Status:
UNKNOWN
Radiation Therapy Followed By Combination Chemotherapy in Treating Young Patients With Supratentorial Primitive Neuroectodermal Tumors
Lead Sponsor:
Children's Cancer and Leukaemia Group
Conditions:
Brain and Central Nervous System Tumors
Eligibility:
All Genders
3-18 years
Phase:
PHASE2
Brief Summary
RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as lomustine, cisplatin, and vincristine, work in different ways to stop the growth of tumor ...
Detailed Description
OBJECTIVES: Primary * Determine the toxicity of hyperfractionated accelerated radiotherapy (HART) in pediatric patients with nonpineal supratentorial primitive neuroectodermal tumors. Secondary * ...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically proven nonpineal supratentorial primitive neuroectodermal tumors
- No supratentorial atypical teratoid/rhabdoid tumors or medulloepitheliomas
- Localized or metastatic disease
- Metastatic disease is defined as unequivocal evidence of supratentorial metastases and/or spinal metastases on pre-operative or postoperative MRI scan OR tumor cells seen on cytospin analysis of lumbar cerebrospinal fluid (stage M1) performed between 15 days and 21 days after surgery
- Has undergone surgical resection within the past 4-6 weeks
- PATIENT CHARACTERISTICS:
- Able to cooperate with twice daily fractions of radiotherapy
- Hemoglobin ≥ 10 g/dL
- Absolute neutrophil count ≥ 1,000/mm\^3
- Platelet count ≥ 100,000/mm\^3
- Neurologically stable (or improving) during the week before starting radiotherapy
- Lansky performance status 30-100% (for patients 1 to 16 years of age) OR
- Karnofsky performance status 30-100% (for patients over 16 years of age)
- Must be able to comply with the chemotherapy protocol (e.g., no hearing loss, renal impairment)
- No presence of active uncontrolled infection
- No previous malignant disease
- Not pregnant or nursing
- No syndrome with recognized potential for increased sensitivity to radiotherapy and/or chromosomal fragility
- PRIOR CONCURRENT THERAPY:
- No previous chemotherapy or radiotherapy
- The patient should not be receiving steroids, if possible, at the start of radiotherapy or should be on a stable or reducing dose of steroids during the week before starting radiotherapy
Exclusion
Key Trial Info
Start Date :
February 1 2004
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
Estimated Enrollment :
30 Patients enrolled
Trial Details
Trial ID
NCT00274911
Start Date
February 1 2004
Last Update
August 2 2013
Active Locations (21)
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1
Our Lady's Hospital for Sick Children Crumlin
Dublin, Ireland, 12
2
Birmingham Children's Hospital
Birmingham, England, United Kingdom, B4 6NH
3
Institute of Child Health at University of Bristol
Bristol, England, United Kingdom, BS2 8AE
4
Addenbrooke's Hospital
Cambridge, England, United Kingdom, CB2 2QQ