Etoposide in Treating Young Patients With Relapsed Ependymoma
Recruitment status was Recruiting
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Purpose
RATIONALE: Drugs used in chemotherapy, such as etoposide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing.
PURPOSE: This phase II trial is studying how well etoposide works in treating young patients with ependymoma.
| Condition | Intervention | Phase |
|---|---|---|
|
Brain and Central Nervous System Tumors |
Drug: etoposide Procedure: conventional surgery |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase II Study of Intravenous Etoposide in Patients With Relapsed Ependymoma |
- Response rate by MRI after course 3 [ Designated as safety issue: No ]
- Second surgery or additional radiotherapy in responding patients as assessed by MRI scan after course 3 or 6 [ Designated as safety issue: No ]
| Estimated Enrollment: | 14 |
| Study Start Date: | July 2001 |
| Estimated Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
OBJECTIVES:
Primary
- Determine the response rate in young patients with relapsing and/or refractory ependymoma treated with a rapid schedule of intravenous etoposide.
Secondary
- Determine the possibility of second surgery or additional radiotherapy in these patients.
OUTLINE: This is a multicenter study.
Patients receive etoposide IV over 1 hour on days 1-3, 8-10, and 15-17. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients whose tumor becomes resectable after courses 3 or 6 undergo surgical resection.
After completion of study treatment, patients are followed periodically for approximately 5 years.
PROJECTED ACCRUAL: At least 14 patients will be accrued for this study.
Eligibility| Ages Eligible for Study: | up to 21 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed intracranial ependymoma at first, second, or third relapse
- Anaplastic (malignant) or low-grade ependymoma (cellular, papillary, clear cell, or mixed variants)
- Unequivocal evidence of tumor recurrence or progression by MRI scan after failing conventional treatment (e.g., primary surgery and adjuvant radiotherapy) for initial or recurrent disease
- Unresectable disease OR not amenable to complete surgical resection
Measurable enhancing or non-enhancing disease on baseline scan performed within the past 2 weeks
- Patients who have undergone prior surgery must have residual measurable disease
PATIENT CHARACTERISTICS:
- Lansky performance status 30-100%
- Life expectancy ≥ 8 weeks
- Absolute neutrophil count > 1,000/mm^3
- Platelet count > 100,000/mm^3
- Serum total bilirubin normal
- AST < 2 times upper limit of normal
- No unrelated medical condition (e.g., renal or liver impairment) that would preclude chemotherapy treatment
- No active infection
- No known HIV positivity
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No radiotherapy within the past 6 weeks
- No chemotherapy within the past 4 weeks
- Prior IV etoposide allowed
Contacts and Locations| United Kingdom | |
| Leeds Cancer Centre at St. James's University Hospital | Recruiting |
| Leeds, England, United Kingdom, LS9 7TF | |
| Contact: Susan V. Picton, MD 44-11-32-064-985 | |
| Investigator: | Linda S. Lashford | Christie Hospital NHS Foundation Trust |
| Study Chair: | Susan V. Picton, MD | Leeds Cancer Centre at St. James's University Hospital |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00278252 History of Changes |
| Other Study ID Numbers: | CDR0000454543, CCLG-CNS-2001-4, EU-20576 |
| Study First Received: | January 16, 2006 |
| Last Updated: | July 14, 2009 |
| Health Authority: | Unspecified |
Keywords provided by National Cancer Institute (NCI):
|
recurrent childhood ependymoma childhood infratentorial ependymoma childhood supratentorial ependymoma |
Additional relevant MeSH terms:
|
Ependymoma Nervous System Neoplasms Central Nervous System Neoplasms Glioma Neoplasms, Neuroepithelial Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms by Histologic Type Neoplasms Neoplasms, Glandular and Epithelial |
Neoplasms, Nerve Tissue Neoplasms by Site Nervous System Diseases Etoposide Etoposide phosphate Antineoplastic Agents, Phytogenic Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013