Phase 3
N=60
Combination Chemotherapy, Autologous Stem Cell Transplant, and/or Radiation Therapy in Treating Young Patients With Extraocular Retinoblastoma
Extraocular Retinoblastoma
Bottom Line
View on ClinicalTrials.gov: NCT00554788 ↗Enrolled (actual)
60
Serious AEs
5.5%
Results posted
Jun 2019
Primary outcome: Primary: Event-free Survival (EFS) — 88; 83; 28 Probability
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Autologous Bone Marrow Transplantation (Procedure); Autologous Hematopoietic Stem Cell Transplantation (Procedure); Carboplatin (Drug); Cisplatin (Drug); Cyclophosphamide (Drug); Etoposide (Drug); Filgrastim (Biological); In Vitro-Treated Peripheral Blood Stem Cell Transplantation (Procedure); Radiation Therapy (Radiation); Thiotepa (Drug); Vincristine Sulfate (Drug)
- Age
- Pediatric
- Sex
- All
- Sponsor
- Children's Oncology Group
- Primary completion
- Jun 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Event-free Survival (EFS) |
88; 83; 28 | — |
| SECONDARY Response Rate to the Induction Phase of the Regimen |
68 | — |
| SECONDARY Percentage of Participants With Adverse Events as Assessed by the Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 |
0; 5.6; 0; 0; 5.6; 0 | — |
Summary
This phase III trial is studying the side effects and how well giving combination chemotherapy together with autologous stem cell transplant and/or radiation therapy works in treating young patients with extraocular retinoblastoma. Giving chemotherapy before an autologous stem cell transplant stops the growth of tumor cells by stopping them from dividing or killing them. After treatment, stem cells are collected from the patient's blood and/or bone marrow and stored. More chemotherapy is given to prepare the bone marrow for the stem cell transplant. The stem cells are then returned to the patient to replace the blood-forming cells that were destroyed by the chemotherapy. Radiation therapy uses high energy x-rays to kill tumor cells. Giving radiation therapy after combination chemotherapy and/or autologous stem cell transplant may kill any remaining tumor cells.
Eligibility Criteria
Inclusion Criteria
- Patients must have histologic or cytologic verification of extra-ocular retinoblastoma; extra-ocular disease includes orbital disease, optic nerve involvement at the surgical margin, regional nodal disease, and/or overt distant metastatic disease (at sites such as bone, bone marrow, liver and/or the central nervous system); patients with trilateral retinoblastoma will also be included in this protocol
- Patients with a CNS lesion consistent with trilateral or stage 4b disease may be enrolled without tissue confirmation if (1) unequivocal leptomeningeal disease is present on brain or spine magnetic resonance imaging (MRI) scan and/or (2) the primary tumor is at least 2 cm in diameter, predominantly solid, and demonstrates enhancement on the post-gadolinium images; however, even in such cases surgery should be given serious consideration
- Patients must have a performance status corresponding to Eastern Cooperative Oncology Group (ECOG) scores of 0, 1, or 2; use Karnofsky for patients > 16 years of age and Lansky for patients = = 750/uL
- If the ANC and/or platelet count are not adequate, but due to bone marrow metastatic disease, these criteria will be waived
- Platelet count >= 75,000/uL (transfusion independent)
- If the ANC and/or platelet count are not adequate, but due to bone marrow metastatic disease, these criteria will be waived
- Creatinine clearance OR radioisotope glomerular filtration rate >= 70 mL/min/1.73 m^2 or a serum creatinine based on age/gender as follows:
- 0.4 mg/dL (1 month to = 16 years of age)
- Total bilirubin =< 1.5 times upper limit of normal (ULN)
- Serum glutamic oxaloacetic transaminase (SGOT) (aspartate aminotransferase [AST]) or serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) < 2.5 x upper limit of normal (ULN)
- All patients and/or their parents or legal guardians must sign a written informed consent
- All institutional, Food and Drug Administration (FDA), and National Cancer Institute (NCI) for human studies must be met
Data sourced from ClinicalTrials.gov (NCT00554788). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.