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Study of Picibanil (OK432) Sclerotherapy in Children With Macrocystic Lymphatic Malformations

This study is ongoing, but not recruiting participants.
Study NCT00010452.   Last updated on March 28, 2008.   Information provided by FDA Office of Orphan Products Development

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Descriptive Information Fields
Brief Title  Study of Picibanil (OK432) Sclerotherapy in Children With Macrocystic Lymphatic Malformations
Official Title  Treatment of Cystic Hygroma (Lymphangiomas) in Children- Picibanil(OK432) Sclerotherapy-Multicenter Trial
Brief Summary

OBJECTIVES:

I. Determine the efficacy of picibanil sclerotherapy in children with macrocystic lymphangioma.

Detailed Description

PROTOCOL OUTLINE: This is a multicenter study. Patients are stratified according to prior treatment (no prior treatment vs prior surgical treatment) and geographic area.

Patients who meet all study criteria are put in the "Immediate Treatment Group." Patients receive an intralesional injection of picibanil (OK432) with the aid of ultrasonography or transillumination for localization of cysts. Treatment repeats every 6-8 weeks for a total of up to 4 injections.

After completion of treatment, patients are followed at 6 months, 1 year, and 2 years.

Study Phase Phase II, Phase III
Study Type  Interventional
Study Design  Treatment, Open Label, Active Control, Single Group Assignment, Safety/Efficacy Study
Primary Outcome Measure  to establish whether OK432 sclerotherapy is an effective form of treatment for lymphatic malformations versus the traditional form of treatment, which is surgical excision. [ Time Frame: indefinate ] [ Designated as safety issue: Yes ]
Secondary Outcome Measure 
Condition  Lymphatic Malformations
Intervention  Drug: picibanil
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Active, not recruiting
Enrollment  150
Start Date  April 2000
Completion Date
Eligibility Criteria 

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

  • Diagnosis of macrocystic lymphangioma of the head and/or neck Cystic spaces at least 2.0 mL confirmed by radiographic imaging (MRI or CT) Mixed lymphangiomas (macrocystic and microcystic disease) allowed if macrocystic component comprises at least 50% of the total disease burden
  • No mixed hemangioma-lymphangioma lesions
  • At least 6 months since prior surgery for lymphangioma

--Patient Characteristics--

  • Hematopoietic: No clinically significant hematologic disease No hemodynamic instability
  • Hepatic: No clinically significant hepatic disorder
  • Renal: No clinically significant renal disease No personal or family history of post-streptococcal glomerulonephritis
  • Cardiovascular: No personal or family history of rheumatic heart disease
  • Pulmonary: No respiratory failure

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • No history of allergy to penicillin
  • No concurrent temperature of 100.5 degrees or greater
  • No active upper respiratory infection
  • No personal or family history of obsessive-compulsive or tic disorders
  • No personal or family history of PANDA (pediatric autoimmune neuro- psychiatric disorder associated with streptococcal infections)
  • No history of hypersensitivity to iodine, Omnipaque, or gadolinium (if fluoroscopy is considered necessary)
  • No history of poor health (including congenital disorders, chronic diseases, or immunologic dysfunction)
Gender Both
Ages 6 Months to 18 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00010452
Organization ID 199/15706
Secondary IDs †† UIHC-FDR001774
Study Sponsor  University of Iowa
Collaborators †† Chugai Pharmaceutical
Investigators 
Study Chair:     Richard J Smith     University of Iowa    
Information Provided By FDA Office of Orphan Products Development
Verification Date January 2008
First Received Date  February 2, 2001
Last Updated Date March 28, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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