Etoposide in Treating Young Patients With Relapsed Ependymoma

NCT ID: NCT00278252

Last Updated: 2013-08-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-07-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as etoposide, 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 etoposide works in treating young patients with ependymoma.

Detailed Description

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OBJECTIVES:

Primary

* Determine the response rate in young patients with relapsing and/or refractory ependymoma treated with a rapid schedule of intravenous etoposide.

Secondary

* Determine the possibility of second surgery or additional radiotherapy in these patients.

OUTLINE: This is a multicenter study.

Patients receive etoposide IV over 1 hour on days 1-3, 8-10, and 15-17. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients whose tumor becomes resectable after courses 3 or 6 undergo surgical resection.

After completion of study treatment, patients are followed periodically for approximately 5 years.

PROJECTED ACCRUAL: At least 14 patients will be accrued for this study.

Conditions

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Brain and Central Nervous System Tumors

Keywords

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recurrent childhood ependymoma childhood infratentorial ependymoma childhood supratentorial ependymoma

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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etoposide

Intervention Type DRUG

conventional surgery

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed intracranial ependymoma at first, second, or third relapse

* Anaplastic (malignant) or low-grade ependymoma (cellular, papillary, clear cell, or mixed variants)
* Unequivocal evidence of tumor recurrence or progression by MRI scan after failing conventional treatment (e.g., primary surgery and adjuvant radiotherapy) for initial or recurrent disease
* Unresectable disease OR not amenable to complete surgical resection
* Measurable enhancing or non-enhancing disease on baseline scan performed within the past 2 weeks

* Patients who have undergone prior surgery must have residual measurable disease

PATIENT CHARACTERISTICS:

* Lansky performance status 30-100%
* Life expectancy ≥ 8 weeks
* Absolute neutrophil count \> 1,000/mm\^3
* Platelet count \> 100,000/mm\^3
* Serum total bilirubin normal
* AST \< 2 times upper limit of normal
* No unrelated medical condition (e.g., renal or liver impairment) that would preclude chemotherapy treatment
* No active infection
* No known HIV positivity

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* No radiotherapy within the past 6 weeks
* No chemotherapy within the past 4 weeks
* Prior IV etoposide allowed
Maximum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Children's Cancer and Leukaemia Group

OTHER

Sponsor Role lead

Principal Investigators

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Linda S. Lashford

Role:

The Christie NHS Foundation Trust

Susan V. Picton, MD

Role: STUDY_CHAIR

Leeds Cancer Centre at St. James's University Hospital

Locations

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Leeds Cancer Centre at St. James's University Hospital

Leeds, England, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Facility Contacts

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Susan V. Picton, MD

Role: primary

References

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Apps JR, Maycock S, Ellison DW, Jaspan T, Ritzmann TA, Macarthur D, Mallucci C, Wheatley K, Veal GJ, Grundy RG, Picton S. Phase II study of intravenous etoposide in patients with relapsed ependymoma (CNS 2001 04). Neurooncol Adv. 2022 Apr 13;4(1):vdac053. doi: 10.1093/noajnl/vdac053. eCollection 2022 Jan-Dec.

Reference Type DERIVED
PMID: 35591977 (View on PubMed)

Other Identifiers

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CDR0000454543

Identifier Type: REGISTRY

Identifier Source: secondary_id

EU-20576

Identifier Type: -

Identifier Source: secondary_id

CCLG-CNS-2001-4

Identifier Type: -

Identifier Source: org_study_id