Status:

ACTIVE_NOT_RECRUITING

Combination Chemotherapy With or Without Radiation Therapy in Treating Young Patients With Newly Diagnosed Stage III or Stage IV Wilms' Tumor

Lead Sponsor:

Children's Oncology Group

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Stage III Kidney Wilms Tumor

Stage IV Kidney Wilms Tumor

Eligibility:

All Genders

Up to 29 years

Phase:

PHASE3

Brief Summary

This phase III trial is studying how well combination chemotherapy with or without radiation therapy works in treating young patients with newly diagnosed stage III or stage IV Wilms' tumor. Drugs use...

Detailed Description

PRIMARY OBJECTIVES: I. Determine the 4-year event-free survival (EFS) of patients with stage IV favorable histology (FH) Wilms' tumor with pulmonary metastases only who have complete resolution of pu...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Newly diagnosed Wilms' tumor meeting 1 of the following criteria:
  • Stage IV disease with favorable histology with or without loss of heterozygosity (LOH) for 1p and 16q
  • Stage III disease with favorable histology with LOH for 1p and 16q transferring from clinical trial COG-AREN0532
  • Patients must begin therapy within 14 days after surgery or biopsy, unless medically contraindicated
  • No bilateral Wilms' tumors (stage IV)
  • Patients should be referred to COG-AREN0534
  • Previously enrolled in clinical trial COG-AREN03B2
  • Karnofsky performance status (PS) 50-100% (for patients \> 16 years of age) OR Lansky PS 50-100% (for patients ≤ 16 years of age)
  • Bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • AST or ALT \< 2.5 times ULN
  • Shortening fraction ≥ 27% by echocardiogram OR ejection fraction ≥ 50% by radionuclide angiogram
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No prior tumor-directed chemotherapy or radiotherapy unless transferring from clinical trial COG-AREN0532 OR treatment for emergent issues, as medically indicated
  • No concurrent aprepitant

Exclusion

    Key Trial Info

    Start Date :

    February 26 2007

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    March 31 2026

    Estimated Enrollment :

    395 Patients enrolled

    Trial Details

    Trial ID

    NCT00379340

    Start Date

    February 26 2007

    End Date

    March 31 2026

    Last Update

    October 27 2025

    Active Locations (227)

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    Page 1 of 57 (227 locations)

    1

    Children's Hospital of Alabama

    Birmingham, Alabama, United States, 35233

    2

    University of Alabama at Birmingham Cancer Center

    Birmingham, Alabama, United States, 35233

    3

    USA Health Strada Patient Care Center

    Mobile, Alabama, United States, 36604

    4

    Phoenix Childrens Hospital

    Phoenix, Arizona, United States, 85016