Status:

COMPLETED

Treatment of High-Risk Cerebral Primitive Neuroectodermal Tumors in Children Aged Over 5 Years

Lead Sponsor:

Gustave Roussy, Cancer Campus, Grand Paris

Conditions:

Metastatic, Cerebral Primitive Neuroectodermal Tumors

Eligibility:

All Genders

Up to 5 years

Phase:

PHASE2

Brief Summary

Primary objective : To increase the 3 year progression-free survival from 40% to 60%. Patients included : metastatic, cerebral primitive neuroectodermal tumors in children aged over 5 years.

Eligibility Criteria

Inclusion

  • Type of tumor:
  • Metastatic medulloblastoma whatever the quality of the initial resection (radiologically visible metastases by MRI and/or CSF invaded by at least one mass of tumoral cells).
  • Incompletely resected local medulloblastoma with a residue \> 1.5 cm2.
  • Anaplastic, large cell medulloblastoma whatever the risk criteria (localized or metastatic, complete or incomplete resection).
  • Medulloblastoma with amplification of c-myc or N-myc whatever the risk criteria (local or metastatic, complete or incomplete resection).
  • Local and/or metastatic sustentorial PNET.
  • Age at diagnosis of the medulloblastoma of more than 5 years and less than 20 years.
  • Age at diagnosis of S-PNET of more than 10 years and less than 20 years.
  • Nutritional and general status compatible with treatment, Lansky score \> 60.
  • Estimated life expectancy \> 1 months.
  • Radiographs must be available for the second reading in dicom format on a CD-ROM.
  • Hematological function at diagnosis: PMN \> 1.0 x 109/l and platelets \> 100 x 109/l.
  • Hepatic function at diagnosis: serum bilirubin \< 1.5 times normal value; ASAT and ALAT \< 2.5 times normal values; prothrombin time \> 50%; fibrinogen \> 1.5 g/l.
  • Renal function at diagnosis: serum creatinine according to age in a correctly hydrated child: 1 to 15 years \< 65 micromol/l; 15 to 18 years \< 110 micromol/l.
  • No organ toxicity (Grade \> 2 according to NCI-CTC coding, version 2.0)
  • No other concomitant anti-cancer treatment.
  • No prior anti-cancer therapy.
  • No prior irradiation.
  • Written informed consent signed by both parents or legal guardians

Exclusion

  • Failure to comply with one of the inclusion criteria.
  • Severe or life-threatening infection.
  • Uncontrolled active or symptomatic intracranial hypertension.
  • Refusal of parents or legal guardian.
  • Patients incapable of undergoing medical follow-up for geographical, social or mental reasons

Key Trial Info

Start Date :

January 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2012

Estimated Enrollment :

68 Patients enrolled

Trial Details

Trial ID

NCT00936156

Start Date

January 1 2009

End Date

January 1 2012

Last Update

June 29 2020

Active Locations (1)

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1

Institut Gustave Roussy

Villejuif, France, 94800