Observation or Radiation Therapy and/or Chemotherapy and Second Surgery in Treating Children Who Have Undergone Surgery for Ependymoma
A Phase II Trial of Conformal Radiation Therapy for Pediatric Patients With Localized Ependymoma, Chemotherapy Prior to Second Surgery for Incompletely Resected Ependymoma and Observation for Completely Resected, Differentiated, Supratentorial Ependymoma
4 other identifiers
interventional
378
6 countries
165
Brief Summary
RATIONALE: Specialized radiation therapy that delivers a high dose of radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving chemotherapy before surgery may shrink the tumor so that it can be removed during surgery. PURPOSE: Phase II trial to determine the effectiveness of specialized radiation therapy either alone or after chemotherapy and second surgery in treating children who have undergone surgery for localized ependymoma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Aug 2003
Longer than P75 for phase_2
165 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 7, 2001
CompletedFirst Posted
Study publicly available on registry
January 27, 2003
CompletedStudy Start
First participant enrolled
August 1, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2016
CompletedResults Posted
Study results publicly available
March 1, 2017
CompletedAugust 7, 2019
January 1, 2017
6.4 years
December 7, 2001
May 27, 2016
July 24, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Event-free Survival
Event-free survival is calculated from the date of study enrollment to the date of disease progression, disease relapse, occurrence of second neoplasm, or death from any cause. The product-limit (Kaplan-Meier) estimate is for estimation of Event -free survival (EFS) probability at 5 years.
Up to 5 years after completion of study treatment
Secondary Outcomes (5)
Overall Survival
Up to 5 years after completion of study treatment
Rate of Gross-total or Near-total Resection and Second Surgery After Chemotherapy
At the time of second surgery
Event-free Survival (EFS)
At 5 years since the time of radiation therapy.
Event-free Survival (EFS)
At 5 years since the time of radiation therapy
Local Control and Patterns of Failure
Up to 5 years after completion of study treatment
Study Arms (3)
GTR1 Differentiated Histology Supratentorial (Group 1)
NO INTERVENTIONPatients undergo observation.
Radiation (Group 2)
EXPERIMENTALSupratentorial Anaplastic Ependymoma (GTR1, GTR2, NTR) and Anaplastic or Differentiated Infratentorial Ependymoma (GTR1, GTR2, NTR) and Supratentorial Differentiated Ependymoma(GTR2, NTR). Patients undergo conformal radiation therapy to the brain once daily 5 days a week for 6-6½ weeks.
Sub-Total Resection Any Histology or Location (STR) (Group 3)
EXPERIMENTALPatients receive an initial course of chemotherapy comprising vincristine sulfate IV on days 1 and 8, carboplatin IV over 1 hour on day 1, and cyclophosphamide IV over 1 hour on days 1 and 2. Patients also receive filgrastim (G-CSF) subcutaneously or IV beginning on day 3 and continuing until blood counts recover. Patients then receive a second course of chemotherapy comprising vincristine sulfate IV on days 1 and 8, carboplatin IV over 1 hour on day 1, and oral etoposide on days 1-21. After completion of chemotherapy, patients are evaluated for second therapeutic conventional surgery. Patients who have unresectable disease undergo conformal radiation therapy. Patients who have resectable disease undergo second surgery followed by conformal radiotherapy.
Interventions
Given IV or SC (5mcg/kg/day) start on Day 3 and continue until ANC \>1500/μl given subcutaneously or intravenously.
Given IV (375 mg/m2/day) Day 1 given as an IV infusion over one hour. For patients with BSA \<0.45m2 the dose is 12.5 mg/kg/day.
Given IV (1000mg/m2/day) Day 1 and 2 given as an IV infusion over one hour following carboplatin administration. For patients with BSA\<0.45m2 the dose is 33mg/kg/day on Day 1 and 2.
Given orally (50 mg/m2/day) orally once daily on Days 1 through 21. For patients with BSA \< 0.45 m2, the dosage is 1.7 mg/kg/day on Days 1 through 21.
Given IV or orally (1.5mg/m2/day) (maximum dose 2 mg) Day 1 and 8 given as IV bolus. For patients with BSA\<0.45m2 the dose is 0.05mg/kg.
Given once daily 5 days a week for 6-6½ weeks
Mesna (200mg/m2/dose) Day 1 and 2. For patients with BSA\<0.45m2 the dose is (7mg/kg/dose). Combine mesna (200mg/m2) with cyclophosphamide and administer intravenously over one hour followed by mesna (200mg/m2) in 375 cc/m2 D5-1/2NS and run intravenously over 3 hours at 125cc/m2/hr. After 3 hour mesna, administer mesna (200 mg/m2/dose) IV over 15 minutes at hour 5.
Eligibility Criteria
Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.
Sponsors & Collaborators
- Children's Oncology Grouplead
- National Cancer Institute (NCI)collaborator
Study Sites (165)
Lurleen Wallace Comprehensive Cancer at University of Alabama - Birmingham
Birmingham, Alabama, 35294, United States
Phoenix Children's Hospital
Phoenix, Arizona, 85016-7710, United States
Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
Southern California Permanente Medical Group
Downey, California, 90242-2814, United States
Loma Linda University Cancer Institute at Loma Linda University Medical Center
Loma Linda, California, 92354, United States
Jonathan Jaques Children's Cancer Center at Miller Children's Hospital
Long Beach, California, 90801, United States
Childrens Hospital Los Angeles
Los Angeles, California, 90027, United States
Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center
Los Angeles, California, 90048-1865, United States
Children's Hospital Central California
Madera, California, 93638-8762, United States
Children's Hospital & Research Center Oakland
Oakland, California, 94609, United States
Children's Hospital of Orange County
Orange, California, 92868, United States
Sutter Cancer Center
Sacramento, California, 95816, United States
University of California Davis Cancer Center
Sacramento, California, 95817, United States
Kaiser Permanente Medical Center - Oakland
Sacramento, California, 95825, United States
Children's Hospital and Health Center - San Diego
San Diego, California, 92123-4282, United States
UCSF Comprehensive Cancer Center
San Francisco, California, 94115, United States
Stanford Comprehensive Cancer Center - Stanford
Stanford, California, 94305, United States
Children's Hospital Cancer Center
Denver, Colorado, 80218-1088, United States
Carole and Ray Neag Comprehensive Cancer Center at the University of Connecticut Health Center
Farmington, Connecticut, 06360-2875, United States
Alfred I. duPont Hospital for Children
Wilmington, Delaware, 19803, United States
Children's National Medical Center
Washington D.C., District of Columbia, 20010-2970, United States
Lee Cancer Care of Lee Memorial Health System
Fort Myers, Florida, 33901, United States
University of Florida Shands Cancer Center
Gainesville, Florida, 32610-0232, United States
Nemours Children's Clinic
Jacksonville, Florida, 32207, United States
Miami Children's Hospital
Miami, Florida, 33155, United States
Florida Hospital Cancer Institute at Florida Hospital Orlando
Orlando, Florida, 32803-1273, United States
Nemours Children's Clinic - Orlando
Orlando, Florida, 32806, United States
Sacred Heart Cancer Center at Sacred Heart Hospital
Pensacola, Florida, 32504, United States
All Children's Hospital
St. Petersburg, Florida, 33701, United States
St. Joseph's Cancer Institute at St. Joseph's Hospital
Tampa, Florida, 33607, United States
Kaplan Cancer Center at St. Mary's Medical Center
West Palm Beach, Florida, 33407, United States
Winship Cancer Institute of Emory University
Atlanta, Georgia, 30322, United States
MBCCOP - Medical College of Georgia Cancer Center
Augusta, Georgia, 30912-3730, United States
Cancer Research Center of Hawaii
Honolulu, Hawaii, 96813, United States
St. Luke's Mountain States Tumor Institute - Boise
Boise, Idaho, 83712-6297, United States
Rush University Medical Center
Chicago, Illinois, 60612, United States
Children's Memorial Hospital - Chicago
Chicago, Illinois, 60614, United States
University of Chicago Cancer Research Center
Chicago, Illinois, 60637-1470, United States
Cardinal Bernardin Cancer Center at Loyola University Medical Center
Maywood, Illinois, 60153, United States
Advocate Christ Medical Center
Oak Lawn, Illinois, 60453, United States
Advocate Lutheran General Cancer Care Center
Park Ridge, Illinois, 60068-1174, United States
Saint Jude Midwest Affiliate
Peoria, Illinois, 61637, United States
Southern Illinois University School of Medicine
Springfield, Illinois, 62794-9620, United States
St. Vincent Indianapolis Hospital
Indianapolis, Indiana, 46260, United States
Blank Children's Hospital
Des Moines, Iowa, 50309, United States
Markey Cancer Center at University of Kentucky Chandler Medical Center
Lexington, Kentucky, 40536-0293, United States
Kosair Children's Hospital
Louisville, Kentucky, 40232, United States
CancerCare of Maine at Eastern Maine Medial Center
Bangor, Maine, 04401, United States
Maine Children's Cancer Program at Barbara Bush Children's Hospital
Scarborough, Maine, 04074-9308, United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Baltimore, Maryland, 21231-2410, United States
Floating Hospital for Children at Tufts - New England Medical Center
Boston, Massachusetts, 02111, United States
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
Boston, Massachusetts, 02115, United States
C.S. Mott Children's Hospital at University of Michigan Medical Center
Ann Arbor, Michigan, 48109-0286, United States
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201-1379, United States
Hurley Medical Center
Flint, Michigan, 48503, United States
Spectrum Health Hospital - Butterworth Campus
Grand Rapids, Michigan, 49503-2560, United States
Van Elslander Cancer Center at St. John Hospital and Medical Center
Grosse Pointe Woods, Michigan, 48236, United States
CCOP - Kalamazoo
Kalamazoo, Michigan, 49007-5341, United States
Breslin Cancer Center at Ingham Regional Medical Center
Lansing, Michigan, 48910, United States
Children's Hospitals and Clinics of Minnesota - Minneapolis
Minneapolis, Minnesota, 55404, United States
University of Minnesota Cancer Center at University of Minnesota
Minneapolis, Minnesota, 55455, United States
Mayo Clinic Cancer Center
Rochester, Minnesota, 55905, United States
University of Mississippi Cancer Clinic
Jackson, Mississippi, 39216-4505, United States
Children's Mercy Hospital
Kansas City, Missouri, 64108, United States
Cardinal Glennon Children's Hospital
St Louis, Missouri, 63104, United States
Siteman Cancer Center at Barnes-Jewish Hospital
St Louis, Missouri, 63110, United States
Children's Hospital
Omaha, Nebraska, 68114-4113, United States
Sunrise Hospital and Medical Center
Las Vegas, Nevada, 89109-2306, United States
Hackensack University Medical Center Cancer Center
Hackensack, New Jersey, 07601, United States
Overlook Hospital
Morristown, New Jersey, 07962, United States
Saint Peter's University Hospital
New Brunswick, New Jersey, 08901, United States
Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
New Brunswick, New Jersey, 08903, United States
St. Joseph's Hospital and Medical Center
Paterson, New Jersey, 07503, United States
University of New Mexico Cancer Research and Treatment Center
Albuquerque, New Mexico, 87131-5636, United States
Albany Medical Center Hospital
Albany, New York, 12208-3419, United States
Roswell Park Cancer Institute
Buffalo, New York, 14263-0001, United States
Schneider Children's Hospital
New Hyde Park, New York, 11040, United States
NYU Cancer Institute at New York University Medical Center
New York, New York, 10016, United States
Memorial Sloan - Kettering Cancer Center
New York, New York, 10021-6094, United States
Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center
New York, New York, 10032, United States
James P. Wilmot Cancer Center at University of Rochester Medical Center
Rochester, New York, 14642, United States
SUNY Upstate Medical University Hospital
Syracuse, New York, 13210, United States
Albert Einstein Cancer Center at Albert Einstein College of Medicine
The Bronx, New York, 10461, United States
New York Medical College
Valhalla, New York, 10595, United States
Blumenthal Cancer Center at Carolinas Medical Center
Charlotte, North Carolina, 28232-2861, United States
Presbyterian Cancer Center at Presbyterian Hospital
Charlotte, North Carolina, 28233-3549, United States
Duke Comprehensive Cancer Center
Durham, North Carolina, 27710, United States
Wake Forest University Comprehensive Cancer Center
Winston-Salem, North Carolina, 27157-1096, United States
CCOP - MeritCare Hospital
Fargo, North Dakota, 58122, United States
Children's Hospital Medical Center of Akron
Akron, Ohio, 44308-1062, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229-3039, United States
Rainbow Babies and Children's Hospital
Cleveland, Ohio, 44106-5000, United States
Cleveland Clinic Taussig Cancer Center
Cleveland, Ohio, 44195, United States
Columbus Children's Hospital
Columbus, Ohio, 43205-2696, United States
Children's Medical Center - Dayton
Dayton, Ohio, 45404-1815, United States
Toledo Hospital
Toledo, Ohio, 43606, United States
Medical University of Ohio Cancer Center
Toledo, Ohio, 43614, United States
Tod Children's Hospital
Youngstown, Ohio, 44501, United States
Oklahoma University Cancer Institute
Oklahoma City, Oklahoma, 73104, United States
Legacy Emanuel Hospital and Health Center & Children's Hospital
Portland, Oregon, 97227, United States
Geisinger Medical Center
Danville, Pennsylvania, 17822-0001, United States
Penn State Cancer Institute at Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033-0850, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104-9786, United States
St. Christopher's Hospital for Children
Philadelphia, Pennsylvania, 19134-1095, United States
Children's Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15213, United States
Rhode Island Hospital Comprehensive Cancer Center
Providence, Rhode Island, 02903, United States
Hollings Cancer Center at Medical University of South Carolina
Charleston, South Carolina, 29425, United States
Greenville Hospital System Cancer Center
Greenville, South Carolina, 29605, United States
Sanford Cancer Center at Sanford USD Medical Center
Sioux Falls, South Dakota, 57117-5039, United States
T.C. Thompson Children's Hospital
Chattanooga, Tennessee, 37403, United States
East Tennessee Children's Hospital
Knoxville, Tennessee, 37901, United States
St. Jude Children's Research Hospital
Memphis, Tennessee, 38105, United States
Vanderbilt-Ingram Cancer Center
Nashville, Tennessee, 37232-6838, United States
Texas Tech University Health Sciences Center School of Medicine - Amarillo
Amarillo, Texas, 79106, United States
Children's Hospital of Austin
Austin, Texas, 78701, United States
Driscoll Children's Hospital
Corpus Christi, Texas, 78411, United States
Medical City Dallas Hospital
Dallas, Texas, 75230, United States
Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas
Dallas, Texas, 75390, United States
Cook Children's Medical Center - Fort Worth
Fort Worth, Texas, 76104, United States
Baylor University Medical Center - Houston
Houston, Texas, 77030-2399, United States
M. D. Anderson Cancer Center at University of Texas
Houston, Texas, 77030-4009, United States
Covenant Children's Hospital
Lubbock, Texas, 79410, United States
Methodist Children's Hospital of South Texas
San Antonio, Texas, 78229-3993, United States
CCOP - Scott and White Hospital
Temple, Texas, 76508, United States
Primary Children's Medical Center
Salt Lake City, Utah, 84113-1100, United States
Fletcher Allen Health Care - University Health Center Campus
Burlington, Vermont, 05401, United States
INOVA Fairfax Hospital
Falls Church, Virginia, 22042-3300, United States
Children's Hospital of The King's Daughters
Norfolk, Virginia, 23507-1971, United States
Naval Medical Center - Portsmouth
Portsmouth, Virginia, 23708-2197, United States
Virginia Commonwealth University Massey Cancer Center
Richmond, Virginia, 23298-0037, United States
Carilion Cancer Center of Western Virginia
Roanoke, Virginia, 24029, United States
Children's Hospital and Regional Medical Center - Seattle
Seattle, Washington, 98105, United States
Providence Cancer Center at Sacred Heart Medical Center
Spokane, Washington, 99220-2555, United States
West Virginia University - Robert C. Byrd Health Sciences Center - Charleston Division
Charleston, West Virginia, 25302, United States
Edwards Comprehensive Cancer Center at Cabell Huntington Hospital
Huntington, West Virginia, 25701, United States
St. Vincent Hospital Regional Cancer Center
Green Bay, Wisconsin, 54307-3508, United States
University of Wisconsin Paul P. Carbone Comprehensive Cancer Center
Madison, Wisconsin, 53792-6164, United States
Marshfield Clinic - Marshfield Center
Marshfield, Wisconsin, 54449, United States
Midwest Children's Cancer Center
Milwaukee, Wisconsin, 53226, United States
John Hunter Hospital
Newcastle, New South Wales, 2310, Australia
Prince of Wales Private Hospital
Randwick, New South Wales, 2031, Australia
Westmead Institute for Cancer Research at Westmead Hospital
Westmead, New South Wales, 2145, Australia
Royal Children's Hospital
Herston, Brisbane, Queensland, 4029, Australia
Women's and Children's Hospital
North Adelaide, South Australia, 5006, Australia
Royal Children's Hospital
Parkville, Victoria, 3052, Australia
Princess Margaret Hospital for Children
Perth, Western Australia, 6001, Australia
Alberta Children's Hospital
Calgary, Alberta, T3B 6A8, Canada
University of Alberta Hospital
Edmonton, Alberta, T6G 1Z2, Canada
Children's & Women's Hospital of British Columbia
Vancouver, British Columbia, V6H 3V4, Canada
CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9, Canada
IWK Health Centre
Halifax, Nova Scotia, B3K 6R8, Canada
McMaster Children's Hospital at Hamilton Health Sciences
Hamilton, Ontario, L8N 3Z5, Canada
Children's Hospital of Western Ontario
London, Ontario, N6A 4G5, Canada
Children's Hospital of Eastern Ontario
Ottawa, Ontario, K1H 8L1, Canada
Hospital for Sick Children
Toronto, Ontario, M5G 1X8, Canada
Hopital Sainte Justine
Montreal, Quebec, H3T 1C5, Canada
Allan Blair Cancer Centre at Pasqua Hospital
Regina, Saskatchewan, S4T 7T1, Canada
Saskatoon Cancer Centre at the University of Saskatchewan
Saskatoon, Saskatchewan, S7N 4H4, Canada
Centre Hospitalier Universitaire de Quebec
Québec, G1V 4G2, Canada
University Medical Center Groningen
Groningen, 9713 EZ, Netherlands
Starship Children's Health
Auckland, 1, New Zealand
Swiss Pediatric Oncology Group Bern
Bern, 3010, Switzerland
Swiss Pediatric Oncology Group Geneva
Geneva, 1205, Switzerland
Swiss Pediatric Oncology Group Lausanne
Lausanne, 1011, Switzerland
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Results Reporting Coordinator
- Organization
- Children's Oncology Group
Study Officials
- STUDY CHAIR
Thomas E. Merchant, DO, PhD
St. Jude Children's Research Hospital
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 7, 2001
First Posted
January 27, 2003
Study Start
August 1, 2003
Primary Completion
January 1, 2010
Study Completion
March 31, 2016
Last Updated
August 7, 2019
Results First Posted
March 1, 2017
Record last verified: 2017-01