TABLE 1.

Recent MRT Trials for Neuroblastoma

TrialTitle and locationType and dateStatus
Completed and published
 LuDOPhase IIa trial of MRT with 177Lu-DOTATATE in children with primary refractory or relapsed high-risk neuroblastoma (University of Birmingham)[177Lu]DOTATATE, phase II, 2013–2017Published 2020 (27)
 NANT 2011-01 (NCT02035137)Randomized phase II pick winner study of 131I-MIBG, 131I-MIBG with vincristine and irinotecan, or 131I-MIBG with vorinostat for resistant/relapsed neuroblastoma (NANT)[131I]MIBG, randomized phase II, 2014–2019Published 2021 (37)
 MIITOP (NCT00960739)Phase II study of 131I-metaiodobenzylguanidine with 5 d of topotecan for refractory or relapsed neuroblastoma (Centre Oscar Lambret)[131I]MIBG, phase II, 2008–2015Published 2023 (21)
Accrual completed—awaiting maturation of data
 ANBL1531 NCT03126916Testing addition of 131I-MIBG or lorlatinib to intensive therapy in people with high-risk neuroblastoma (Children’s Oncology Group)[131I]MIBG, randomized phase III, 2018–2024Closed to accrual
 MINIVAN (NCT02914405)Phase I study of 131I MIBG followed by nivolumab and dinutuximab β-antibodies in children with relapsed/refractory neuroblastoma (University Hospital Southampton)[131I]MIBG, phase I, 2018–2024Closed to accrual
 OPTIMUM (NCT03561259)Phase II, open label, 2-arm study of therapeutic iobenguane (131I) as single agent or in combination with vorinostat for recurrent or progressive high-risk neuroblastoma subjects (Jubilant DraxImage Inc.)[131I]MIBG, nonrandomized phase II, 2019–2023Closed to accrual
 VERITAS (NCT03165292)Evaluation of 2 intensification treatment strategies for neuroblastoma patients with poor response to induction (European Neuroblastoma Clinical Trials Group)[131I]MIBG, randomized phase II, 2018–2023Closed to accrual (terminated prematurely)
 Omburtamab radioimmunotherapy (NCT03275402)131I-omburtamab radioimmunotherapy for neuroblastoma central nervous system/leptomeningeal metastases (Y-mAbs Therapeutics)[131I]-omburtamab, phase II, 2018–2023Closed to accrual
 NANT 2017-01 (NCT03332667)MIBG with dinutuximab ± vorinostat (NANT)[131I]MIBG, phase I, 2018–2023Closed to accrual
Open and recruiting
 LuDO-N (NCT04903899)177Lu-DOTATATE in children with primary refractory or relapsed high-risk neuroblastoma (Karolinska institute)[177Lu]DOTATATE, phase IIOpen since 2021 and recruiting
 NEUROBLU 02 (NCT03966651)A clinical study evaluating safety of peptide receptor radionuclide therapy (PRRT) with 177Lu-DOTA0-Tyr3-octreotate in children with refractory or recurrent neuroblastoma expressing somatostatin receptors (Institut Claudius Regaud)[177Lu]DOTATATE, phase IOpen since 2023 and recruiting
 GD2-SADA: 177Lu-DOTA complex (NCT05130255)GD2-SADA: 177Lu-DOTA complex in patients with solid tumors known to express GD2 (Y-mAbs Therapeutics)[177Lu] 2-step radioimmunotherapy, phase IOpen since 2022 and recruiting; amended 2024 to include neuroblastoma patients ≥ 18 y
Planned
 MINTBiomarker-enriched phase I/II clinical trial of 131I-MIBG therapy with talazoparib for treatment of relapsed or refractory neuroblastoma (University of Birmingham)[131I]MIBG, phase I/IIFunded, pending regulatory approval