx: 21.6 Gy radiotherapy vs 21.6 Gy + 14.4 Gy boost in patients with macroscopic residual disease

Group Type EXPERIMENTAL

Radiotherapy

Intervention Type RADIATION

21.6 Gy 21.6 Gy + boost de 14.4 Gy

Dinutuximab Beta

Intervention Type DRUG

Patients \>12 kg are dosed based on the BSA: 10 mg/m\^2/day Patients ≤ 12 kg are dosed according to their body weight: 0.33 mg/kg/day

Interventions

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Vincristine

1.5 mg/m2 (max dose 2 mg)

Intervention Type DRUG

Carboplatin

750 mg/m2

Intervention Type DRUG

Etoposide

175 mg/m2

Intervention Type DRUG

Vindesine

3 mg/m2/day (max dose 6 mg)

Intervention Type DRUG

Dacarbazine

200 mg/m2/day

Intervention Type DRUG

Ifosfamide

1500 mg/m2/day

Intervention Type DRUG

Doxorubicin

30 mg/m2/dose

Intervention Type DRUG

Busulfan

\< 9kg: 1.0 mg/kg/dose 9 kg to \< 16 kg : 1.2 mg/kg/dose 16 kg to 23 kg : 1.1 mg/kg/dose \>23 kg to 34 kg: 0.95 mg/kg/dose \>34 kg: 0.8 mg/kg/dose Infusion IV over 2 hours Administration every 6 hours for a total of 16 doses

Intervention Type DRUG

Melphalan

140 mg/m2/dose IV short infusion (15'), at least 24 h after the last busulfan dose

Intervention Type DRUG

Thiotepa

300 mg/m2/day over 2 hours

Intervention Type DRUG

Radiotherapy

21.6 Gy 21.6 Gy + boost de 14.4 Gy

Intervention Type RADIATION

Dinutuximab Beta

Patients \>12 kg are dosed based on the BSA: 10 mg/m\^2/day Patients ≤ 12 kg are dosed according to their body weight: 0.33 mg/kg/day

Intervention Type DRUG

Cisplatin

80 mg/m2/24h

Intervention Type DRUG

Temozolomide 100 MG

100 mg/m²/Day

Intervention Type DRUG

Irinotecan

50 mg/m²/jour de J0 à J4

Intervention Type DRUG

Cyclophosphamid

Cyclophosphamide has been demonstrated to have a cytostatic effect in many tumour types. The active metabolites of cyclophosphamide are alkylating agents which transfer alkyl groups to DNA during the process of cell division, thus preventing normal synthesis of DNA.

Intervention Type DRUG

Other Intervention Names

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L01CA02 LO1XA02 L01CB01 L01CA03 L01AX04 L01DB01 L01AB01 L01AA03 L01AC01 L01XC16 L01XA01

Eligibility Criteria

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Inclusion Criteria

Enrollment in HR-NBL2 will be performed:

* at diagnosis before the beginning of chemotherapy or
* up to 21 days after one course of Carboplatin-Etoposide for patients with localized neuroblastoma or infants with metastatic neuroblastoma with MYCN amplification or patients with metastatic neuroblastoma treated in emergency or
* up to 21 days after one course of the current protocol for R-I randomisation (RAPID COJEC/GPOH) low/intermediate risk neuroblastoma in Germany/Netherlands for patients with localized neuroblastoma or infants with metastatic neuroblastoma with MYCN amplification

HR-NBL2 eligibility criteria:

1. Established diagnosis of neuroblastoma according to the SIOPEN- modified International Neuroblastoma Risk Group (INRG) criteria, High-risk neuroblastoma defined as:

* Stage M neuroblastoma above 365 days of age at diagnosis (no upper age limit) and Ms neuroblastoma 12-18 months old, any MYCN status or
* L2, M or Ms neuroblastoma any age with MYCN amplification, or focal high level MYC or MYCL amplification.

In Germany, patients aged less than 18 months with stage M and without MYCN amplification will not be enrolled in HR-NBL2 trial.
2. No previous chemotherapy or up to 21 days after one cycle of Carboplatin-Etoposide chemotherapy for patients with localized neuroblastoma or infants with metastatic neuroblastoma with MYCN amplification or patients with metastatic neuroblastoma treated in emergency or up to 21 days after one course of the current protocol for low/intermediate risk neuroblastoma in Germany/Netherlands for patients with localized neuroblastoma or infants with metastatic neuroblastoma with MYCN amplification
3. Females of childbearing potential must have a negative serum or urine pregnancy test within 7 days prior to initiation of treatment. Sexually active patients must agree to use acceptable and appropriate contraception while on HR-NBL2 study and for one year after stopping the study. Acceptable contraception is defined in CTFG Guidelines "Recommendations related to contraception and pregnancy testing in clinical trials" (Appendix 11). Female patients who are lactating must agree to stop breast-feeding.
4. Written informed consent to enter the HR-NBL2 protocol from patient or parents/legal representative, patient, and age-appropriate assent.
5. Patient affiliated to a social security regimen or beneficiary of the same according to local requirements.
6. Patients should be able and willing to comply with study visits and procedures as per protocol

R-I eligibility criteria:

\- Written informed consent to enter the R-I randomisation from patient or parents/legal representative, patient, and age- appropriate assent.


2. Patient under guardianship or deprived of his liberty by a judicial or administrative decision or incapable of giving his consent.
3. Participating in another clinical study with an IMP while on study treatment.
4. Chronic inflammatory bowel disease and/or bowel obstruction.
5. Pregnant or breastfeeding women.
6. Known hypersensitivity to the active substance or to any of the excipients of the study drugs
7. Concomitant self-medication medicine that in the investigator opinion could interact with study treatments, including herbal medicine (e.g. St John's Wort (Hypericum Perforatum).


1. Urinary tract obstruction ≥ grade 3
2. Heart failure or myocarditis ≥ grade 2, any arrhythmia or myocardial infection
3. Peripheral motor or sensory neuropathy ≥ grade 3
4. Demyelinating form of Charcot-Marie-Tooth syndrome
5. Hearing impairment ≥ grade 2
6. Concurrent prophylactic use of phenytoin
7. Cardiorespiratory disease that contraindicates hyperhydration


2. Liver function: Alanine aminotransferase (ALT) \> 3.0 x ULN and blood bilirubin \> 1.5 x ULN (toxicity ≥ grade 2). In case of toxicity ≥ grade 2, call national principal investigator study coordinator to discuss the feasibility.
3. Renal function: Creatinine clearance and/or GFR \< 60 ml/min/1.73m² (toxicity ≥ grade 2). If GFR \< 60ml/min/1.73m², call national principal investigator study coordinator to discuss about the treatment.
4. Dyspnea at rest and/or pulse oximetry \<95% in air (only for R-HDC, and R-RTx)
5. Any uncontrolled intercurrent illness or infection that in the investigator opinion would impair study participation.
6. Concomitant use with yellow fever vaccine and with live virus or bacterial vaccines.
7. Patient allergic to peanut or soya.

Exclusion Criteria

R-HDC randomisation (Single HDC Bu-Mel/ Tandem HDC Thiotepa+Bu-Mel) Etoposide or one course of the current protocol for low/intermediate risk neuroblastoma in Germany/Netherlands). Patients will be treated with the standard induction regimen per country (Rapid COJEC or GPOH) and will be potentially eligible for subsequent randomisations.

Randomisation for HDC strategy will be performed at the end of induction after the disease evaluation and after surgery of the primary tumour for those patients who will receive surgery before HDC.

R-HDC eligibility criteria:

1. \- Stage M neuroblastoma above 365 days of age at diagnosis, any MYCN status, EXCEPT patients with stage M or Ms 12-18 months old with numerical chromosomal alterations only, and in complete metastatic response at the end of induction: in this case, patients will have surgery and no further treatment.

OR

\- L2, M or Ms neuroblastoma, any age, with MYCN amplification, or focal high level MYC or MYCL amplification
2. Age \< 21 years at the time of randomization
3. Complete response (CR) or partial response (PR) at metastatic sites:

* Bone disease: mIBG uptake completely resolved or SIOPEN score ≤ 3 and at least 50% reduction in mIBG score (or ≤ 3 bone lesions and at least 50% reduction in number of FDG- PET-avid bone lesions for mIBG-nonavid tumours).
* Bone marrow disease: CR and/or minimal disease (MD) according to International Neuroblastoma Response Criteria
* Other metastatic sites: CR. (after induction chemotherapy +/- surgery), except for distant lymph nodes for which PR is accepted with a possible secondary surgery
4. Acceptable organ function and performance status:

* Performance status ≥ 50%.
* Hematological status: ANC\>0.5x109/L, platelets \> 20x 109/L
* Cardiac function: (\< grade 2)
* Normal chest X-Ray and oxygen saturation.
* Absence of any toxicity ≥ grade 3. 4) Sufficient collected stem cells available; a total harvest of at least 6 x 106/kg CD34+ cells, to be stored in at least 4 separate bags to administer at least 3 x 106/kg CD34+ cells per rescue.
5. Written informed consent, including agreement of patient or parents/legal guardian for minors, to enter the R-HDC randomisation.
6. Patient affiliated to a social security regimen or beneficiary of the same according to local requirements.
7. Patients should be able and willing to comply with study visits and procedures as per protocol.

In case of parents'/patient's refusal, or insufficient stem cells, collection for tandem HDC but with a minimum of 3 x 106 CD34+ cells/kg body weight, or in case of patients older than 21 years, or organ toxicity, HDC will consist on the standard HD Bu-Mel and patients will be eligible for the subsequent randomisation.

R-RTx randomisation (Local Radiotherapy) Chemoimmunotherapy arm

R-RTx eligibility criteria:

An evaluation of the local disease will be performed after HDC/ASCR and surgery:

* In case of no local macroscopic disease, all patients will receive 21,6-Gy radiotherapy to the pre-operative tumour bed
* In case of local macroscopic residual disease, patients will be eligible to R-RTx if the following criteria are met:

1. No evidence of disease progression after HDC/ASCR.
2. Interval between the last ASCR and radiotherapy start between 60 and 90 days.
3. Performance status greater or equal 50%.
4. Hematological status: ANC \>0.5x109/L, platelets \> 20x109/L.
5. Written informed consent, including agreement of patient or parents/legal guardian for minors, to enter the R-RTx randomisation.
6. Patient affiliated to a social security regimen or beneficiary of the same according to local requirements.
7. Patients should be able and willing to comply with study visits and procedures as per protocol.

In case of parents'/patient's refusal of the randomisation, the patient will receive 21.6 Gy radiotherapy to the pre-operative tumour bed.

Chemoimmunotherapy arm eligibility criteria:

1. Insufficient metastatic response at the end of induction chemotherapy, defined as:

* SIOPEN score \> 3 or less than 50% reduction in mIBG score (or \> 3 bone lesions or less 50% reduction in number of FDG-PET-avid bone lesions for mIBG-non avid tumours) OR
* Bone marrow disease: SD according to International Neuroblastoma Response Criteria OR
* Other metastatic sites: PR or SD. For distant lymph nodes: PR and not resectable or SD.
2. Performance status ≥ 50%.
3. Hematological status: ANC\>0.75x109/L without G-CSF for at least 48 hours (or ANC ≥ 0.50 x 109 /L in case of bone marrow involvement), platelets \> 50x 109/L and rising, without platelets transfusion for 72 hours.
4. AST or ALT ≤7.5 ULN and total bilirubin ≤1.5 ULN. In patients with liver metastases, total bilirubin ≤2.5 ULN is allowed.
5. No active infection;
6. No grade \>2 gastrointestinal toxicity.
7. No grade ≥ 3 toxicity related to previous treatment.
8. Oxygen saturation \> 94%
Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gustave Roussy, Cancer Campus, Grand Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Claudia Pasqualini, MD PhD

Role: STUDY_CHAIR

Gustave roussy, Paris, France

Locations

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Sydney children Hospital

Sydney, Randwick, Australia

Site Status RECRUITING

Children's Cancer Centre, Monash Children's Hospital

Clayton, , Australia

Site Status RECRUITING

Oncology/Haematology Department, Perth Children's Hospital

Nedlands, , Australia

Site Status SUSPENDED

Children's Cancer & Haematology Services, John Hunter Children's Hospital

New Lambton Heights, , Australia

Site Status RECRUITING

Australian and New Zealand Children's Hematology/oncology Group

Sydney, , Australia

Site Status ACTIVE_NOT_RECRUITING

sydney children Hospital

Sydney, , Australia

Site Status RECRUITING

Cancer Centre for Children, The Children's Hospital

Westmead, , Australia

Site Status SUSPENDED

Medical University Graz

Graz, , Austria

Site Status RECRUITING

Landeskrankenhaus-Universitätsklinikum Innsbruck

Innsbruck, , Austria

Site Status RECRUITING

Kepler Universitatsklinikum Linz

Linz, , Austria

Site Status RECRUITING

Universitastsklinikum Salzburg

Salzburg, , Austria

Site Status RECRUITING

St Anna'S Children Hospital

Vienna, , Austria

Site Status RECRUITING

Hôpital Universitaire des Enfants Reine Fabiola (ULB)

Brussels, , Belgium

Site Status RECRUITING

Cliniques Universitaires Saint-Luc (UCL)

Brussels, , Belgium

Site Status RECRUITING

University Hospital Gent

Ghent, , Belgium

Site Status RECRUITING

University Hospitals Leuven

Leuven, , Belgium

Site Status RECRUITING

CHR Citadelle

Liège, , Belgium

Site Status RECRUITING

University Hospital Motol

Prague, Prague, Czechia

Site Status RECRUITING

Klinika dětské onkologie FN Brno

Brno, , Czechia

Site Status NOT_YET_RECRUITING

Aarhus University Hospital

Aarhus, , Denmark

Site Status RECRUITING

Department of Paediatrics and Adolescent Medicine, Rigshospitalet

Copenhagen, , Denmark

Site Status RECRUITING

The Hans Christian Andersen Children's Hospital, University of Southern Denmark

Odense, , Denmark

Site Status RECRUITING

New Children's Hospital, Helsinki University Hospital, Helsinki and Uusimaa Hospital District

Helsinki, , Finland

Site Status NOT_YET_RECRUITING

Kuopio University Hospital

Kuopio, , Finland

Site Status NOT_YET_RECRUITING

Oulu University Hospital

Oulu, , Finland

Site Status NOT_YET_RECRUITING

Tampere University Hospital

Tampere, , Finland

Site Status NOT_YET_RECRUITING

Turku University Hospital

Turku, , Finland

Site Status NOT_YET_RECRUITING

Gustave Roussy

Villejuif, Val De Marne, France

Site Status RECRUITING

CHU d'AMIENS

Amiens, , France

Site Status RECRUITING

CHU angers

Angers, , France

Site Status RECRUITING

CHU-Pôle Médico-Chirurgical de l'Enfant et l'Adolescant

Besançon, , France

Site Status RECRUITING

CHU Bordeaux

Bordeaux, , France

Site Status RECRUITING

Groupe Hospitalier Pellegrin - Chu - Bordeaux

Bordeaux, , France

Site Status RECRUITING

CHU Brest

Brest, , France

Site Status RECRUITING

CHU Brest - Hôpital du Morvan

Brest, , France

Site Status RECRUITING

Centre François Baclesse

Caen, , France

Site Status ACTIVE_NOT_RECRUITING

CHU de Caen

Caen, , France

Site Status RECRUITING

CHU Estaing

Clermont-Ferrand, , France

Site Status RECRUITING

Centre Georges-François Leclerc

Dijon, , France

Site Status ACTIVE_NOT_RECRUITING

Hopital d'enfants Marechal de lattre

Dijon, , France

Site Status RECRUITING

Hôpital Couple-Enfant CHU de Grenoble

Grenoble, , France

Site Status RECRUITING

Chu de La Reunion - St Denis

La Réunion, , France

Site Status RECRUITING

centre Oscar lambert

Lille, , France

Site Status RECRUITING

Hôpital de la Mère et de l'Enfant - CHU Limoges

Limoges, , France

Site Status RECRUITING

Centre Léon Berard

Lyon, , France

Site Status RECRUITING

hopital la Timone

Marseille, , France

Site Status RECRUITING

CHRU Nancy-Hôpital Brabois Enfant

Nancy, , France

Site Status RECRUITING

Institut de cancérologie de Loraine

Nancy, , France

Site Status ACTIVE_NOT_RECRUITING

Centre Antoine Lacassagne

Nice, , France

Site Status ACTIVE_NOT_RECRUITING

CHU Nice-Hôpital d'Archet

Nice, , France

Site Status RECRUITING

Hôpital Armand Trousseau

Paris, , France

Site Status RECRUITING

institut Curie

Paris, , France

Site Status RECRUITING

CHU Poitiers

Poitiers, , France

Site Status RECRUITING

Hôpital Américain -CHU Reims

Reims, , France

Site Status RECRUITING

Centre Eugène Marquis

Rennes, , France

Site Status ACTIVE_NOT_RECRUITING

CHU Rennes

Rennes, , France

Site Status RECRUITING

Hôpital des Enfants - CHU Rouen

Rouen, , France

Site Status RECRUITING

CHU Saint Etienne

Saint-Etienne, , France

Site Status RECRUITING

Institut de cancérologie de l'Ouest - Sité René Gauducheau

Saint-Herblain, , France

Site Status ACTIVE_NOT_RECRUITING

CHU Haute Pierre

Strasbourg, , France

Site Status RECRUITING

Institut de Cancérologie Strasbourg

Strasbourg, , France

Site Status ACTIVE_NOT_RECRUITING

Hopital des enfants-CHU Toulouse

Toulouse, , France

Site Status RECRUITING

IUCT Oncopole

Toulouse, , France

Site Status ACTIVE_NOT_RECRUITING

CHU Tours Hôpital Clocheville

Tours, , France

Site Status RECRUITING

charite universitatsmedizin Berlin

Berlin, , Germany

Site Status RECRUITING

Uniklinik Köln, Klinik und Poliklinik für Kinder und Jugendmedizin

Cologne, , Germany

Site Status NOT_YET_RECRUITING

Children's General Hospital "I AGHIA SOFIA"

Athens, , Greece

Site Status RECRUITING

Children's General Hospital "P. & A. KYRIAKOU"

Athens, , Greece

Site Status RECRUITING

"MITERA" Private, General, Obstetrics - Gynaecology, Paediatric Clinic S.A.

Athens, , Greece

Site Status RECRUITING

Children's General Hospital "AGHIA SOFIA"

Athens, , Greece

Site Status RECRUITING

University General Hospital of Heraklion (UnGHH)

Heraklion, , Greece

Site Status RECRUITING

University General Hospital of Thessaloniki "AHEPA"

Thessaloniki, , Greece

Site Status RECRUITING

General Hospital of Thessaloniki "IPPOKRATIO"

Thessaloniki, , Greece

Site Status RECRUITING

RAMBAM Medical Center

Haifa, , Israel

Site Status RECRUITING

A.O.U Policlinico di Bari

Bari, , Italy

Site Status RECRUITING

Spedali civili Ospedale Dei Bambini Oncoematologia pediatrica e TMO

Brescia, , Italy

Site Status RECRUITING

policlinico rodolico San marco

Catania, , Italy

Site Status RECRUITING

Azienda ospedaliero universtaria Anna Meyer

Florence, , Italy

Site Status RECRUITING

instituto Giannina Gaslini genova

Genova, , Italy

Site Status RECRUITING

IRCCS "Istituto Giannina Gaslini"

Genova, , Italy

Site Status RECRUITING

Azienda Policlinico di Modena

Modena, , Italy

Site Status RECRUITING

Azienda ospedaliero universitaria di Parma

Parma, , Italy

Site Status RECRUITING

Policlino San matteo di Pavia

Pavia, , Italy

Site Status RECRUITING

U.O Pediatria, SS Oncoematologia pediatrica

Rimini, , Italy

Site Status RECRUITING

IRCCS Burlo Garoflo oncoematologia

Trieste, , Italy

Site Status RECRUITING

U.O.C oncoematologia pediatrica ospedale Donna Bambino

Verona, , Italy

Site Status RECRUITING

Vilnius University Hospital Santaros Klinikos

Vilnius, , Lithuania

Site Status NOT_YET_RECRUITING

National Cancer Institute

Vilnius, , Lithuania

Site Status NOT_YET_RECRUITING

Universitair Medisch Centrum Groningen

Groningen, , Netherlands

Site Status ACTIVE_NOT_RECRUITING

Princess Maxima center

Utrecht, , Netherlands

Site Status RECRUITING

Haukeland University Hospital

Haukeland, , Norway

Site Status RECRUITING

Oslo University Hospital

Oslo, , Norway

Site Status RECRUITING

University Hospital Northern Norway, Tromsoe

Tromsø, , Norway

Site Status NOT_YET_RECRUITING

St Olavs Hospital,

Trondheim, , Norway

Site Status NOT_YET_RECRUITING

Children's University Hospital Banská Bystrica

Banská Bystrica, , Slovakia

Site Status NOT_YET_RECRUITING

NÚDCH- National Institute of Children's Diseases,

Bratislava, , Slovakia

Site Status NOT_YET_RECRUITING

Children's University Hospital Košice

Košice, , Slovakia

Site Status NOT_YET_RECRUITING

University medical center Ljubljana, University Children's Hospital Ljubljana, Slovenia

Ljubljana, , Slovenia

Site Status RECRUITING

Hospital Universitario Son Espases

Balea, , Spain

Site Status RECRUITING

Hospital Universitario Vall D´Hebron

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Cruces

Cruces, , Spain

Site Status RECRUITING

Hospital Clínico Universitario Virgen de la Arrixaca

El Palmar, , Spain

Site Status RECRUITING

Hospital Universitario Infantil Niño Jesús

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario La Paz

Madrid, , Spain

Site Status RECRUITING

Hospital Regional Universitario de Málaga

Málaga, , Spain

Site Status RECRUITING

Hospital Universitario Donostia

San Sebastián, , Spain

Site Status RECRUITING

Hospital Clínico Universitario de Santiago

Santiago de Compostela, , Spain

Site Status RECRUITING

Hospital Universitario Virgen del Rocío

Seville, , Spain

Site Status RECRUITING

Hospital Universitario Politécnico de La FE

Valencia, , Spain

Site Status RECRUITING

Sahlgrenska University Hospital

Gothenburg, , Sweden

Site Status NOT_YET_RECRUITING

Linköping University Hospital

Linköping, , Sweden

Site Status NOT_YET_RECRUITING

Skåne University Hospital

Lund, , Sweden

Site Status NOT_YET_RECRUITING

Karolinska University Hospital, Stockholm

Stockholm, , Sweden

Site Status NOT_YET_RECRUITING

Norrland University Hospital

Umeå, , Sweden

Site Status NOT_YET_RECRUITING

Uppsala University Hospital

Uppsala, , Sweden

Site Status NOT_YET_RECRUITING

Kantonsspital Aarau AG Klinik für Kinder und Jugendliche

Aarau, , Switzerland

Site Status RECRUITING

Universitäts-Kinderspital beider Basel (UKBB)

Basel, , Switzerland

Site Status RECRUITING

Ospedale San Giovanni Pediatria, Emato-oncologia pediatrica

Bellinzona, , Switzerland

Site Status RECRUITING

Inselspital, Universitätsklinik für Kinderheilkunde

Bern, , Switzerland

Site Status RECRUITING

HUG Hôpitaux Universitaires de Genève Unité d'Hémato-Oncologie Pédiatrique

Geneva, , Switzerland

Site Status RECRUITING

CHUV - Centre Hospitalier Universitaire Vaudois

Lausanne, , Switzerland

Site Status RECRUITING

Luzerner Kantonsspital, Kinderspital pädiatrische Hämatologie/Onkologie

Lucerne, , Switzerland

Site Status RECRUITING

Ostschweizer Kinderspital Hämatologie/Onkologie Claudiusstrasse 6

Sankt Gallen, , Switzerland

Site Status RECRUITING

Division of Pediatric Oncology Universitäts-Kinderspital Zürich

Zurich, , Switzerland

Site Status RECRUITING

Royal Aberdeen Children's Hospital

Aberdeen, , United Kingdom

Site Status RECRUITING

Royal Belfast Hospital for Sick Children

Belfast, , United Kingdom

Site Status NOT_YET_RECRUITING

Birmingham children's Hospital

Birmingham, , United Kingdom

Site Status RECRUITING

University Hospitals Birmingham Queen Elisabeth Hospital(UHB)

Birmingham, , United Kingdom

Site Status ACTIVE_NOT_RECRUITING

University Hospitals Bristol and Weston NHS Foundation Trust

Bristol, , United Kingdom

Site Status RECRUITING

Addenbrookes Hospital, Cambridge

Cambridge, , United Kingdom

Site Status RECRUITING

Noah's Ark Children's Hospital for Wales - Cardiff

Cardiff, , United Kingdom

Site Status NOT_YET_RECRUITING

Royal Hospital for Sick Children - Edinburgh

Edinburgh, , United Kingdom

Site Status NOT_YET_RECRUITING

Royal Hospital for Children Glasgow

Glasgow, , United Kingdom

Site Status RECRUITING

Leeds General Infirmary

Leeds, , United Kingdom

Site Status RECRUITING

Alder Hey Children's Hospital - Liverpool

Liverpool, , United Kingdom

Site Status RECRUITING

Great Ormond Street Hospital - London

London, , United Kingdom

Site Status RECRUITING

Royal Manchester Children's Hospital

Manchester, , United Kingdom

Site Status RECRUITING

Royal Victoria Infirmary, Newcastle

Newcastle, , United Kingdom

Site Status RECRUITING

Nottingham Children's Hospital

Nottingham, , United Kingdom

Site Status RECRUITING

Sheffield Children's Hospital

Sheffield, , United Kingdom

Site Status RECRUITING

Southampton General Hospital

Southampton, , United Kingdom

Site Status RECRUITING

Royal Marsden Hospital

Sutton, , United Kingdom

Site Status RECRUITING

Countries

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Australia Austria Belgium Czechia Denmark Finland France Germany Greece Israel Italy Lithuania Netherlands Norway Slovakia Slovenia Spain Sweden Switzerland United Kingdom

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Claudia Pasqualini, MD PhD

Role: CONTACT

+33 (0)1 42 11 42 11

Habiba Attalah, PhD

Role: CONTACT

+33 (0)1 42 11 64 46

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Toby Nicholas Trahair, Phd, MD

Role: primary

61 2 9382 2970

Peter Downie, MD

Role: primary

Janis chamberlin, MD

Role: primary

61 2 4921 3080

toby trahair, MD

Role: primary

61 2 9382 2970

Benesch Martin, MD

Role: primary

Roman Crazzolara, DR

Role: primary

Barbara Winkler, DR

Role: primary

Neil Jones

Role: primary

Ruth Ladenstein, Pr

Role: primary

Carina Rajner

Role: backup

Safiato Diallo, MD

Role: primary

0032 2 477 26 78

Benedicte Brichard, MD

Role: primary

0032 2 764 23 50

Bram De Wilde, MD

Role: primary

0032 9 332 48 12

Marleen Renard, MD

Role: primary

0032 16 34 39 72

Sophie Gatineau, MD

Role: primary

0032 4 321 55 18

Josef Malis, MD

Role: primary

+420 224 436 401

Pavel Pavel, MD

Role: primary

+420 532 234 449

karin Bækgaard Nissen

Role: primary

jesper Sune Brok,, PhD

Role: primary

0045 35458270

Mathias Rathe, PhD

Role: primary

0045 30296665

Minna Koskenvuo, MD

Role: primary

+358 50 427 0424

Kaisa Vepsäläinen, MD

Role: primary

+358 44 717 4964

Hanna Juntti, MD

Role: primary

+358 50 579 4440

Sauli Palmu, MD

Role: primary

+358 50 353 9956

Marika Grönroos, MD

Role: primary

+358 2 3130646

Claudia Pasqualini, MD PhD

Role: primary

+33 (0)1 42 11 42 11

Attalah Habiba, PhD

Role: backup

+33 (0)1 42 11 64 46

Leslie Andry, MD

Role: primary

Stéphanie Proust, MD

Role: primary

Veronique LAITHIER, MD

Role: primary

Ayemeri Huchet, MD

Role: primary

Julie Tandonnet, MD

Role: primary

Liana Carausu, MD

Role: primary

Liana CARAUSU, MD

Role: primary

Damien Bodet, MD

Role: primary

justyna KANOLD, MD

Role: primary

claire BRIANDET, MD

Role: primary

Dominique Plantaz, MD

Role: primary

Yves REGUERRE, MD

Role: primary

Anne-Sophie DEFACHELLES

Role: primary

christophe PIGUET, MD

Role: primary

Benoit Dumond, MD

Role: primary

carole coze, MD

Role: primary

Ludovic Mansuy, MD

Role: primary

Joy Benadiba

Role: primary

Arnaud Petit, MD

Role: primary

Gudrun SCHLEIERMACHER, MD ;PhD

Role: primary

Frederic Millot, MD

Role: primary

Claire PLUCHART, MD

Role: primary

sophie taque, MD

Role: primary

cecile DUMESNIL DE MAURICOURT, MD

Role: primary

sandrine THOUVENIN-DOULET, MD

Role: primary

catherine PAILLARD, MD

Role: primary

Marion Gambart, MD

Role: primary

Pascal Blouin, MD

Role: primary

Angelika eggert, Pr

Role: primary

49 30 450 566 132

Thorsten Simon, MD

Role: primary

+49 221 478 6853

Vassilios papadakis, MD

Role: primary

0030 210-7452020, 2018

Margarita BAKA, MD

Role: primary

0030 2107452219

DANA ELENI, MD

Role: primary

0030 210 6869631

ANTONIOS KATTAMIS, MD

Role: primary

0030 2107452121

NIKOLAOS KATZILAKIS, MD

Role: primary

0030 2810 392630

EMMANOUEL HATZIPANTELIS, MD

Role: primary

0030 2310994810

EVGENIA PAPAKONSTANTINOU, MD

Role: primary

0030 2313312430

shifra Ash, Pr

Role: primary

Nicola santoro, MD

Role: primary

0805593363

Fulvio porta

Role: primary

0303995711

Andrea di cataldo, MD

Role: primary

095/3782683

annalisa Tondo, MD

Role: primary

055/56622739

alberto garaventa, MD

Role: primary

010/563662410

Garaventa Alberto, MD

Role: primary

01056362410

ssa Monica Cellini, MD

Role: primary

059/4224485-2837

patrizia Bertolini, MD

Role: primary

0521/702831

frederico Bonetti, MD

Role: primary

0382/502607

Roberta Pericoli, MD

Role: primary

0541/705034

marco Rabusin

Role: primary

0403785563

simone cesaro, MD

Role: primary

0458127874

Jelena Rascon, Pr

Role: primary

+370 5 232 8703

Daiva Sendiuliene, MD

Role: primary

+370 5 274 6468

Lieve TyTGAT, MD

Role: primary

+31 06-55234711

JAAP MUR

Role: backup

+31 06 5000 66 46

Maria Winther Gunnes, MD

Role: primary

Maria Winther Gunnes

Role: primary

Trond Flaegstad, MD

Role: primary

MOE Erling, MD

Role: primary

pavel Bician, MD

Role: primary

421 907 808 363

Achbergerová Monika, MD

Role: primary

Halušková Viktória, MD

Role: primary

055 235 3227

Cesen maja, MD

Role: primary

: 00 386 41 365 384

samuel Navarro Noguera, MD

Role: primary

+34871205000

Lucas Moreno Martin, MD

Role: primary

+34934893093

Ricardo Lopez Almaraz, MD

Role: primary

+34946006289

Maria Del Mar Bermudez, MD

Role: primary

+34968929461

Alba Rubio San Simon, MD

Role: primary

+34915035900

Pedro rubio Aparicio, MD

Role: primary

+34912071116

Laura Garcia Hidalgo, MD

Role: primary

+34662244641

Miriam Abos Garcia, MD

Role: primary

+34943007176

Manuel Fernández Sanmartín, MD

Role: primary

+34981951120

catalina Marquez Vega, MD

Role: primary

+34955012921

Adela canete, MD

Role: primary

+34961244900

Torben Ek, MD

Role: primary

Lisa Törnudd, MD

Role: primary

Ingrid Øra Ingrid Øra, MD

Role: primary

Kleopatra Georgantzi, MD

Role: primary

Caroline Björklund, MD

Role: primary

Träger Träger, MD

Role: primary

Andreas Klein-Franke, MD

Role: primary

41 62 838 92 45

Nicolas von der Weid, Pr

Role: primary

41 61 704 17 62

Pierluigi Brazzola, MD

Role: primary

41 91 811 89 76

Jochen Rößler, MD

Role: primary

41 31 632 94 95

Fabienne Gumy Pause, MD

Role: primary

41 79 55 32 594

Maja Beck Popovic, Pr

Role: primary

41 21 314 35 67

Freimut H. Schilling, MD

Role: primary

+41 41 205 32 10

Cornelia Vetter, MD

Role: primary

+41 71 243 13 48

Sabina Kroiss Benninger, MD

Role: primary

41 44 266 70 57

Fiona HERD, MD

Role: primary

Robert JOHNSTON, MD

Role: primary

David Hobin, MD

Role: primary

01213338258

Antony NG, MD

Role: primary

Matthew MURRAY, MD

Role: primary

Cathy MORLEY-JACOB, MD

Role: primary

Lesley SIMPSON, MD

Role: primary

Dermot Murphy, MD

Role: primary

Martin ELLIOTT, MD

Role: primary

Lisa HOWELL, MD

Role: primary

Giuseppe BARONE, MD

Role: primary

Deborah Tweddle, MD

Role: primary

0912082230

MADNI MADNI, MD

Role: primary

Dan Yeomanson, MD

Role: primary

01142717366

Ramya RAMANUJACHAR, MD

Role: primary

Sucheta vaidya, MD

Role: primary

02086613635

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2019/2894

Identifier Type: OTHER

Identifier Source: secondary_id

2024-514917-36-00

Identifier Type: CTIS

Identifier Source: secondary_id

2019-001068-31

Identifier Type: -

Identifier Source: org_study_id

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