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| Diagnosis | Recurrent Neuroblastoma, Ewing's Sarcoma, Osteosarcoma, Rhabdomyosarcoma, Liposarcoma | Study Status | Open |
| Phase | I/II |
| Age | up to 30 Years | Randomisation | NO |
| Line of treatment | Disease relapse or progression |
| Routes of Treatment Administration | Drug: Silmitasertib (Oral)
Other Names: CX-4945
Drug: Irinotecan (IV)
Drug: Temozolomide (Oral)
± Drug: Vincristine (IV) |
| Last Posted Update | 2026-02-18 |
| ClinicalTrials.gov # | NCT06541262 |
International Sponsor
Milton S. Hershey Medical CenterPrincipal Investigators for Canadian Sites
CHU Ste-Justine - Dr. Monia MarzoukiCentres
Study Description

The purpose of this study is to learn more about how safe and effective a drug called silmitasertib (an oral pill) is in combination with other FDA approved chemotherapy drugs to treat certain kinds of solid tumours.
Inclusion Criteria
- Participants must be 30 years or younger
- A confirmed tumor type of Neuroblastoma, Ewing sarcoma, Osteosarcoma, Rhabdomyosarcoma, or Liposarcoma that has come back or not responded to standard treatment
- Doctors must be able to see signs of cancer on a scan or in the bone marrow
- Must have recovered from past treatments, with enough time passed since chemo, radiation, immunotherapy, or transplant
- Must meet all organ function and bloodwork requirements
- Must be up and about for 50% of waking hours
- If patient can become pregnant, a negative pregnancy test and adequate birth control is required
- Signed informed consent