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Radiation Therapy and Tamoxifen in Treating Children With Newly Diagnosed Brain Stem Glioma
This study is ongoing, but not recruiting participants.
First Received: September 13, 2001   Last Updated: February 6, 2009   History of Changes
Sponsored by: Children's Cancer and Leukaemia Group
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00024336
  Purpose

RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Tamoxifen may kill tumor cells by blocking the enzymes necessary for cell growth. Combining radiation therapy with tamoxifen may be effective in treating newly diagnosed brain stem glioma.

PURPOSE: Phase II trial to study the effectiveness of combining radiation therapy and tamoxifen in treating children who have newly diagnosed brain stem glioma.


Condition Intervention Phase
Brain and Central Nervous System Tumors
Drug: tamoxifen citrate
Radiation: radiation therapy
Phase II

Study Type: Interventional
Study Design: Treatment
Official Title: Treatment of Children With Newly Diagnosed Diffuse Pontine Gliomas Using Conventional Radiotherapy and High Dose Tamoxifen

Resource links provided by NLM:


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

Study Start Date: August 1999
Detailed Description:

OBJECTIVES:

  • Determine whether high-dose tamoxifen with radiotherapy increases the median survival and overall survival of children with newly diagnosed brain stem gliomas.
  • Determine the time to neurologic or radiographic progression in patients treated with this regimen.
  • Determine the acute and chronic toxicity of high-dose tamoxifen in these patients.

OUTLINE: This is a multicenter study.

Patients undergo radiotherapy once daily 5 days a week for 6 weeks. Within 2 weeks after the initiation of radiotherapy, patients receive oral high-dose tamoxifen once daily. Tamoxifen continues in the absence of disease progression or unacceptable toxicity.

PROJECTED ACCRUAL: Approximately 60 patients will be accrued for this study within 4 years.

  Eligibility

Ages Eligible for Study:   up to 19 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Newly diagnosed tumor of the brain stem (diffuse intrinsic lesion centered on the pons)

    • Radiological and clinical diagnostic criteria allowed (biopsy not required)
    • The following astrocytic tumors are allowed if histologically confirmed:

      • Diffuse astrocytoma (all subtypes)
      • Anaplastic astrocytoma
      • Glioblastoma
      • Pilocytic astrocytoma (grade I)
  • Less than 6 months since diagnosis
  • At least 1 of the following signs of brain stem tumor:

    • Cranial nerve deficit
    • Long tract signs
    • Ataxia
  • No focal lesions of the brain stem (either clearly marginated or cystic), cervicomedullary tumors, tumors predominately exophytic, or pontine tumors diagnosed as pilocytic on biopsy

PATIENT CHARACTERISTICS:

Age:

  • Under 20

Performance status:

  • Not specified

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • Not specified

Other:

  • Not pregnant or nursing
  • No frequent vomiting or other medical condition that would preclude oral medication intake

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • No prior chemotherapy for brain stem glioma

Endocrine therapy:

  • Concurrent steroids allowed

Radiotherapy:

  • No prior radiotherapy for brain stem glioma

Surgery:

  • Not specified

Other:

  • Concurrent anticonvulsants allowed
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00024336

Locations
Ireland
Our Lady's Hospital for Sick Children
Crumlin, Ireland, 12
United Kingdom, England
Addenbrooke's NHS Trust
Cambridge, England, United Kingdom, CB2 2QQ
Birmingham Children's Hospital
Birmingham, England, United Kingdom, B4 6NH
Bristol Royal Hospital for Children
Bristol, England, United Kingdom, BS2 8BJ
Children's Hospital - Sheffield
Sheffield, England, United Kingdom, S10 2TH
Oxford Radcliffe Hospital
Oxford, England, United Kingdom, 0X3 9DU
Leicester Royal Infirmary
Leicester, England, United Kingdom, LE1 5WW
Manchester Children's Hospitals (NHS Trust)
Manchester, England, United Kingdom, M27 1HA
Middlesex Hospital- Meyerstein Institute
London, England, United Kingdom, WIT 3AA
Newcastle Upon Tyne Hospitals NHS Trust
Newcastle-Upon-Tyne, England, United Kingdom, NE7 7DN
Hospital for Sick Children NHS Trust
London, England, United Kingdom, WC1N 3JH
Queen's Medical Centre
Nottingham, England, United Kingdom, NG7 2UH
Royal Liverpool Children's Hospital, Alder Hey
Liverpool, England, United Kingdom, L12 2AP
Royal Marsden Hospital
Sutton, England, United Kingdom, SM2 5PT
Saint Bartholomew's Hospital
London, England, United Kingdom, EC1A 7BE
Southampton General Hospital
Southampton, England, United Kingdom, SO16 6YD
St. James's Hospital
Leeds, England, United Kingdom, LS9 7TF
United Kingdom, Northern Ireland
Royal Belfast Hospital for Sick Children
Belfast, Northern Ireland, United Kingdom, BT12 6BE
United Kingdom, Scotland
Aberdeen Royal Infirmary
Aberdeen, Scotland, United Kingdom, AB25 2ZN
Royal Hospital for Sick Children
Glasgow, Scotland, United Kingdom, G3 8SJ
Royal Hospital for Sick Children
Edinburgh, Scotland, United Kingdom
United Kingdom, Wales
Llandough Hospital
Penarth, Wales, United Kingdom, CF64 2XX
Sponsors and Collaborators
Children's Cancer and Leukaemia Group
Investigators
Study Chair: Anthony Michalski, MD Great Ormond Street Hospital for Children
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000068920, CCLG-CNS-1999-06, EU-20123
Study First Received: September 13, 2001
Last Updated: February 6, 2009
ClinicalTrials.gov Identifier: NCT00024336     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
untreated childhood brain stem glioma

Study placed in the following topic categories:
Estrogen Antagonists
Estrogens
Antineoplastic Agents, Hormonal
Hormone Antagonists
Citric Acid
Hormones, Hormone Substitutes, and Hormone Antagonists
Bone Density Conservation Agents
Central Nervous System Neoplasms
Selective Estrogen Receptor Modulators
Hormones
Tamoxifen
Estrogen Receptor Modulators
Neuroectodermal Tumors
Brain Stem Glioma, Childhood
Neoplasms, Germ Cell and Embryonal
Citrate
Neuroepithelioma
Glioma
Nervous System Neoplasms
Neoplasms, Glandular and Epithelial

Additional relevant MeSH terms:
Estrogen Antagonists
Neoplasms by Histologic Type
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Hormone Antagonists
Physiological Effects of Drugs
Neoplasms, Nerve Tissue
Nervous System Diseases
Hormones, Hormone Substitutes, and Hormone Antagonists
Bone Density Conservation Agents
Central Nervous System Neoplasms
Selective Estrogen Receptor Modulators
Tamoxifen
Pharmacologic Actions
Estrogen Receptor Modulators
Neuroectodermal Tumors
Neoplasms
Neoplasms by Site
Therapeutic Uses
Neoplasms, Germ Cell and Embryonal
Glioma
Neoplasms, Neuroepithelial
Nervous System Neoplasms
Neoplasms, Glandular and Epithelial

ClinicalTrials.gov processed this record on September 02, 2009