Status:
COMPLETED
Oxaliplatin in Treating Young Patients With Recurrent Solid Tumors That Have Not Responded to Previous Treatment
Lead Sponsor:
National Cancer Institute (NCI)
Conditions:
Childhood Central Nervous System Germ Cell Tumor
Childhood Extragonadal Germ Cell Tumor
Eligibility:
All Genders
Up to 21 years
Phase:
PHASE2
Brief Summary
This phase II trial is studying how well oxaliplatin works in treating young patients with recurrent solid tumors that have not responded to previous treatment. Drugs used in chemotherapy, such as oxa...
Detailed Description
OBJECTIVES: I. Determine the response rate in children with recurrent or refractory solid tumors treated with oxaliplatin. II. Determine the cumulative toxicity of this drug in these patients. III. ...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- Histologically confirmed\* solid tumor, including any of the following:
- Ewing's sarcoma/peripheral primitive neuroectodermal tumor (PNET)
- Osteosarcoma
- Rhabdomyosarcoma
- Neuroblastoma
- High-grade astrocytoma
- Low-grade astrocytoma
- Glioblastoma multiforme
- Ependymoma
- Hepatoblastoma
- Germ cell tumors of any site
- Rare tumors of interest, including any of the following:
- Soft tissue sarcoma
- Hepatocellular carcinoma
- Childhood/adolescent colorectal carcinoma
- Childhood/adolescent renal cell carcinoma
- Childhood/adolescent adrenocortical carcinoma
- Childhood/adolescent nasopharyngeal carcinoma
- Recurrent disease OR refractory to conventional therapy
- Measurable disease by clinical exam, CT scan, MRI, or positron emission tomography
- Performance status - Karnofsky 50-100% (for patients over age 10)
- Performance status - Lansky 50-100% (for patients age 10 and under)
- At least 8 weeks
- Absolute neutrophil count ≥ 1,000/mm\^3\*
- Platelet count ≥ 75,000/mm\^3\* (transfusion independent)
- Hemoglobin ≥ 8.0 g/dL\* (RBC transfusions allowed)
- Granulocytopenia, anemia, and/or thrombocytopenia due to bone marrow metastases or extensive prior radiotherapy allowed provided the above hematological criteria are met
- Bilirubin ≤ 3 mg/dL
- Creatinine based on age as follows:
- ≤ .8 mg/dL (for patients age 5 and under)
- ≤ 1.0 mg/dL (for patients age 6 to 10)
- ≤ 1.2 mg/dL (for patients age 11 to 15)
- ≤1.5 mg/dL (for patients age 16 to 21)
- Creatinine clearance or radioisotope glomerular filtration rate \> 20 mL/min
- No uncontrolled seizure disorder
- No uncontrolled infection
- CNS toxicity ≤ grade 2
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- Recovered from prior immunotherapy
- At least 7 days since prior anticancer biologic therapy
- More than 1 week since prior growth factors
- At least 6 months since prior allogeneic stem cell transplantation
- No evidence of active graft-vs-host disease
- No concurrent immunomodulating agents
- Recovered from prior chemotherapy
- No prior oxaliplatin
- Prior carboplatin or cisplatin allowed
- More than 3 weeks since prior myelosuppressive chemotherapy (6 weeks for nitrosoureas)
- No other concurrent anticancer chemotherapy
- Concurrent dexamethasone for CNS tumors allowed provided patient has been on a stable or decreasing dose for ≥ 1 week before study entry
- Recovered from prior radiotherapy
- At least 2 weeks since prior local palliative radiotherapy (small port)
- At least 6 months since prior craniospinal radiotherapy
- At least 6 months since prior radiotherapy to ≥ 50% of the pelvis
- At least 6 weeks since other prior substantial radiotherapy to the bone marrow
- Concurrent radiotherapy to localized painful lesions allowed provided ≥ 1 measurable lesion is not irradiated
- No other concurrent investigational agents
- No other concurrent anticancer agents
Exclusion
Key Trial Info
Start Date :
October 1 2004
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
Estimated Enrollment :
180 Patients enrolled
Trial Details
Trial ID
NCT00091182
Start Date
October 1 2004
Last Update
June 5 2013
Active Locations (1)
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1
Children's Oncology Group
Arcadia, California, United States, 91006-3776