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Therapy Optimization Trial for the Treatment of Relapsed or Refractory Brain Tumors in Children

Basic Trial Information
Trial Description
     Summary
     Further Trial Information
     Eligibility Criteria
Trial Contact Information

Basic Trial Information

Phase
Type
Status
Age
Sponsor
Protocol IDs

Phase III, Phase II


Treatment


Active


0 to 30


Other


EUDRACT 2005-002618-40
BfArM-4030755, EC-105/05, DKS 2006.01, NCT00749723

Trial Description

Summary

The purpose of this study is to improve overall survival while maintaining a good quality of life in pediatric patients with refractory or recurrent brain tumors (medulloblastomas, supratentorial PNETs, ependymomas WHO grade II and III). Response to different chemotherapy options (intravenous versus oral chemotherapy, intraventricular chemotherapy) as part of a multimodal therapy will be assessed. Progression-free, overall survival and toxicity will be evaluated additionally.

Further Study Information

Parts of the study:

P-HIT-REZ-2005: a randomised trial for the treatment of relapsed PNETs (medulloblastomas,supratentorial PNETs)

E-HIT-REZ-2005: a nonrandomized trial for the treatment of relapsed ependymomas (Phase II-Study with temozolomide)

Phase II-Study: intraventricular therapy with etoposide in neoplastic meningitis in relapsed PNETs and ependymomas with subarachnoid tumor manifestation (window study)

Eligibility Criteria

Inclusion Criteria:

Disease Characteristics

  • Histologically confirmed Medulloblastoma, cerebral PNET or Ependymoma
  • Refractory or relapsed disease
  • Measurable disease by MRI or detection of tumor cells in cerebrospinal fluid Patients characteristics
  • Performance status ECOG ≥ 3 or Karnofsky Status ≥ 40%
  • Life expectancy ≥ 8 weeks

Hematological:

  • Absolute leukocyte count ≥ 2.0 x 10^9 /l
  • Hemoglobin ≥ 10g/dl
  • Platelet count ≥ 70 x 10^9/l

Renal:

  • Creatinine no greater than 1.5 times UNL
  • No overt renal disease

Hepatic:

  • Bilirubin less than 2.5 times UNL
  • AST and ALT less than 5 times UNL
  • No overt hepatic disease

Pulmonary:

  • No overt pulmonary disease

Cardiovascular:

  • No overt cardiovascular disease

Other:

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No uncontrolled infection Prior concurrent therapy
  • More than 2 weeks since prior systemic chemotherapy
  • More than 4 weeks since prior radiotherapy
  • No other concurrent anticancer or experimental drugs Examinations required
  • Examination of lumbar CSF
  • Cranial and spinal MRI within 14 days prior to start of treatment

Trial Contact Information

Trial Lead Organizations/Sponsors

Universitaetsklinikum Bonn

Gudrun Fleischhack, MDPrincipal Investigator

Gudrun Fleischhack, MDPh: +49 228 287 33254
  Email: gudrun.fleischhack@ukb.uni-bonn.de

Udo Bode, MDPh: +49 228 287 33210
  Email: udo.bode@ukb.uni-bonn.de

Trial Sites

Germany
  Aachen
 Universitätskinderklinik Aachen
  Augsburg
 Klinikum Augsburg, Klinik für Kinder- und Jugendmedizin
  Berlin
 Charite University Hospital - Campus Virchow Klinikum
 Helios Klinikum Berlin-Buch, Klinik für Kinderheilkunde und Jugendmedizin
  Bielefeld
 Klinik ür Kinder- und Jugendmedizin in Bethel
  Bonn
 Universitätskinderklinik Bonn
  Braunschweig
 Städtisches Klinikum Braunschweig, Kinderklinik
  Bremen
 Klinikum Bremen-Mitte
  Cottbus
 Carl-Thiele-Klinikum Cottbus, Zentrum für Kinderheilkunde
  Datteln
 Vestische Kinder- und Jugendklinik Datteln
  Dortmund
 Klinikum Dortmund, Klinik für Kinder- und Jugendmedizin
  Dresden
 Universitatsklinikum Carl Gustav Carus
  Duisburg
 Klinikum Duisburg, Klinik für Kinder-und Jugendmedizin
  Düsseldorf
 Universitaetsklinikum Duesseldorf
  Erfurt
 Helios Klinikum Erfurt, Zentrum für Kinderheilkunde
  Erlangen
 Universitätskinderklinik Erlangen
  Essen
 Universitaetsklinikum Essen
  Frankfurt/Main
 Klinikum der J.W. Goethe Universitaet
  Freiburg
 Universitaetskinderklinik - Universitaetsklinikum Freiburg
  Gießen
 Universitaetsklinikum Giessen und Marburg GmbH - Marburg
  Göttingen
 Universitaetsklinikum Goettingen
  Greifswald
 Universitätskinderklinik Greifswald
  Halle/Saale
 Universitaetsklinikum Halle
  Hannover
 Medizinische Hochschule, Zentrum für Kinderheilkunde
  Heidelberg
 Universitatsklinikum Heidelberg
  Herdecke
 Gemeinschaftskrankenhaus Herdecke, Kinderklinik
  Homburg/Saar
 Universitätskinderklinik
  Jena
 Klinikum der Friedrich-Schiller Universitaet Jena
  Karlsruhe
 Städtisches Krankenhaus, Klinik für Kinder- und Jugendmedizin
  Kassel
 Klinikum Kassel, Kinderklinik
  Kiel
 UKSH, Campus Kiel, Klinik für Allg. Pädiatrie
  Koblenz
 Städtisches Klinikum Kemperhof, Klinik für Kinder- und Jugendmedizin
  Köln
 Universitätskinderklinik Köln
  Leipzig
 Universitätskinderklinik Leipzig
  Lübeck
 Universitätskinderklinik Lübeck
  Ludwigshafen
 St. Annastift Krankenhaus
  Magdeburg
 Universitaetsklinkum Magdeburg der Otto-von-Guericke-Universitaet Magdeburg
  Mainz
 Universitätskinderklinik Mainz
  Mannheim
 Universitätskinderklinik Mannheim
  Marburg
 Universitätskinderklinik Marburg
  Minden
 Klinikum Minden III, Klinik für Kinder-und Jugendheilkunde
  München
 Dr. von Haunersches Kinderspital
 Städtisches Krankenhaus München-Schwabing, Kinderklinik der TU München
  Münster
 Universitätskinderklinik Münster
  Nürnberg
 Cnopf'sche Kinderklinik
  Oldenburg
 Klinikum Oldenburg, Zentrum für Kinder-und Jugendmedizin
  Regensburg
 St. Hedwig Klinik Regensburg
  Rostock
 Universitätskinderklinik Rostock
  Stuttgart
 Olgahospital-Pädiatrisches Zentrum
  Tübingen
 Universitaetsklinikum Tuebingen
  Ulm
 Univeritätsklinikum Ulm, Abteilung Kinder-und Jugendmedizin
  Würzburg
 Universitätskinderklinik Würzburg

Link to the current ClinicalTrials.gov record.
NLM Identifer NCT00749723
Information obtained from ClinicalTrials.gov on October 29, 2008

Note: Information about this trial is from the ClinicalTrials.gov database. The versions designated for health professionals and patients contain the same text. Minor changes may be made to the ClinicalTrials.gov record to standardize the names of study sponsors, sites, and contacts. Cancer.gov only lists sites that are recruiting patients for active trials, whereas ClinicalTrials.gov lists all sites for all trials. Questions and comments regarding the presented information should be directed to ClinicalTrials.gov.

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