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Recruiting Phase 1, Phase 2 NCT03838042

INFORM2 Study Uses Nivolumab and Entinostat in Children and Adolescents With High-risk Refractory Malignancies

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Trial Parameters

Condition CNS Tumor
Sponsor University Hospital Heidelberg
Study Type INTERVENTIONAL
Phase Phase 1, Phase 2
Enrollment 91
Sex ALL
Min Age 2 Years
Max Age 21 Years
Start Date 2020-05-26
Completion 2026-06-30
Interventions
Nivolumab and Entinostat

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Brief Summary

The aim of this trial is to determine preliminary activity of the combination treatment with nivolumab and entinostat in children and adolescents with high risk refractory/relapsed/progressive tumors harboring a high mutational load, focal MYC(N) amplification or ATRT-MYC subgroup as well as tumors with high tumor infiltrating lymphocytes (TILs) or a tertiary lymphoid structure (TLS).

Eligibility Criteria

Inclusion Criteria: * Children and adolescents with refractory/relapsed/progressive high-risk * CNS tumors: medulloblastoma, ependymoma, ATRT, ETMR, pediatric high grade glioma (including DIPG) or other pediatric embryonal CNS tumors OR * solid tumors: neuroblastoma, nephroblastoma, rhabdoid tumor, embryonal or alveolar rhabdomyosarcoma, other embryonal small round blue cell tumors including pediatric type (bone) sarcoma or other pediatric type solid tumors OR * Children and adolescents with newly diagnosed high grade glioma (HGG) in the context of a constitutional mismatch repair deficiency syndrome after maximum safe surgical resection with no established standard of care treatment option with curative intention available. In addition in France: ineligible to radiotherapy * No standard of care treatment available * Age at registration ≥ 2 to ≤ 21 years * Molecular analysis for biomarker identification (SNV load, MYC/N amplification, high TILs or TLS positive) in laboratories complyin

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