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Related Studies
Multiple Therapies in Treating Patients With Advanced Neuroblastoma
This study is ongoing, but not recruiting participants.
First Received: July 8, 2002   Last Updated: February 6, 2009   History of Changes
Sponsors and Collaborators: Memorial Sloan-Kettering Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00040872
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining chemotherapy with peripheral stem cell transplantation may allow the doctor to give higher doses of chemotherapy drugs and kill more tumor cells. Monoclonal antibodies can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. Radiation therapy uses high-energy x-rays to damage tumor cells. Biological therapies use different ways to stimulate the immune system and stop cancer cell from growing. Combining different types of therapies may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combining chemotherapy, monoclonal antibody therapy, surgery, peripheral stem cell transplantation, radiation therapy, and biological therapy in treating patients who have advanced neuroblastoma.


Condition Intervention Phase
Neuroblastoma
Biological: filgrastim
Biological: monoclonal antibody 3F8
Biological: sargramostim
Drug: carboplatin
Drug: cisplatin
Drug: cyclophosphamide
Drug: doxorubicin hydrochloride
Drug: etoposide
Drug: isotretinoin
Drug: thiotepa
Drug: topotecan hydrochloride
Drug: vincristine sulfate
Procedure: autologous bone marrow transplantation
Procedure: bone marrow ablation with stem cell support
Procedure: conventional surgery
Procedure: drug resistance inhibition treatment
Procedure: peripheral blood stem cell transplantation
Procedure: syngeneic bone marrow transplantation
Radiation: radiation therapy
Phase II

MedlinePlus related topics: Bone Marrow Transplantation Cancer Neuroblastoma Radiation Therapy Surgery
Drug Information available for: Cyclophosphamide Thiotepa Vincristine Cisplatin Doxorubicin Doxorubicin hydrochloride Etoposide Carboplatin Myocet Topotecan hydrochloride Filgrastim Sargramostim Topotecan Immunoglobulins Vincristine sulfate Isotretinoin Globulin, Immune
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: N8: Dose-Intensive Chemotherapy Plus Biologics in the Treatment of Neuroblastoma

Further study details as provided by National Cancer Institute (NCI):

Study Start Date: June 2000
  Show Detailed Description

  Eligibility

Ages Eligible for Study:   up to 50 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of neuroblastoma by 1 of the following:

    • Histologic confirmation, including immunohistochemical, ultrastructural, or cytogenetic studies
    • Elevated urinary catecholamines plus tumor cells/clumps in the bone marrow
  • Poor-risk disease, defined by 1 of the following:

    • Stage IV disease
    • Unresectable primary disease plus N-myc amplification
    • Infant (under age 1) with stage IV disease plus N-myc amplification
  • Previously treated disease allowed

PATIENT CHARACTERISTICS:

Age:

  • 50 and under

Performance status:

  • Not specified

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • Not specified

Other:

  • No prior allergy to mouse proteins
  • Not pregnant
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Prior murine antibodies allowed if human anti-mouse antibody (HAMA) titer is less than 1,000 ELISA units/mL

Chemotherapy:

  • Not specified

Endocrine therapy:

  • Not specified

Radiotherapy:

  • Not specified

Surgery:

  • See Disease Characteristics
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00040872

Locations
United States, New York
Memorial Sloan-Kettering Cancer Center
New York, New York, United States, 10021
Sponsors and Collaborators
Memorial Sloan-Kettering Cancer Center
Investigators
Study Chair: Nai-Kong V. Cheung, MD, PhD Memorial Sloan-Kettering Cancer Center
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000069414, MSKCC-00065, NCI-G02-2083
Study First Received: July 8, 2002
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00040872     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
regional neuroblastoma
disseminated neuroblastoma
recurrent neuroblastoma
localized unresectable neuroblastoma

Study placed in the following topic categories:
Neuroectodermal Tumors, Primitive
Immunologic Factors
Cyclophosphamide
Etoposide phosphate
Neuroblastoma
Antibodies, Monoclonal
Anti-Bacterial Agents
Cisplatin
Neoplasms, Germ Cell and Embryonal
Isotretinoin
Neuroepithelioma
Alkylating Agents
Etoposide
Immunoglobulins
Vincristine
Antimitotic Agents
Carboplatin
Immunosuppressive Agents
Doxorubicin
Recurrence
Thiotepa
Neuroectodermal Tumors
Antibodies
Tubulin Modulators
Antineoplastic Agents, Alkylating
Topotecan
Antirheumatic Agents
Antineoplastic Agents, Phytogenic
Neuroectodermal Tumors, Primitive, Peripheral
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Neuroectodermal Tumors, Primitive
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Neoplasms, Nerve Tissue
Physiological Effects of Drugs
Cyclophosphamide
Antibiotics, Antineoplastic
Neuroblastoma
Antibodies, Monoclonal
Neoplasms, Germ Cell and Embryonal
Therapeutic Uses
Isotretinoin
Dermatologic Agents
Alkylating Agents
Neoplasms by Histologic Type
Mitosis Modulators
Vincristine
Enzyme Inhibitors
Antimitotic Agents
Carboplatin
Immunosuppressive Agents
Doxorubicin
Pharmacologic Actions
Neuroectodermal Tumors
Neoplasms
Tubulin Modulators
Myeloablative Agonists
Antineoplastic Agents, Alkylating
Neoplasms, Neuroepithelial

ClinicalTrials.gov processed this record on May 07, 2009