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glucan

Phase 1

Neuroblastoma | Monoclonal antibody | Oncology |Y-mAbs Therapeutics, Inc.|Last Updated: Jun 5, 2025

Target and mechanism

ModalityMonoclonal antibody

Also known as oral β-glucan

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDBiomarker
Total Trials1
Total Enrollment374

FDA Designations

No designations recorded

Clinical trial landscape

glucan · 1 trial · 1 indication

Phase 1 1
NCT00911560Bivalent Vaccine With Escalating Doses of the Immunological Adjuvant OPT-821, in Combination With Oral β-glucan for High-Risk NeuroblastomaNeuroblastoma
ACTIVE NOT_RECRUITING374 Analytics
PHASE1ACTIVE NOT_RECRUITING
Bivalent Vaccine With Escalating Doses of the Immunological Adjuvant OPT-821, in Combination With Oral β-glucan for High-Risk Neuroblastoma
NeuroblastomaUnlock trial analytics

Study Endpoints

Primary Endpoints

To determine the maximally tolerated dose of OPT-821 in a vaccine containing two antigens abundantly expressed on neuroblastoma. (PHASE I)
2 years
To assess anti-NB activity of the bivalent vaccine plus oral β-glucan in patients who are enrolled with evidence of minimal residual disease (MRD) by molecular biological testing of bone marrow. (PHASE II)
2 years
To prove the adjuvant effect of oral beta-glucan on anti-GD2 antibody titer among patients who are in first or second (or later) complete
2 years

Secondary Endpoints

To obtain preliminary data on whether subcutaneous administration of the bivalent vaccine produces an immune response directed against the target antigens in patients with high-risk neuroblastoma. (PHASE I)
2 years
To obtain preliminary data on the anti-neuroblastoma activity of the bivalent vaccine plus oral β-glucan in patients, including measuring the molecular response in blood and bone marrow. (PHASE I)
2 years
To obtain data on the immune response directed against the target NB-associated antigens in patients as induced by the subcutaneous administration of the bivalent vaccine. (PHASE II)
2 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
vaccine group oneEXPERIMENTALPatients will receive a total of 7 subcutaneous injections, at weeks 1, 2, 3, 8 , 20 , 32 , and 52. Minor schedule adjus tment s are permitted , as needed Vaccines must occur a inimum of 6 days apart. The last three vaccine s can be administered up to one week earlier or later than indicated without representing a protocol violation.Patients assigned to in Group 1 will receive o ral β glucan (40 mg/kg/day) starting at week 6 or 7 and continue with approximately 2 weeks on, 2 weeks off, up to 1 cycle after the last vaccination .
vaccine group twoEXPERIMENTALPatients will receive a total of 7 subcutaneous injections, at weeks 1, 2, 3, 8 , 20 , 32 , and 52. Minor schedule adjus tment s are permitted , as needed Vaccines must occur a minimum of 6 days apart. The last three vaccine s can be administered up to one week earlier or later than indicated without representing a protocol violation.Patients assigned to Group 2 will receive oral β glucan (40 mg/kg/day) starting week 1 and continue with approximately 2 weeks on, 2 weeks off, up to 1 cycle after the last vaccination .
vaccine group threeEXPERIMENTALPatients will receive a total of 7 subcutaneous injections, at weeks 1, 2, 3, 8 , 20 , 32 , and 52. Minor schedule adjus tment s are permitted , as needed Vaccines must occur a minimum of 6 days apart. The last three vaccine s can be administered up to one week earlier or later than indicated without representing a protocol violation.Group 3 will include patients who have previously received vaccine and oral β glucanglucan. Patients in this group will not be randomized using the MSK CRDB system. They will be treated as patients in Group 1 and receive o ral β glucan (40 mg/kg/day) starting at week 6 or 7 and continue with approximately 2 weeks on, 2 weeks off, up to 1 cycle after the last vaccination . They will not be eligible for primary endpoint.

Interventions

NameTypeDescription
adjuvant OPT-821 in a vaccine containing two antigens (GD2L and GD3L) covalently linked to KLHBIOLOGICALPts receive a total of 7 subcutaneous injections, at weeks 1, 2, 3, 8, 20, 32, \& 52. Minor schedule adjustments are permitted, as needed. Vaccines must occur a minimum of 6 days apart. Induction of antibody response against the target antigens will be assessed. A fixed dose of oral β-glucan (40 mg/kg/day) is started at week 6 or 7(to allow time for generation of antibodies), \& continued as approximately 2 weeks on, 2 weeks off, up to 1 cycle after the last vaccination. Neutrophils will be tested for glucan effects on cytotoxicity. Antineuroblastoma activity will be monitored using standard radiographic \& bone marrow studies, as well as RT-PCR for measurement of minimal residual disease in blood \& bone marrow. Phase II treatment schema for patients in 1st CR/VGPR or \>2nd CR/VGPR will be the same for the vaccine as in phase I except OPT-821 will be given at a fixed dose of 150 mcg/m2.
oral β-glucanBIOLOGICALPhase II Patients will be randomized to starting oral β-glucan (40 mg/kg/day) in week 1 or in week 6.
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Eligibility Criteria

Age RangeN/A to 21 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Diagnosis of neuroblastoma (NB) as defined by international criteria,\[104\] i.e., histopathology (confirmed by the MSKCC Department of Pathology) or bone marrow metastases plus high urine catecholamine levels. * High-risk NB as defined by risk-related treatment guidelines and...

Countries:United States
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Frequently asked questions about glucan

What is β-glucan used for in neuroblastoma?

β-glucan is being studied as an oral immunomodulatory agent in combination with a bivalent vaccine for the treatment of high-risk neuroblastoma. It is currently in Phase 1 clinical development as an investigational therapy for this indication.

What does β-glucan target?

β-glucan is an oral immunomodulatory agent that is being evaluated for its ability to enhance the immune response when combined with a bivalent vaccine in patients with high-risk neuroblastoma. Its mechanism of action involves modulating the immune system to potentially improve anti-tumor activity.

Who is developing β-glucan?

β-glucan is being developed by Y-mAbs Therapeutics, Inc. (NASDAQ: YMAB), a biopharmaceutical company focused on developing antibody-based therapies for cancer. The company is conducting a Phase 1 clinical trial of oral β-glucan in combination with a vaccine for neuroblastoma.

What phase is β-glucan in?

β-glucan is in Phase 1 clinical development. It is an investigational agent being studied in an active, not recruiting clinical trial for high-risk neuroblastoma. It has not been approved by regulatory authorities and remains under clinical investigation.

What clinical trials is β-glucan in?

β-glucan is being evaluated in a Phase 1 clinical trial with the identifier NCT00911560. This trial is studying a bivalent vaccine with escalating doses of the immunological adjuvant OPT-821, in combination with oral β-glucan for high-risk neuroblastoma. The trial is active but not recruiting participants.

Is β-glucan the same as oral β-glucan?

Yes, β-glucan is also known as oral β-glucan. In clinical trials, it is administered orally as an immunomodulatory agent in combination with other therapies for the treatment of high-risk neuroblastoma.