Application of Palliative Treatment in Children With Brain Stem Glioma and Recurrent High-grade Tumors in the Central Nervous System With the Nanomaterial NPt-Ca

Early Phase 1CompletedNCT03250520

Hospital Infantil de Mexico Federico Gomez8 enrolled

Overview

This Protocol is a pilot, clinical interventional study to selected patients between five and fourteen years of both sexes, carriers of the diagnosis of glioma brain stem and high grade recurrent in the central nervous system tumors, in whom there has been no response to conventional-based surgery/radiation/chemotherapy treatment or whose location does not allow treatment with conventional measures, and that already have an indication for a neurosurgical palliative procedure. It will be a close pharmacovigilance on possible adverse effects related to the nanomaterial based on the profile of cisplatin (chemotherapeutic platinum derivative), since documented toxicity data are not counted for NPt-Ca. Quality of life will be documented with PedsQL Cancer Module© and tumor size by magnetic resonance brain images.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Brain Tumor, Pediatric, Brainstem Glioma Brain Tumor, Pediatric, Recurrent

Interventions

Eligibility

Sex: ALLMin age: 5 YearsMax age: 14 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Histopathological diagnosis or MRI of the brain stem or tumor of recurrent high-grade glioma. * Indication of palliative surgical treatment by neurosurgery. * Good general condition, enabling the realization of surgical treatment. * Scale Lansky \> 20) * conventional treatment (surgery, radiotherapy, and chemotherapy) failed or not applicable to the patient. Exclusion Criteria: * Patients with emerging infectious diseases or fever in the last 72 hours prior to placement of the NPt-Ca. * Patients whose parents/carers do not authorize expressly the realization of procedure with knowledge of its experimental nature, are not agreed or established their commitment to meet follow-up parameters established by this Protocol. * Patients with surgical complications prior to placement of the NPt-Ca. * Patients in which the size and location of the lesion do not allow their surgical approach or an increase in volume by infiltration of the lesion with 3 ml of volume of NPt-Ca. * Patient whose neurological condition do not allow the implementation of MRI without anesthesia.

Outcomes

Primary Outcomes

Measures of the change of quality of life pre and after the administration of NPt-Ca using the questionnaire PedsQL Cancer Module©

Time frame: Preoperative and at 1.3, 6, 12, 18 and 24 months.

Change in tumor size

Change in tumor size after the administration of NPt-Ca using volumetric measures on the brain magnetic resonance.

Time frame: Immediate, 1, 2, 3, 6, 8, 10, 12, 18 and 24 months.