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Brief Title: Sirolimus in Combination With Metronomic Chemotherapy in Children With Recurrent and/or Refractory Solid and CNS Tumors
Official Title: AflacST1502: A Phase II Study of Sirolimus in Combination With Metronomic Chemotherapy in Children With Recurrent and/or Refractory Solid and CNS Tumors
Study ID: NCT02574728
Brief Summary: This study aims to determine the efficacy of daily sirolimus and celecoxib, with low dose etoposide alternating with cyclophosphamide for pediatric participants with relapsed or refractory tumors.
Detailed Description: This study aims to learn if the combination of oral sirolimus once daily with celecoxib, and with oral etoposide alternating every 21 days with oral cyclophosphamide (metronomic chemotherapy) is effective in shrinking relapsed or refractory tumors in pediatric participants. In addition, this study seeks to learn the length of time this combination can keep the tumor from growing, learn more about the side effects of sirolimus when used in this combination, and to learn if the sirolimus is working by evaluating blood and tumor tissue.
Minimum Age: 12 Months
Eligible Ages: CHILD, ADULT
Sex: ALL
Healthy Volunteers: No
Phoenix Children's Hospital, Phoenix, Arizona, United States
Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware, United States
Children's Healthcare of Atlanta-Egleston, Atlanta, Georgia, United States
Children's Healthcare of Atlanta, Scottish Rite, Atlanta, Georgia, United States
Children's Mercy Hospital, Kansas City, Missouri, United States
University of Virginia Health System, Charlottesville, Virginia, United States
Name: Thomas Cash, MD
Affiliation: Emory University
Role: PRINCIPAL_INVESTIGATOR