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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00470275
Registration number
NCT00470275
Ethics application status
Date submitted
3/05/2007
Date registered
7/05/2007
Date last updated
20/10/2014
Titles & IDs
Public title
Cytarabine in Treating Young Patients With Recurrent or Refractory Ewing's Sarcoma
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Scientific title
Phase II Trial of Intermediate-Dose Cytarabine to Modulate EWS/FLI for Children and Young Adults With Recurrent or Refractory Ewing Sarcoma
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Secondary ID [1]
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CDR0000542650
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Secondary ID [2]
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AEWS0621
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Sarcoma
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Condition category
Condition code
Cancer
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Sarcoma (also see 'Bone') - soft tissue
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Cancer
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Bone
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - cytarabine
Experimental: Cytarbine - Cytarabine IV every 12 hours days 1-5 of 21 day cycle. Response evaluation after 6 cycles of therapy.
Treatment: Drugs: cytarabine
Given IV
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Response
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Assessment method [1]
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Any patient who is enrolled and receives at least one dose of cytarabine will be considered evaluable for response if (1) the patient demonstrates progressive disease while on protocol therapy or (2) the patient is observed on protocol therapy for at least one cycle. Patients who achieve a complete or partial response according to the RECIST (Response Evaluation Criteria In Solid Tumors) criteria will be considered responders for the study design. All other patients who are evaluable for response will be considered non-responders for the study.
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Timepoint [1]
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the first six cycles of study chemotherapy (126 days)
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Histologically confirmed Ewing's sarcoma or primitive neuroectodermal tumor (PNET)
* Disease that has recurred or not responded despite prior therapy
* Has declined enrollment on or is not eligible for clinical trial COG-AEWS0521
* Must have at least one site of measurable disease involving lung or soft tissue as documented by CT scan and/or MRI
* No disease limited to bone
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)
* Life expectancy = 8 weeks
* ANC = 750/mm^3
* Platelet count = 75,000/mm^3 (50,000/mm^3 if documented bone marrow metastatic disease) (transfusion independent)
* Hemoglobin = 8.0 g/dL (red blood cell transfusions allowed)
* Bilirubin = 1.5 times upper limit of normal (ULN) for age and < 2.0 mg/dL
* ALT = 2.5 times ULN
* Creatinine clearance or radioisotope GFR = 70 mL/min OR creatinine meeting the following criteria:
* = 0.4 mg/dL (1 month to < 6 months of age)
* = 0.5 mg/dL (6 months to < 1 year of age)
* = 0.6 mg/dL (1 to < 2 years of age)
* = 0.8 mg/dL (2 to < 6 years of age)
* = 1.0 mg/dL (6 to < 10 years of age)
* = 1.2 mg/dL (10 to < 13 years of age)
* = 1.4 mg/dL (= 13 years of age) (female)
* = 1.5 mg/dL (13 to < 16 years of age) (male)
* = 1.7 mg/dL (= 16 years of age) (male)
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception
* No uncontrolled infection, including systemic fungal infections requiring ongoing antifungal therapy
PRIOR CONCURRENT THERAPY:
* See Disease Characteristics
* Recovered from all prior tumor-directed therapy
* At least 7 days since prior biologic therapy or immunotherapy
* At least 1 week since prior hematopoietic growth factors (2 weeks for pegfilgrastim)
* At least 2 weeks since prior myelosuppressive chemotherapy
* At least 2 weeks since prior local palliative (small-port) radiotherapy
* At least 6 weeks since prior substantial bone marrow radiotherapy
* At least 6 months since prior radiotherapy to = 50% of the pelvis
* At least 6 months since prior autologous stem cell transplantation
* No prior allogeneic stem cell transplantation
* No prior cytarabine
* No other concurrent investigational agents, including chemotherapy, immunotherapy, or biologic therapy
* No other concurrent anticancer chemotherapy or immunomodulating agents
* Concurrent corticosteroids allowed
* No concurrent intrathecal chemotherapy
* Concurrent radiotherapy to localized painful lesions allowed provided at least one measurable lesion is not irradiated (no irradiated lesion may be used to assess tumor response)
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Minimum age
No limit
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Maximum age
30
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/05/2007
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
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Actual
1/12/2013
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Sample size
Target
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Princess Margaret Hospital for Children - Perth
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Recruitment postcode(s) [1]
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6001 - Perth
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United States of America
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Alabama
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Funding & Sponsors
Primary sponsor type
Other
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Name
Children's Oncology Group
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Name [1]
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National Cancer Institute (NCI)
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Ethics approval
Ethics application status
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Summary
Brief summary
RATIONALE: Drugs used in chemotherapy, such as cytarabine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. PURPOSE: This phase II trial is studying how well cytarabine works in treating young patients with recurrent or refractory Ewing's sarcoma.
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Trial website
https://clinicaltrials.gov/study/NCT00470275
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Trial related presentations / publications
DuBois SG, Krailo MD, Lessnick SL, Smith R, Chen Z, Marina N, Grier HE, Stegmaier K; Children's Oncology Group. Phase II study of intermediate-dose cytarabine in patients with relapsed or refractory Ewing sarcoma: a report from the Children's Oncology Group. Pediatr Blood Cancer. 2009 Mar;52(3):324-7. doi: 10.1002/pbc.21822.
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Public notes
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Contacts
Principal investigator
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Kimberly Stegmaier, MD
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Address
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Dana-Farber Cancer Institute
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
DuBois SG, Krailo MD, Lessnick SL, Smith R, Chen Z...
[
More Details
]
Results are available at
https://clinicaltrials.gov/study/NCT00470275
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