High-Dose Methotrexate in Treating Young Patients With Residual Ependymoma

NCT ID: NCT00287924

Last Updated: 2013-09-17

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

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-03-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as methotrexate, 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 high-dose methotrexate works in treating young patients with residual ependymoma.

Detailed Description

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OBJECTIVES:

Primary

* Determine the activity of high-dose methotrexate as upfront-window therapy in young patients with residual ependymoma.

Secondary

* Assess the reasons why primary surgery was complete/incomplete in these patients.
* Assess the feasibility and toxicity of second-look surgery after 3 courses of high-dose methotrexate in cases where initial surgery was incomplete.

OUTLINE: This is a multicenter, open-label study.

Patients receive high-dose methotrexate IV continuously over 24 hours on days 0, 14, and 28 in the absence of disease progression or unacceptable toxicity. Patients then proceed to further chemotherapy on protocol UKCCSG-CNS-9204.

After completion of study treatment, patients are followed periodically for 9 years.

PROJECTED ACCRUAL: A total of 29 patients will be accrued for this study.

Conditions

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Brain and Central Nervous System Tumors

Keywords

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childhood infratentorial ependymoma childhood supratentorial ependymoma newly diagnosed childhood ependymoma

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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methotrexate

Intervention Type DRUG

adjuvant therapy

Intervention Type PROCEDURE

Eligibility Criteria

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Exclusion Criteria

* Myxopapillary ependymoma
* Subependymomas
* Ependymoblastomas
* Primitive neuroectodermal tumors (PNETs)
* Other neuroepithelial tumors
* Choroid plexus tumors
* Germ cell tumors
* Residual measurable ependymoma after maximal surgical resection, including second-look surgery, if deemed necessary

* Has undergone surgical resection within the past 3 weeks

PATIENT CHARACTERISTICS:

* At least 3 months to under 3 years of age
* Neutrophil count \> 1,000/mm\^3
* Platelet count \> 100,000/mm\^3
* Able to tolerate chemotherapy
* No co-existent unrelated disease (i.e., renal or hematological) that would preclude chemotherapy treatment

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* Recovered from prior surgery
* No previous chemotherapy
* Previous steroids allowed
* No previous radiotherapy
Maximum Eligible Age

2 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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Martin W. English, MD

Role: STUDY_CHAIR

Birmingham Children's Hospital

Locations

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Our Lady's Hospital for Sick Children Crumlin

Dublin, , Ireland

Site Status

Birmingham Children's Hospital

Birmingham, England, United Kingdom

Site Status

Institute of Child Health at University of Bristol

Bristol, England, United Kingdom

Site Status

Addenbrooke's Hospital

Cambridge, England, United Kingdom

Site Status

Leeds Cancer Centre at St. James's University Hospital

Leeds, England, United Kingdom

Site Status

Leicester Royal Infirmary

Leicester, England, United Kingdom

Site Status

Royal Liverpool Children's Hospital, Alder Hey

Liverpool, England, United Kingdom

Site Status

Royal London Hospital

London, England, United Kingdom

Site Status

Great Ormond Street Hospital for Children

London, England, United Kingdom

Site Status

Royal Manchester Children's Hospital

Manchester, England, United Kingdom

Site Status

Sir James Spence Institute of Child Health at Royal Victoria Infirmary

Newcastle upon Tyne, England, United Kingdom

Site Status

Queen's Medical Centre

Nottingham, England, United Kingdom

Site Status

Oxford Radcliffe Hospital

Oxford, England, United Kingdom

Site Status

Children's Hospital - Sheffield

Sheffield, England, United Kingdom

Site Status

Southampton General Hospital

Southampton, England, United Kingdom

Site Status

Royal Marsden - Surrey

Sutton, England, United Kingdom

Site Status

Royal Belfast Hospital for Sick Children

Belfast, Northern Ireland, United Kingdom

Site Status

Royal Aberdeen Children's Hospital

Aberdeen, Scotland, United Kingdom

Site Status

Royal Hospital for Sick Children

Edinburgh, Scotland, United Kingdom

Site Status

Royal Hospital for Sick Children

Glasgow, Scotland, United Kingdom

Site Status

Childrens Hospital for Wales

Cardiff, Wales, United Kingdom

Site Status

Countries

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Ireland United Kingdom

Other Identifiers

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CCLG-CNS-2005-03

Identifier Type: -

Identifier Source: secondary_id

EU-20581

Identifier Type: -

Identifier Source: secondary_id

EUDRACT-2004-004405-14

Identifier Type: -

Identifier Source: secondary_id

CDR0000454548

Identifier Type: -

Identifier Source: org_study_id