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Randomized Study of Picibanil Sclerotherapy in Children With Macrocystic Lymphangioma



Randomized Study of Picibanil Sclerotherapy in Children With Macrocystic Lymphangioma

For Condition: Lymphatic Diseases,Cardiovascular Abnormalities,Lymphangioma
Status: Recruiting
Sponsor(s): FDA Office of Orphan Products Development , University of Iowa
Synopsis: OBJECTIVES: I. Determine the efficacy of picibanil sclerotherapy in children with macrocystic lymphangioma.
Details: PROTOCOL OUTLINE: This is a randomized, multicenter study. Patients are stratified according to prior treatment (no prior treatment vs prior surgical treatment) and geographic area. Patients are randomized to 1 of 2 treatment arms. Arm I (Immediate treatment group): Patients receive an intralesional injection of picibanil with the aid of ultrasonography, transillumination, or fluoroscopy for localization of cysts. Treatment repeats every 6-8 weeks for a total of 4 injections. Arm II (Delayed treatment group): Patients are observed for 24-26 weeks with lesion size measured every 6-8 weeks. At the conclusion of the observation period, patients receive picibanil as in arm I. Patients with life-threatening lymphangiomas receive treatment immediately as in arm I with the option of surgical rescue. Patients are followed at 6 months, 1 year, and 2 years.
Eligibility:
Study Type:
  Interventional, Treatment, Efficacy Study
Minimum Age/Maximum Age: 6 Months/18 Years
Genders: Both
Protocol Entry 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 - Patients who require emergency treatment are eligible but not entered into randomization --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)
Total Enrollment: 150

Location and Contact Information:

Overall Study Official:
RichardSmith,  Study Chair,  University of Iowa

Children's Hospitals and Clinics - Minneapolis *Recruiting*
Minneapolis,  Minnesota,  55404
United States
Recruiting Bruce  Bostrom 612-813-6282

Children's Associated Medical Group *Recruiting*
San Diego,  California,  92123
United States
Recruiting Anthony  Magit 858-966-5934

Children's Hospital of the Kings Daughter *Recruiting*
Norfolk,  Virginia,  23507
United States
Recruiting Craig  Derkay 757-668-9853

Children's Hospital of Alabama *Recruiting*
Birmingham,  Alabama,  35233
United States
Recruiting Keith  Georgeson 205-939-9285

University of Wisconsin Hospital and Clinics *Recruiting*
Madison,  Wisconsin,  53792-0001
United States
Recruiting Scott  McMurray 608-262-7187

Children's Hospital of Wisconsin *Recruiting*
Milwaukee,  Wisconsin,  53201
United States
Recruiting Joseph  Kerschner 414-266-6486

Children's Hospital of Denver *Recruiting*
Denver,  Colorado,  80218
United States
Recruiting Peggy  Kelly 303-764-8520

Texas Pediatric Otolaryngology Center *Recruiting*
Houston,  Texas,  77030
United States
Recruiting Joe  Edmonds 713-796-2001

University of Iowa Hospitals and Clinics *Recruiting*
Iowa City,  Iowa,  52242
United States
Recruiting Richard  Smith 319-356-2177


Additional Information:
Study ID Numbers:
  199/15706;  UIHC-FDR001774
Study Start Date: April 2000
Record last reviewed: February 2001
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00010452

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