DEC-NET Serial number IT500 |
See also: GB545 |
Published online | 07/10/2005 10.41.00 |
Last updated | 11/08/2006 16.02.46 |
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Other protocol ID number | |
Current trial status | Open (actively recruiting new participants) |
Major Disease (ICD9 class) | MALIGNANT NEOPLASM OF ADRENAL GLAND |
Experimental drug |
TOPOTECAN
Treatment regimen (dosage and duration) N/A |
DOXORUBICIN
Treatment regimen (dosage and duration) N/A |
Vincristina
Treatment regimen (dosage and duration) 1 mg/mq ev per 2 gg (g 5-6) |
Gender | Both |
Age (range) | 1-20 years |
Eligibility criteria |
Inclusion criteria |
Patients with stage 4 neuroblastoma enrolled in the HR-NBL-01/ESIOP protocol who, at the end of the induction phase (COJEC), have not responded well enough to be eligible for R1, or, in other words, whose response is not complete at the metastatic or bone marrow lavel and/or who show more than 3 spots with mlB Scintigraphy |
Exclusion criteria |
- Patients with severe organ dysfunction
- Chemio and radiotherapy outside of the high risk induction phase protocol |
Trial design/methodology |
Phase | 2 |
Kind of study | Efficacy Safety
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Design | |
Purpose of study |
- to evaluate if this therapeutic regimen is capable of achieving a sufficient number of responses in patients with neuroblastoma who did not respond well to COJEC
- to evaluate toxicity
- to evaluate time to progression |
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Summary of study design, objectives, and ongoing research findings |
In a Phase II study carried out by the Italian Neuroblastoma Group, topotecan was given for 5 consecutive days prior to vincristine and doxorubicin administered simultaneously in a 48-hour continuos infusion. Of 25 patients so treated, 14 achieved PR after 2 cycles with a 56% major response rate. Toxicity was mainly myelosuppression with no toxic deaths recorded.
The current study is undertaken to evaluate TVD as salvage therapy in children with high risk Neuroblastoma failing to achieve major response after COJEC induction regimen |