Retinoblastoma
Conditions
Keywords
Efficacy
Brief summary
This study will evaluate the clinical efficacy of intravitreal injections of Ranibizumab (Lucentis) together with chemotherapy in the treatment of Retinoblastoma as compared to chemotherapy alone.
Detailed description
This study will be a phase II open label interventional case series. Patients with retinoblastoma will be randomized to receive chemotherapy with or without intravitreal ranibizumab at a dose of 0.5mg/0.05 ml. Patients will receive ranibizumab via a pars plana injection on a monthly basis for a total duration of therapy of 6 months. Patients will be followed for 24 months .
Interventions
Lucentis:0.50mg/0.05ml, intravitreal injection,monthly for the first six months. chemotherapy:vincristine,1.5mg/m2;carboplatin,560mg/ m2;etoposide,150 mg/ m2.
chemotherapy:vincristine,1.5mg/m2;carboplatin,560mg/ m2;etoposide,150 mg/ m2.
Sponsors
Study design
Eligibility
Inclusion criteria
* Ability to provide written informed consent and comply with study assessments for the full duration of the study. * Definite characteristic signs of retinoblastoma,Group D base on Intraocular International Retinoblastoma classify, IIRC.
Exclusion criteria
* History of surgical intervention for retinoblastoma in the study eye. * Any previous disease in the study eye. * Previous participation in any studies of investigational drugs within 1 month preceding Day 0 (excluding vitamins and minerals). * Previous participation in a clinical trial (for either eye) involving anti angiogenic drugs (pegaptanib, ranibizumab, anecortave acetate, protein kinase C inhibitors, etc.)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| all cause mortality | two years | measure the mortality rate for the two groups(Cancer-related death and non-Cancer-related death) at two years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of Lucentis(intravitreal injection) in the Treatment of Retinoblastoma | two years | measure the tumor size and new vessels by ultrasonography,fundus photography and fundoscopy before each treatment, and 1,3,6,9,12,18,24 months after the treatment. |
Countries
China