drugset / Trial / NCT06302465

Narlumosbartmab Combined With Neoadjuvant Chemotherapy in Bone-derived Malignancies With Osteolytic Lesions and Multinucleated Giant Cells

NCT06302465

Recruiting 60 enrolled Peking University People's Hospital
RandomizedParallel-groupOpen-labelTreatment

Summary

Malignant tumor of bone is rare with poor prognosis. Surgery is the main treatment for non- metastatic bone tumor. Although neoadjuvant chemotherapy for non-metastatic bone tumor cannot improve survival rate based on adjuvant chemotherapy, it can reduce and clarify tumor boundary. Control of local recurrence rate is the core objective of oncotherapy. Surgery way and boundary have a significant effect on prognosis of non- metastatic bone tumor. Narlumosbartmab, a RANKL inhibitor, can make tumor boundary clear and reduce surgical difficulty by inhibiting osteoclast. This is a prospective, randomized, controlled, two-arm, open, single-center clinical trial to compare the efficacy and safety of narlumosbartmab combined with neoadjuvant chemotherapy and neoadjuvant chemotherapy alone in bone-derived malignancies with bone lytic lesions and multinucleated giant cells. Investigators mainly observe the local recurrence rate to evaluate the survival benefit for patients with poor prognosis.

Timeline

Start
2024-05-01
Primary completion
2026-11-01
Completion
2026-12-31

Drugs

EvaluationDrugModalityDoseRoute
Subject Narlumosbartmab Unknown 120 mg Other
Comparator Cisplatin Other / unclassified 120 mg/m2
Comparator Doxorubicin Other / unclassified 37.5 mg/m2
Comparator Ifosfamide Small molecule 2.4 g
Comparator Methotrexate Small molecule 8 g
Comparator Methotrexate Small molecule 12 g

Indications