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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 29 October 2012
Main ID:  NCT00379340
Date of registration: 19/09/2006
Primary sponsor: Children's Oncology Group
Public title: Combination Chemotherapy With or Without Radiation Therapy in Treating Young Patients With Newly Diagnosed Stage III or Stage IV Wilms Tumor
Scientific title: Treatment of Newly Diagnosed Higher Risk Favorable Histology Wilms Tumors
Date of first enrolment: February 2007
Target sample size: 400
Recruitment status: Recruiting
URL:  http://clinicaltrials.gov/show/NCT00379340
Study type:  Interventional
Study design:  Masking: Open Label, Primary Purpose: Treatment  
Countries of recruitment
Australia Canada Israel New Zealand Puerto Rico Switzerland United States
Contacts
Name:   David B. Dix, MD, FRCP, MBChB
Address: 
Telephone:
Email:
Affiliation:  Children's and Women's Hospital of British Columbia
Key inclusion & exclusion criteria

DISEASE CHARACTERISTICS:

- Newly diagnosed Wilms tumor meeting 1 of the following criteria:

- Stage IV disease with favorable histology with or without loss of heterozygosity
(LOH) for 1p and 16q

- Stage III disease with favorable histology with LOH for 1p and 16q transferring
from clinical trial COG-AREN0532

- Patients must begin therapy within 14 days after surgery or biopsy (day 0), unless
medically contraindicated

- Extra-pulmonary metastases include lymph node involvement in the hilum and/or
mediastinum deemed by the treating institution to represent malignant disease, or
positive cytology-proven pleural effusions

- No bilateral Wilms tumors (stage IV)

- Patients should be referred to COG-AREN0534

- Previously enrolled in clinical trial COG-AREN03B2

PATIENT CHARACTERISTICS:

- Karnofsky performance status (PS) 50-100% (for patients > 16 years of age) OR Lansky
PS 50-100% (for patients = 16 years of age)

- Bilirubin = 1.5 times upper limit of normal (ULN)

- AST or ALT < 2.5 times ULN

- Shortening fraction = 27% by echocardiogram OR ejection fraction = 50% by
radionuclide angiogram

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

- See Disease Characteristics

- No prior tumor-directed chemotherapy or radiotherapy unless transferring from
clinical trial COG-AREN0532 OR treatment for emergent issues, as medically indicated

- No concurrent aprepitant



Age minimum: N/A
Age maximum: 29 Years
Gender: Both
Health Condition(s) or Problem(s) studied
Kidney Cancer
Metastatic Cancer
Intervention(s)
Biological: dactinomycin
Drug: cyclophosphamide
Drug: doxorubicin hydrochloride
Drug: etoposide
Drug: vincristine sulfate
Procedure: therapeutic conventional surgery
Radiation: radiation therapy
Primary Outcome(s)
Event-free survival as measured by Woolson and an O'Brien-Fleming Boundary at 4 years [Time Frame: No]
Secondary Outcome(s)
Secondary ID(s)
CDR0000496508
COG-AREN0533
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
National Cancer Institute (NCI)
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