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Spots Global Cancer Trial Database for Combination Chemotherapy Plus Radiation Therapy in Treating Patients With Newly Diagnosed Brain Stem Glioma

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Trial Identification

Brief Title: Combination Chemotherapy Plus Radiation Therapy in Treating Patients With Newly Diagnosed Brain Stem Glioma

Official Title: Vincristine, Etoposide and Cyclosporine A in Concert With Standard Dose Radiation Therapy in Diffuse Intrinsic Brain Stem Glioma - A Phase I Study of Dose Escalation of Vincristine

Study ID: NCT00003625

Study Description

Brief Summary: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining more than one chemotherapy drug with radiation therapy may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of combination chemotherapy plus radiation therapy in treating patients with newly diagnosed brain stem glioma.

Detailed Description: OBJECTIVES: I. Determine the maximum tolerated dose and dose limiting toxicity of vincristine given as an IV push dose in combination with continuous infusion cyclosporine and oral etoposide concurrent with and prior to radiotherapy in children with newly diagnosed primary intrinsic brain stem glioma. II. Determine the incidence and severity of other toxicities of vincristine in this regimen in these patients. III. Determine a safe and tolerable dose of vincristine under these conditions to be used in phase II studies. IV. Seek preliminary evidence of antitumor activity in this setting in these patients. OUTLINE: This is dose escalation study of vincristine. Patients receive radiotherapy daily for 6 weeks with concurrent induction chemotherapy. Induction chemotherapy consists of vincristine IV push weekly for 6 weeks, oral etoposide daily on days 1-21 and 29-49 and cyclosporine IV over 2 hours prior to vincristine followed by a continuous 36 hour infusion. Cohorts of 3-6 patients receive escalating doses of vincristine. If dose limiting toxicity (DLT) occurs in 2 or more of 3-6 patients, the maximum tolerated dose (MTD) has been exceeded and the preceding dose is declared the MTD. Maintenance therapy consists of 6 monthly courses of cyclosporine IV over 36 hours beginning on day 1, vincristine IV push on day 1, and oral etoposide daily for days 1-21. Patients are followed every 6 months for 4 years and then annually thereafter. PROJECTED ACCRUAL: At least 6 patients will be accrued into this study at a rate of 12 patients per year.

Eligibility

Minimum Age: 3 Years

Eligible Ages: CHILD, ADULT

Sex: ALL

Healthy Volunteers: No

Locations

University of Alabama Comprehensive Cancer Center, Birmingham, Alabama, United States

Arizona Cancer Center, Tucson, Arizona, United States

University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States

University of California San Diego Cancer Center, La Jolla, California, United States

Lucile Packard Children's Hospital at Stanford, Palo Alto, California, United States

Sutter Cancer Center, Sacramento, California, United States

Kaiser Permanente-Southern California Permanente Medical Group, San Diego, California, United States

Naval Medical Center - San Diego, San Diego, California, United States

Kaiser Permanente Medical Center - Santa Clara, Santa Clara, California, United States

Nemours Children's Clinic, Jacksonville, Florida, United States

Sylvester Cancer Center, University of Miami, Miami, Florida, United States

Baptist Hospital of Miami, Miami, Florida, United States

Walt Disney Memorial Cancer Institute, Orlando, Florida, United States

St. Mary's Hospital, West Palm Beach, Florida, United States

Emory University Hospital - Atlanta, Atlanta, Georgia, United States

Tripler Army Medical Center, Honolulu, Hawaii, United States

Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois, United States

Children's Memorial Hospital, Chicago, Chicago, Illinois, United States

Christ Hospital, Oak Lawn, Illinois, United States

Saint Jude Midwest Affiliate, Peoria, Illinois, United States

University of Kansas Medical Center, Kansas City, Kansas, United States

Via Christi Regional Medical Center-Saint Francis Campus, Wichita, Kansas, United States

Tulane University School of Medicine, New Orleans, Louisiana, United States

Eastern Maine Medical Center, Bangor, Maine, United States

Maine Children's Cancer Program, Portland, Maine, United States

Johns Hopkins Oncology Center, Baltimore, Maryland, United States

Floating Hospital for Children, Boston, Massachusetts, United States

Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

Children's Hospital of Michigan, Detroit, Michigan, United States

St. John's Hospital and Medical Center, Detroit, Michigan, United States

Hurley Medical Center, Flint, Michigan, United States

University of Mississippi Medical Center, Jackson, Mississippi, United States

Keesler Medical Center - Keesler AFB, Keesler AFB, Mississippi, United States

University of Missouri-Columbia Hospital and Clinics, Columbia, Missouri, United States

Cardinal Glennon Children's Hospital, Saint Louis, Missouri, United States

Washington University School of Medicine, Saint Louis, Missouri, United States

Norris Cotton Cancer Center, Lebanon, New Hampshire, United States

Hackensack University Medical Center, Hackensack, New Jersey, United States

University of New Mexico School of Medicine, Albuquerque, New Mexico, United States

Roswell Park Cancer Institute, Buffalo, New York, United States

State University of New York Health Sciences Center - Stony Brook, Stony Brook, New York, United States

State University of New York - Upstate Medical University, Syracuse, New York, United States

Duke Comprehensive Cancer Center, Durham, North Carolina, United States

Oklahoma Memorial Hospital, Oklahoma City, Oklahoma, United States

Natalie Warren Bryant Cancer Center, Tulsa, Oklahoma, United States

Medical University of South Carolina, Charleston, South Carolina, United States

James H. Quillen College of Medicine, Johnson City, Tennessee, United States

Saint Jude Children's Research Hospital, Memphis, Tennessee, United States

Medical City Dallas Hospital, Dallas, Texas, United States

Simmons Cancer Center - Dallas, Dallas, Texas, United States

Cook Children's Medical Center - Fort Worth, Fort Worth, Texas, United States

University of Texas Medical Branch, Galveston, Texas, United States

Baylor College of Medicine, Houston, Texas, United States

San Antonio Military Pediatric Cancer and Blood Disorders Center, Lackland Air Force Base, Texas, United States

University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States

Scott and White Clinic, Temple, Texas, United States

Vermont Cancer Center, Burlington, Vermont, United States

Inova Fairfax Hospital, Falls Church, Virginia, United States

Carilion Roanoke Memorial Hospital, Roanoke, Virginia, United States

Madigan Army Medical Center, Tacoma, Washington, United States

West Virginia University Medical School, Charleston Division, Charleston, West Virginia, United States

West Virginia University Hospitals, Morgantown, West Virginia, United States

St. Vincent Hospital, Green Bay, Wisconsin, United States

Midwest Children's Cancer Center, Milwaukee, Wisconsin, United States

Alberta Children's Hospital, Calgary, Alberta, Canada

Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada

Hospital for Sick Children, Toronto, Ontario, Canada

Montreal Children's Hospital, Montreal, Quebec, Canada

Hopital Sainte Justine, Montreal, Quebec, Canada

Centre Hospitalier de L'Universite Laval, Sainte Foy, Quebec, Canada

Academisch Ziekenhuis Groningen, Groningen, , Netherlands

San Jorge Childrens Hospital, Santurce, , Puerto Rico

Clinique de Pediatrie, Geneva, , Switzerland

Contact Details

Name: Mark L. Greenberg, MD

Affiliation: The Hospital for Sick Children

Role: STUDY_CHAIR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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