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Brief Title: Irinotecan in Treating Young Patients With Refractory or Recurrent Hepatoblastoma
Official Title: Irinotecan Single-Drug Treatment For Children With Refractory or Recurrent Hepatoblastoma
Study ID: NCT00287976
Brief Summary: RATIONALE: Drugs used in chemotherapy, such as irinotecan, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. PURPOSE: This phase II trial is studying how well irinotecan works in treating young patients with refractory or recurrent hepatoblastoma.
Detailed Description: OBJECTIVES: Primary * Determine the biological activity of irinotecan hydrochloride, when given on a prolonged schedule, in terms of response rate and rate of early progression, in young patients with refractory or recurrent hepatoblastoma. Secondary * Determine the duration of response in patients showing stable disease or an objective response (partial or complete response) to this drug. * Determine the time to progression and overall survival of patients treated with this drug. * Determine the rate of resectability in patients treated with this drug. * Determine the toxicity of this drug in these patients. OUTLINE: This is a multicenter study. Patients receive irinotecan IV over 1 hour on days 1-5 and 8-12. Treatment repeats every 21 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. Patients undergo evaluation for tumor resectability after courses 2, 3, or 4. Patients whose disease is considered resectable at any of these time points proceed to surgery. After completion of study treatment, patients are followed periodically. PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.
Minimum Age:
Eligible Ages: CHILD, ADULT
Sex: ALL
Healthy Volunteers: No
Our Lady's Hospital for Sick Children Crumlin, Dublin, , Ireland
Emma Kinderziekenhuis, Amsterdam, , Netherlands
Birmingham Children's Hospital, Birmingham, England, United Kingdom
Institute of Child Health at University of Bristol, Bristol, England, United Kingdom
Addenbrooke's Hospital, Cambridge, England, United Kingdom
Leeds Cancer Centre at St. James's University Hospital, Leeds, England, United Kingdom
Leicester Royal Infirmary, Leicester, England, United Kingdom
Royal Liverpool Children's Hospital, Alder Hey, Liverpool, England, United Kingdom
Royal London Hospital, London, England, United Kingdom
Great Ormond Street Hospital for Children, London, England, United Kingdom
Royal Manchester Children's Hospital, Manchester, England, United Kingdom
Sir James Spence Institute of Child Health at Royal Victoria Infirmary, Newcastle-Upon-Tyne, England, United Kingdom
Queen's Medical Centre, Nottingham, England, United Kingdom
Oxford Radcliffe Hospital, Oxford, England, United Kingdom
Children's Hospital - Sheffield, Sheffield, England, United Kingdom
Southampton General Hospital, Southampton, England, United Kingdom
Royal Marsden - Surrey, Sutton, England, United Kingdom
Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland, United Kingdom
Royal Aberdeen Children's Hospital, Aberdeen, Scotland, United Kingdom
Royal Hospital for Sick Children, Edinburgh, Scotland, United Kingdom
Royal Hospital for Sick Children, Glasgow, Scotland, United Kingdom
Childrens Hospital for Wales, Cardiff, Wales, United Kingdom
Name: Jozsef Zsiros, MD, PhD
Affiliation: Emma Kinderziekenhuis
Role: STUDY_CHAIR
Name: Laurence Brugieres, MD
Affiliation: Gustave Roussy, Cancer Campus, Grand Paris
Role:
Name: Penelope Brock, MD, PhD
Affiliation: Great Ormond Street Hospital for Children NHS Foundation Trust
Role: