Julie I. Krystal, MD, MPH | Northwell ...

Dr. Julie Krystal

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The Steven and Alexandra Cohen Children's Medical Center of New York

Expert in Neuroblastoma
Expert in Diffuse Hemispheric Glioma
24 reported clinical trials
41 drugs studied

Area of expertise

1

Neuroblastoma

Global Leader

Julie Krystal has run 17 trials for Neuroblastoma. Some of their research focus areas include:

Stage IV
MYC positive
Stage I
2

Diffuse Hemispheric Glioma

Global Leader

Julie Krystal has run 16 trials for Diffuse Hemispheric Glioma. Some of their research focus areas include:

Stage I
Stage II
BRAF positive

Affiliated Hospitals

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The Steven And Alexandra Cohen Children's Medical Center Of New York

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Cohen Children's Medical Center Of New York

Clinical Trials Julie Krystal is currently running

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DAY101

for Langerhans Cell Histiocytosis

This trial tests the safety and effectiveness of tovorafenib (DAY101) in children and young adults with Langerhans cell histiocytosis that is worsening, has returned, or does not respond to other treatments. Tovorafenib is taken orally and works by blocking enzymes needed for cancer cell growth. The study aims to find the best dose and observe the response and side effects over time.

Recruiting

1 award

Phase 2

28 criteria

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Dinutuximab + Chemotherapy

for High-Risk Neuroblastoma

This phase III trial tests how well the addition of dinutuximab to Induction chemotherapy along with standard of care surgical resection of the primary tumor, radiation, stem cell transplantation, and immunotherapy works for treating children with newly diagnosed high-risk neuroblastoma. Dinutuximab is a monoclonal antibody that binds to a molecule called GD2, which is found on the surface of neuroblastoma cells, but is not present on many healthy or normal cells in the body. When dinutuximab binds to the neuroblastoma cells, it helps signal the immune system to kill the tumor cells. This helps the cells of the immune system kill the cancer cells, this is a type of immunotherapy. When chemotherapy and immunotherapy are given together, during the same treatment cycle, it is called chemoimmunotherapy. This clinical trial randomly assigns patients to receive either standard chemotherapy and surgery or chemoimmunotherapy (chemotherapy plus dinutuximab) and surgery during Induction therapy. Chemotherapy drugs administered during Induction include, cyclophosphamide, topotecan, cisplatin, etoposide, vincristine, and doxorubicin. These drugs work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing or by stopping them from spreading. Upon completion of 5 cycles of Induction therapy, a disease evaluation is completed to determine how well the treatment worked. If the tumor responds to therapy, patients receive a tandem transplantation with stem cell rescue. If the tumor has little improvement or worsens, patients receive chemoimmunotherapy on Extended Induction. During Extended Induction, dinutuximab is given with irinotecan, temozolomide. Patients with a good response to therapy move on to Consolidation therapy, when very high doses of chemotherapy are given at two separate points to kill any remaining cancer cells. Following, transplant, radiation therapy is given to the site where the cancer originated (primary site) and to any other areas that are still active at the end of Induction. The final stage of therapy is Post-Consolidation. During Post-Consolidation, dinutuximab is given with isotretinoin, with the goal of maintaining the response achieved with the previous therapy. Adding dinutuximab to Induction chemotherapy along with standard of care surgical resection of the primary tumor, radiation, stem cell transplantation, and immunotherapy may be better at treating children with newly diagnosed high-risk neuroblastoma.

Recruiting

2 awards

Phase 3

7 criteria

More about Julie Krystal

Clinical Trial Related

9 years of experience running clinical trials · Led 24 trials as a Principal Investigator · 3 Active Clinical Trials

Treatments Julie Krystal has experience with

  • Temozolomide
  • Dinutuximab
  • Irinotecan
  • Larotrectinib
  • Palbociclib
  • Erdafitinib

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