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Recruiting Phase 2 NCT05684692

NCT05684692 Screening Trial for Pain Relief in Schwannomatosis (STARFISH)

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Clinical Trial Summary
NCT ID NCT05684692
Status Recruiting
Phase Phase 2
Sponsor Massachusetts General Hospital
Condition Schwannomatosis
Study Type INTERVENTIONAL
Enrollment 40 participants
Start Date 2023-08-31
Primary Completion 2026-11-30

Trial Parameters

Condition Schwannomatosis
Sponsor Massachusetts General Hospital
Study Type INTERVENTIONAL
Phase Phase 2
Enrollment 40
Sex ALL
Min Age 18 Years
Max Age N/A
Start Date 2023-08-31
Completion 2026-11-30
Interventions
SiltuximabErenumab-AooeSiltuximab Matching Placebo

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Brief Summary

This is a placebo-controlled, multi-arm phase II platform screening trial designed to test the safety, pain responses, and pharmacodynamic activity of multiple experimental therapies simultaneously in participants with moderate-to-severe pain due to schwannomatosis (SWN). This Master Study is being conducted as a platform that may allow participants with pain associated with schwannomatosis to receive a novel intervention throughout this study. Embedded within the Master Study are individual drug sub-studies: * Investigational Drug Sub-Study A: Siltuximab * Investigation Drug Sub-Study B: Erenumab-Aooe

Eligibility Criteria

Inclusion Criteria for Master Study: * Patients must have a confirmed diagnosis schwannomatosis by fulfilling either clinical or molecular diagnosis. * Clinical diagnosis: A clinical diagnosis of schwannomatosis is confirmed by either of the two following criteria: * Two or more non-intradermal schwannomas, one with pathological confirmation, without evidence of bilateral vestibular schwannoma (see exclusion criteria 3.2.3) OR * one pathologically confirmed schwannoma or intracranial meningioma and * An affected first-degree relative. Molecular diagnosis * A molecular diagnosis of schwannomatosis is confirmed by either (1) two or more pathologically proven schwannomas or meningiomas AND genetic studies of at least two tumors with loss of heterozygosity (LOH) for chromosome 22 and two different NF2 mutations; or (2) one pathologically proven schwannoma or meningioma and a germline SMARCB1 or LZTR1 pathogenic mutation. * Participant must be ≥ 18 years of age on Day 1 of treatment. * Karn

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