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Concurrent Carboplatin and Reduced Dose Craniospinal Radiation for Medulloblastoma and Primitive Neuroectodermal Tumor (PNET)

Phase 2
Completed
Conditions
High Risk Supratentorial PNET
Metastatic Medulloblastoma
Metastatic PNET
Interventions
Registration Number
NCT01542736
Lead Sponsor
University of Colorado, Denver
Brief Summary

The purpose of this study is to study the efficacy of the combination of reduced dose craniospinal radiation (reduced from standard of care dosing at 36 Gy to 24 Gy) with concurrent carboplatin and vincristine administration for metastatic classical histology medulloblastomas and high-risk supratentorial PNETs and metastatic PNETs.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
8
Inclusion Criteria
  • Age greater than 3 years and less than 25 years
  • Patients with classic histology or desmoplastic histology metastatic medulloblastoma by histological diagnosis and by head and spine MRI.
  • Patients with high-risk supratentorial, non-metastatic, PNET
  • Patients with metastatic PNET
  • Newly diagnosed patients who have not received prior therapy, with the exception of one short course of emergent chemotherapy in newly presenting patients with neurological compromise per provider decision
  • Only patients who are expected to survive at least 6 weeks will be eligible for this study.
Exclusion Criteria
  • Patients who are pregnant may not be treated on this study
  • Patients with anaplastic histology

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Reduced radiation with concurrent chemotherapyCarboplatinReduced dose craniospinal radiation with concurrent carboplatin and vincristine administration
Reduced radiation with concurrent chemotherapy24 GyReduced dose craniospinal radiation with concurrent carboplatin and vincristine administration
Reduced radiation with concurrent chemotherapyVincristineReduced dose craniospinal radiation with concurrent carboplatin and vincristine administration
Primary Outcome Measures
NameTimeMethod
Event-free SurvivalUp to 60 months.

MRIs of the head and spine. Number of participants with event free survival at 60 months is reported.

Overall Survivalup to 5 years

Overall Survival will be measured at the end of study. number of surviving participants is reported.

Intellectual Competence Measured by IQ Score: Month 24Month 24

Neuropsychological testing will be performed after radiation in completed. IQ score is reported. The Wechsler Intelligence Scale for Children, 5th edition (WISC-V) measures intellectual competence in Verbal Comprehension, Visual Spatial, Fluid Reasoning, Working Memory, and Processing Speed. The average score for the scale is fixed at 100, with a standard deviation of 15. Higher scores indicate higher levels of intellectual competence and a better outcome.

Intellectual Competence Measured by IQ Score: Month 60Month 60

Neuropsychological testing will be performed after radiation in completed. IQ score is reported. The Wechsler Intelligence Scale for Children, 5th edition (WISC-V) measures intellectual competence in Verbal Comprehension, Visual Spatial, Fluid Reasoning, Working Memory, and Processing Speed. The average score for the scale is fixed at 100, with a standard deviation of 15. Higher scores indicate higher levels of intellectual competence and a better outcome.

Intellectual Competence Measured by IQ Score: Week 8Week 8

Neuropsychological testing will be performed after radiation in completed. The Wechsler Intelligence Scale for Children, 5th edition (WISC-V) measures intellectual competence in Verbal Comprehension, Visual Spatial, Fluid Reasoning, Working Memory, and Processing Speed. The average score for the scale is fixed at 100, with a standard deviation of 15. Higher scores indicate higher levels of intellectual competence and a better outcome.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Children's Hospital Colorado

🇺🇸

Aurora, Colorado, United States

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