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Chemotherapy Followed by Peripheral Stem Cell Transplantation in Treating Children With Newly Diagnosed Brain Tumor
This study is ongoing, but not recruiting participants.
First Received: November 1, 1999   Last Updated: February 6, 2009   History of Changes
Sponsor: New York University School of Medicine
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00003273
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining chemotherapy with peripheral stem cell transplantation may allow the doctor to give higher doses of chemotherapy drugs and kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of different regimens of combination chemotherapy followed by peripheral stem cell transplantation in treating children who have newly diagnosed brain tumor.


Condition Intervention Phase
Brain and Central Nervous System Tumors
Neuroblastoma
Retinoblastoma
Sarcoma
Biological: filgrastim
Drug: carboplatin
Drug: cisplatin
Drug: cyclophosphamide
Drug: etoposide
Drug: leucovorin calcium
Drug: methotrexate
Drug: temozolomide
Drug: thiotepa
Drug: vincristine sulfate
Procedure: autologous bone marrow transplantation
Procedure: peripheral blood stem cell transplantation
Radiation: radiation therapy
Phase II

Study Type: Interventional
Study Design: Treatment
Official Title: Dose Intensive Chemotherapy for Children Less Than Ten Years of Age Newly-Diagnosed With Malignant Brain Tumors: A Pilot Study of Two Alternative Intensive Induction Chemotherapy Regimens, Followed by Consolidation With Myeloablative Chemotherapy (Thiotepa, Etoposide and Carboplatin) and Autologous Stem Cell Rescue

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 96
Study Start Date: November 1997
  Show Detailed Description

  Eligibility

Ages Eligible for Study:   up to 10 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed malignant, newly diagnosed brain tumor

Regimen A:

  • Posterior fossa medulloblastoma/primitive neuroectodermal tumor (PNET):

    • All stages, under 3 years at diagnosis OR
    • High stage (local residual tumor postoperatively and/or neuraxis or extraneural dissemination), 3-10 years at diagnosis
  • Supratentorial PNET, pineoblastoma, cerebral neuroblastoma, ependymoblastoma, medulloepithelioma, medullomyoblastoma:

    • All stages, under 10 years at diagnosis
  • Brainstem PNET:

    • All stages, irrespective of extent of resection, under 10 years at diagnosis
  • Ependymoma or anaplastic ependymoma:

    • All stages, any location (except primary spinal cord ependymoma), under 3 years at diagnosis OR
    • Local residual tumor postoperatively and/or neuraxis dissemination, any location, 3-10 years at diagnosis
  • Supratentorial ependymoma:

    • All stages, irrespective of extent of resection, under 10 years at diagnosis, excluding gross totally resected (confirmed by postoperative MRI) low grade ependymoma not invading the ventricular system
  • Metastatic retinoblastoma:

    • Previously untreated (except for cryosurgery or laser surgery), under 10 years at presentation of metastatic disease
  • Primary atypical teratoid/rhabdoid tumors of the CNS:

    • Under 10 years at diagnosis
  • Choroid plexus carcinoma:

    • Incompletely resected, all sites, under 10 years at diagnosis

Regimen C:

  • Anaplastic astrocytoma, glioblastoma multiforme, anaplastic oligodendroglioma, anaplastic ganglioglioma, other anaplastic mixed gliomas:

    • Under 10 years at diagnosis
  • Diffuse intrinsic pontine tumors:

    • Unbiopsied, under 10 years at diagnosis

The following diagnoses are not eligible:

  • Myxopapillary ependymoma of the spinal cord, low grade brainstem astrocytoma, primary CNS lymphoma or solid leukemic lesion (i.e., chloroma, granulocytic sarcoma), or primary CNS germ cell tumor

PATIENT CHARACTERISTICS:

Age:

  • Under 10 at diagnosis

Performance status:

  • Not specified

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Bilirubin less than 1.5 mg/dL
  • SGPT less than 2.5 times upper limit of normal

Renal:

  • Creatinine clearance greater than 60 mL/min

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • No prior chemotherapy

Endocrine therapy:

  • Prior corticosteroids allowed
  • No concurrent corticosteroids for the sole purpose of antiemesis

Radiotherapy:

  • No prior radiotherapy

Surgery:

  • See Disease Characteristics
  • Recovered from prior surgery
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00003273

Locations
United States, Hawaii
Cancer Research Center of Hawaii
Honolulu, Hawaii, United States, 96813
United States, Maine
Maine Children's Cancer Program
Scarborough, Maine, United States, 04074-9308
United States, Michigan
Spectrum Health and DeVos Children's Hospital
Grand Rapids, Michigan, United States, 49503
United States, Nebraska
Children's Hospital of Omaha
Omaha, Nebraska, United States, 68114
United States, New Jersey
Hackensack University Medical Center
Hackensack, New Jersey, United States, 07601
United States, New York
Albert Einstein Clinical Cancer Center
Bronx, New York, United States, 10461
Beth Israel Hospital North
New York, New York, United States, 10128
Herbert Irving Comprehensive Cancer Center
New York, New York, United States, 10032
Memorial Sloan-Kettering Cancer Center
New York, New York, United States, 10021
NYU School of Medicine's Kaplan Comprehensive Cancer Center
New York, New York, United States, 10016
State University of New York - Upstate Medical University
Syracuse, New York, United States, 13210
State University of New York Health Sciences Center - Stony Brook
Stony Brook, New York, United States, 11790-7775
Winthrop University Hospital
Mineola, New York, United States, 11501
United States, Ohio
St. Vincent Mercy Medical Center
Toledo, Ohio, United States, 43608
United States, Pennsylvania
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States, 19104
Milton S. Hershey Medical Center
Hershey, Pennsylvania, United States, 17033-0850
United States, Wisconsin
University of Wisconsin Comprehensive Cancer Center
Madison, Wisconsin, United States, 53792-6164
Argentina
Children's Hospital
Buenos Aires, Argentina, 1425
Canada, British Columbia
British Columbia Children's Hospital
Vancouver, British Columbia, Canada, V6H 3V4
Sponsors and Collaborators
New York University School of Medicine
Investigators
Study Chair: Jonathan L. Finlay, MB, ChB New York University School of Medicine
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000066174, NYU-P9712, NCI-V98-1400
Study First Received: November 1, 1999
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00003273     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
childhood infratentorial ependymoma
childhood supratentorial ependymoma
localized resectable neuroblastoma
regional neuroblastoma
disseminated neuroblastoma
stage 4S neuroblastoma
extraocular retinoblastoma
childhood choroid plexus tumor
localized unresectable neuroblastoma
previously untreated childhood rhabdomyosarcoma
untreated childhood supratentorial primitive neuroectodermal tumor
untreated childhood medulloblastoma
newly diagnosed childhood ependymoma

Additional relevant MeSH terms:
Retinal Neoplasms
Antimetabolites, Antineoplastic
Neuroectodermal Tumors, Primitive
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Central Nervous System Neoplasms
Retinoblastoma
Brain Diseases
Neoplasms, Connective and Soft Tissue
Neoplasms by Site
Therapeutic Uses
Abortifacient Agents
Methotrexate
Dermatologic Agents
Etoposide
Nucleic Acid Synthesis Inhibitors
Nervous System Neoplasms
Eye Neoplasms
Nervous System Diseases
Vincristine
Carboplatin
Abortifacient Agents, Nonsteroidal
Temozolomide
Thiotepa
Neuroectodermal Tumors
Brain Neoplasms
Neoplasms
Sarcoma
Neoplasms, Neuroepithelial
Antineoplastic Agents, Phytogenic

ClinicalTrials.gov processed this record on November 11, 2009