Ignite Creation Date:
2024-05-05 @ 11:19 AM
Last Modification Date:
2024-10-26 @ 9:04 AM
Study NCT ID:
NCT00003994
Status:
COMPLETED
Last Update Posted:
2013-06-14
First Post:
1999-11-01
Brief Title:
Combination Chemotherapy With or Without Amifostine in Treating Young Patients With Liver Cancer
Sponsor:
Childrens Oncology Group
Organization:
Childrens Oncology Group
Study Overview
Official Title:
Intergroup Protocol for Treatment of Children With Hepatoblastoma
Status:
COMPLETED
Status Verified Date:
2013-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Drugs used in chemotherapy work in different ways to stop tumor cells from dividing so they stop growing or die Combining more than one drug may kill more tumor cells Chemoprotective drugs such as amifostine may protect normal cells from the side effects of chemotherapy It is not yet known which chemotherapy regimen is most effective for children and young adults with liver cancer This randomized phase III trial is studying giving combination chemotherapy together with amifostine to see how well it works compared to combination chemotherapy alone in treating patients with liver cancer
Detailed Description:
PRIMARY OBJECTIVES
I To estimate the response and efficacy of amifostine amifostine trihydrate in reducing the toxicity associated with platinum agents
II To test whether there is any effect of amifostine on event-free survival by comparing outcome of those treated with amifostine to those treated without on this study and with historic controls
SECONDARY OBJECTIVES
I To estimate the event-free survival of patients with stage I pure fetal histology treated with surgery alone
II To estimate the efficacy of amifostine in reducing the toxicity associated with cisplatinum in children with resected tumors receiving treatment 01 by randomizing to receive or not receive amifostine
III To collect tumor tissue in all patients for cytogenetic and genetic analysis in order to prospectively analyze biologic features and prognosis of patients with detailed treatment history and to provide a resource for future biologic studies in hepatoblastoma
IV To assess the prognostic significance with respect to event-free survival of hepatoblastoma pathologic variants in patients with stage I tumors treated with surgery and chemotherapy cisplatin 5FU vincristine
OUTLINE This is a randomized study Patients are stratified according to disease stage stage I pure fetal histology vs stage I other histology or stage II stage II closed to accrual as of 11-25-03 vs stage III or IV stages III and IV closed to accrual as of 11-25-03 Patients are randomized to one of four treatment arms Arms III and IV closed to accrual as of 4-5-02 Arm II closed to accrual as of 11-25-03
All patients undergo surgical resection or attempted resection of tumor Patients with pure fetal histology achieving complete tumor resection receive no further treatment All other patients receive postoperative chemotherapy
Arm I Patients receive cisplatin IV over 4 hours on day 1 vincristine IV on days 3 10 and 17 and fluorouracil on day 3
Arm II closed to accrual as of 11-25-03 Patients receive treatment as in arm I with the addition of amifostine IV over 15 minutes prior to cisplatin on day 1
Arm III closed to accrual as of 4-5-02 Patients receive carboplatin IV over 1 hour on day 1 and cisplatin IV over 4 hours on day 15
Arm IV closed to accrual as of 4-5-02 Patients receive treatment as in arm III with the addition of amifostine IV over 15 minutes prior to carboplatin on day 1
Treatment repeats every 3 weeks for 4 courses in arms I and II arm II closed to accrual as of 11-25-03 and every 4 weeks for 4 courses in arms III and IV arms III and IV closed to accrual as of 4-5-02 in the absence of disease progression or unacceptable toxicity Patients with stage III or IV disease stages III and IV closed to accrual as of 11-25-03 undergo second look surgery and receive 2 additional courses of chemotherapy if achieving complete response after surgery
Patients are followed monthly for 6 months every 2 months for 2 years every 3 months for 2 years and then annually thereafter
PROJECTED ACCRUAL A total of 356 patients will be accrued for this study within 55 years
I To estimate the response and efficacy of amifostine amifostine trihydrate in reducing the toxicity associated with platinum agents
II To test whether there is any effect of amifostine on event-free survival by comparing outcome of those treated with amifostine to those treated without on this study and with historic controls
SECONDARY OBJECTIVES
I To estimate the event-free survival of patients with stage I pure fetal histology treated with surgery alone
II To estimate the efficacy of amifostine in reducing the toxicity associated with cisplatinum in children with resected tumors receiving treatment 01 by randomizing to receive or not receive amifostine
III To collect tumor tissue in all patients for cytogenetic and genetic analysis in order to prospectively analyze biologic features and prognosis of patients with detailed treatment history and to provide a resource for future biologic studies in hepatoblastoma
IV To assess the prognostic significance with respect to event-free survival of hepatoblastoma pathologic variants in patients with stage I tumors treated with surgery and chemotherapy cisplatin 5FU vincristine
OUTLINE This is a randomized study Patients are stratified according to disease stage stage I pure fetal histology vs stage I other histology or stage II stage II closed to accrual as of 11-25-03 vs stage III or IV stages III and IV closed to accrual as of 11-25-03 Patients are randomized to one of four treatment arms Arms III and IV closed to accrual as of 4-5-02 Arm II closed to accrual as of 11-25-03
All patients undergo surgical resection or attempted resection of tumor Patients with pure fetal histology achieving complete tumor resection receive no further treatment All other patients receive postoperative chemotherapy
Arm I Patients receive cisplatin IV over 4 hours on day 1 vincristine IV on days 3 10 and 17 and fluorouracil on day 3
Arm II closed to accrual as of 11-25-03 Patients receive treatment as in arm I with the addition of amifostine IV over 15 minutes prior to cisplatin on day 1
Arm III closed to accrual as of 4-5-02 Patients receive carboplatin IV over 1 hour on day 1 and cisplatin IV over 4 hours on day 15
Arm IV closed to accrual as of 4-5-02 Patients receive treatment as in arm III with the addition of amifostine IV over 15 minutes prior to carboplatin on day 1
Treatment repeats every 3 weeks for 4 courses in arms I and II arm II closed to accrual as of 11-25-03 and every 4 weeks for 4 courses in arms III and IV arms III and IV closed to accrual as of 4-5-02 in the absence of disease progression or unacceptable toxicity Patients with stage III or IV disease stages III and IV closed to accrual as of 11-25-03 undergo second look surgery and receive 2 additional courses of chemotherapy if achieving complete response after surgery
Patients are followed monthly for 6 months every 2 months for 2 years every 3 months for 2 years and then annually thereafter
PROJECTED ACCRUAL A total of 356 patients will be accrued for this study within 55 years
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| U10CA098543 | NIH | Clinical Trialsgov | httpsreporternihgovquickSearchU10CA098543 |
| NCI-2012-02306 | REGISTRY | None | None |
| COG-P9645 | OTHER | None | None |
| CCG-P9645 | OTHER | None | None |
| POG-9645 | OTHER | None | None |
| CDR0000067200 | OTHER | None | None |