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ch14.18 -NCI

Phase 1

Neuroblastoma | Monoclonal antibody | Oncology |United Therapeutics Corporation|Last Updated: Sep 23, 2015

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment28
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01592045ch14.18 Pharmacokinetic Study in High-risk NeuroblastomaPHASE1 COMPLETED 28Aug 1, 2012Jun 1, 2014Sep 23, 201513 United States
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Study Endpoints
Primary Endpoints
Area Under the Plasma Concentration Curve (AUC)
PK samples obtained during Courses 1 and 3: Days 0, 3, 4, 5, 6, 7, 9, 10, 11, 14, 15, 16, 17; PK samples obtained during Courses 2 and 4: Days 0, 7, 10; End of Treatment

Twenty-two PK samples will be obtained at the following timepoints: Courses 1 and 3: Day: 0 Days: 3, 4, 5 and 6: post ch14.18 Days 7:10 to 14 hours post ch14.18 Days 9 to 11: Single sample Days 14 to 17: Single sample Courses 2 and 4: Day 0: Pre-IL-2 Day 7: Pre-ch14.18 Day 10 (Course 4 only): Post ch14.18 End of Treatment: Within 2 weeks post isotretinoin

Peak Plasma Concentration (Cmax)
PK samples obtained during Courses 1 and 3: Days 0, 3, 4, 5, 6, 7, 9, 10, 11, 14, 15, 16, 17; PK samples obtained during Courses 2 and 4: Days 0, 7, 10; End of Treatment

Twenty-two PK samples will be obtained at the following timepoints: Courses 1 and 3: Day: 0 Days: 3, 4, 5 and 6: post ch14.18 Days 7:10 to 14 hours post ch14.18 Days 9 to 11: Single sample Days 14 to 17: Single sample Courses 2 and 4: Day 0: Pre-IL-2 Day 7: Pre-ch14.18 Day 10 (Course 4 only): Post ch14.18 End of Treatment: Within 2 weeks post isotretinoin

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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Sequence 1EXPERIMENTALUTC ch14.18 for two courses and NCI ch14.18 for three courses
Sequence 2EXPERIMENTALNCI ch14.18 for two courses and UTC ch14.18 for three courses
Interventions
NameTypeDescription
ch14.18 -NCIBIOLOGICAL25 mg/m\^2/day IV for four consecutive days
ch14.18-UTCBIOLOGICAL17.5 mg/m\^2/day IV for four consecutive days
Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF)BIOLOGICALGM-CSF will be administered SC at a dose of 250 mcg/m\^2/day for 14 days during Courses 1, 3, and 5.
Aldesleukin (IL-2)BIOLOGICALAldesleukin (IL-2) will be administered IV at a dose of 3 MIU/m\^2/day for the first week and at a dose of 4.5 MIU/m\^2/day for the second week during Courses 2 and 4.
IsotretinoinDRUGIsotretinoin (13-cis-retinoic acid; ISOT) will be administered by mouth over six courses as follows: If weight \> 12 kg: 80 mg/m\^2/dose twice daily (total daily dose is 160 mg/m\^2/day, divided twice daily). If weight ≤ 12 kg: 2.67 mg/kg/dose twice daily (total daily dose is 5.33 mg/kg/day, divided twice daily).
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Eligibility Criteria
Age RangeN/A — 8 Years
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: * Diagnosis of high-risk neuroblastoma * 8 years of age or younger at diagnosis of high-risk neuroblastoma * Patients must have completed therapy including intensive induction followed by autologous stem cell transplantation (ASCT) and radiotherapy \* Radiotherapy may be waiv...

Countries:United States
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