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Spots Global Cancer Trial Database for Chemotherapy Plus Surgery in Treating Children at Risk of or With Stage I Wilms' Tumor

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Trial Identification

Brief Title: Chemotherapy Plus Surgery in Treating Children at Risk of or With Stage I Wilms' Tumor

Official Title: Nephroblastoma Clinical Trial and Study

Study ID: NCT00003804

Conditions

Kidney Cancer

Study Description

Brief Summary: RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. It is not yet known which regimen of chemotherapy is more effective for stage I Wilms' tumor. PURPOSE: Randomized phase III trial to study the effectiveness of chemotherapy and surgery in treating children who are at risk of or who have stage I Wilms' tumor.

Detailed Description: OBJECTIVES: I. Determine the initial extension of disease, surgical procedures, gross and histological morphology, treatments, clinical outcome, and late consequences of therapy after treatment with neoadjuvant chemotherapy, surgery, and adjuvant chemotherapy with or without maintenance chemotherapy in patients with intermediate risk or anaplastic stage I Wilms' tumor. II. Determine the safety and effectiveness of reduced chemotherapy in these patients. OUTLINE: This is a randomized, multicenter study. Patients receive dactinomycin IV on days 1-3 and 15-17 and vincristine IV on days 1, 8, 15, and 22. Patients then undergo surgery about a week after completion of chemotherapy. After surgery, patients receive vincristine IV on days 1, 8, 15, and 22 and dactinomycin IV on days 8-12. Patients are then randomized to one of two treatment arms after week 9. Arm I: Patients receive dactinomycin IV on days 1-5 of week 10 and vincristine IV on day 1 of both weeks 10 and 11. This course is repeated during weeks 17 and 18. Arm II: Patients receive no further treatment. Patients are followed every 3 months for 3 years, then annually thereafter. Peer Reviewed and Funded or Endorsed by Cancer Research UK PROJECTED ACCRUAL: A total of 350 patients (175 per treatment arm) will be accrued for this study within 7-8 years.

Eligibility

Minimum Age:

Eligible Ages: CHILD

Sex: ALL

Healthy Volunteers: No

Locations

Clinique de l'Esperance, Montegnee, , Belgium

Clinical Hospital Center Split, Split, , Croatia

University Children Hospital, Brno, , Czech Republic

Aalborg Hospital, Aalborg, , Denmark

Universtiy Hospital of Aarhus, Aarhus, , Denmark

Odense University Hospital, Odense, , Denmark

Hopital Nord Amiens, Amiens, , France

CHR de Besancon - Hopital Saint-Jacques, Besancon, , France

CHU de Bordeaux - Hopital Pellegrin, Bordeaux, , France

C.H.U. de Brest, Brest, , France

Centre Oscar Lambret, Lille, , France

Centre Hospitalier Regional de Lille, Lille, , France

Centre Hospital Regional Universitaire de Limoges, Limoges, , France

Centre Leon Berard, Lyon, , France

Hopital d'Enfants de la Timone, Marseille, , France

Hopital Arnaud de Villeneuve, Montpellier, , France

CHR Hotel Dieu, Nantes, , France

Centre Antoine Lacassagne, Nice, , France

C.H.U. Saint Etienne Hospital Nord, Saint Etienne, , France

Hopitaux Universitaire de Strasbourg, Strasbourg, , France

Centre Hospitalier Regional de Purpan, Toulouse, , France

C.H. Bastien de Clocheville, Tours, , France

CHRU de Nancy - Hopitaux de Brabois, Vandoeuvre-Les-Nancy, , France

Children's Hospital A. Kyriakou, Athens, , Greece

Ospedale Raffaele Silvestrini, San Sisto Perugia, , Italy

Academisch Medisch Centrum, Amsterdam, , Netherlands

Academisch Ziekenhuis der Vrije Universiteit, Amsterdam, , Netherlands

Emma Kinderziekenhuis, Amsterdam, , Netherlands

University Medical Center Nijmegen, Nijmegen, , Netherlands

Haukeland Hospital - University of Bergen, Bergen, , Norway

University of Tromso, Tromso, , Norway

Regionsykehuset & University Hospital, Trondheim, , Norway

Wroclaw Medical University, Wroclaw (Breslau), , Poland

Hospital Escolar San Joao, Porto, , Portugal

Pediatricna Klinika, Ljubljana, , Slovenia

Hospital General Universitari Vall d'Hebron, Barcelona, , Spain

Centro Medico "La Zarzuela", Madrid, , Spain

Hospital Universitario LaPaz, Madrid, , Spain

Hospital Materno-Infantil, Malaga, , Spain

Hospital General de Galicia, Santiago de Compostela, , Spain

Hospital Des Cruces, Vizcaya, , Spain

Lund University Hospital, Lund, , Sweden

Karolinska Hospital, Stockholm, , Sweden

Tawam Hospital, Abu Dhabi, , United Arab Emirates

Contact Details

Name: Jan DeKraker, MD

Affiliation: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Role: STUDY_CHAIR

Useful links and downloads for this trial

Clinicaltrials.gov

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