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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00238264
Registration number
NCT00238264
Ethics application status
Date submitted
12/10/2005
Date registered
13/10/2005
Date last updated
7/08/2019
Titles & IDs
Public title
Radiation Therapy in Treating Young Patients With Gliomas
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Scientific title
A Phase II Study of Conformal Radiotherapy In Patients With Low-Grade Gliomas
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Secondary ID [1]
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COG-ACNS0221
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Secondary ID [2]
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ACNS0221
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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:
Brain Tumor
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Central Nervous System Tumor
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Condition category
Condition code
Cancer
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Brain
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Cancer
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Neuroendocrine tumour (NET)
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Cancer
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Children's - Brain
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - radiation therapy
Experimental: Treatment (radiotherapy) - Patients undergo reduced-field conformal radiation therapy 5 days a week for 6 weeks in the absence of disease progression or unacceptable toxicity.
Treatment: Other: radiation therapy
Undergo 3D-CRT Undergo proton radiation therapy Undergo IMRT
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Intervention code [1]
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Treatment: Other
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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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Marginal-failure Rate
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Assessment method [1]
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Patients who do not recur as well as those with either central or distant recurrence would be treatment successes for this endpoint. Monitoring will be based on a Bayesian rule, with binomial likelihood and a Beta on the parameter p, the proportion of failures that are marginal failures.
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Timepoint [1]
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Up to 5 years
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Secondary outcome [1]
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Progression-free Survival Probability
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Assessment method [1]
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To estimate the progression-free survival rate for patients with recurrent, progressive or symptomatic low-grade gliomas after treatment with reduced field conformal radiation.
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Timepoint [1]
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3 years
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Secondary outcome [2]
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Event-free Survival Probability
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Assessment method [2]
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To estimate the event-free survival rate for patients with recurrent, progressive or symptomatic low-grade gliomas after treatment with reduced field conformal radiation
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Timepoint [2]
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3 years
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Secondary outcome [3]
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Overall Survival Probability
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Assessment method [3]
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To estimate the overall survival rate for patients with recurrent, progressive or symptomatic low-grade gliomas after treatment with reduced field conformal radiation.
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Timepoint [3]
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3 years
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Secondary outcome [4]
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Quality of Life (QOL)
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Assessment method [4]
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QOL accessed using the Behavior Assessment System for Children (BASC), the Adaptive Behavior Assessment System (ABAS), the Behavior Rating Inventory of Executive Function (BRIEF), and the Symptom Checklist-90-R (SCL-90-R).
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Timepoint [4]
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Up to 5 years
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Secondary outcome [5]
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MIB-1 Labeling Index Using Immunohistochemical Techniques With the MIB-1 Antibody According to Established Methods
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Assessment method [5]
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The MIB-1 labeling Index will be calculated as the percentage of tumor nuclei that are immunoreactive.
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Timepoint [5]
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At baseline
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Secondary outcome [6]
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Correlation MIB-1 Labeling Index With PFS
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Assessment method [6]
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The primary methods of analysis will be via stratified Cox regression
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Timepoint [6]
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Up to 10 years
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Histologically confirmed* low-grade glioma, including any of the following:
* Juvenile pilocytic astrocytoma (JPA) or pleomorphic JPA
* Diffuse astrocytoma, including any of the following subtypes:
* Fibrillary astrocytoma
* Gemistocytic astrocytoma
* Subependymal giant cell astrocytoma
* Pleomorphic xanthoastrocytoma
* Low-grade oligoastrocytoma
* Low-grade oligodendroglioma
* Low-grade glioma not otherwise specified NOTE: *Patients with chiasmatic lesions who have contiguous extension of tumor into other regions of the visual pathway by CT scan or MRI are eligible without histopathologic confirmation; repeat biopsy required for patients with recurrent tumors that enhance but whose initial tumor did not
* Measurable disease by radiography
* Meets any of the following criteria:
* Progressive nonresectable disease
* Any location in the brain
* Patients with a less than gross total resection are eligible provided they are symptomatic from their tumor OR the risk from neurologic impairment with progression is high enough to warrant immediate treatment
* Has undergone biopsy only
* Must have received = 1 course of prior chemotherapy (for patients < 10 years of age)
* Prior chemotherapy optional (for patients = 10 years of age)
* No type-1 neurofibromatosis
* No evidence of leptomeningeal dissemination
PATIENT CHARACTERISTICS:
Age
* 3 to 20
Performance status
* ECOG 0-2 OR
* Karnofsky 50-100% (for patients > 16 years of age) OR
* Lansky 50-100% (for patients = 16 years of age)
Life expectancy
* At least 1 year
Hematopoietic
* Absolute neutrophil count = 1,000/mm^3
* Platelet count = 100,000/mm^3 (transfusion independent)
* Hemoglobin = 10.0 g/dL (transfusions allowed)
Hepatic
* Not specified
Renal
* Not specified
Other
* Not pregnant
* Negative pregnancy test
* Fertile patients must use effective contraception
* Not in status epilepticus, coma, or requiring assisted ventilation prior to study entry
* Patients with a seizure disorder are eligible provided they are on anticonvulsants AND disease is well controlled
PRIOR CONCURRENT THERAPY:
Biologic therapy
* Not specified
Chemotherapy
* See Disease Characteristics
* Recovered from prior chemotherapy
* No concurrent chemotherapy
Endocrine therapy
* Concurrent dexamethasone allowed provided patient has been on a stable dose for = 2 weeks prior to study entry
* Concurrent dexamethasone allowed for symptoms of increased intracranial pressure
Radiotherapy
* No prior radiotherapy
Surgery
* See Disease Characteristics
Other
* No other concurrent anticancer therapy
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Minimum age
3
Years
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Maximum age
20
Years
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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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Type of endpoint/s
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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
1/11/2006
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
31/12/2018
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Sample size
Target
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Accrual to date
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Final
92
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Recruitment in Australia
Recruitment state(s)
QLD,WA
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Recruitment hospital [1]
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Royal Children's Hospital - Brisbane
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Recruitment hospital [2]
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Princess Margaret Hospital for Children - Perth
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Recruitment postcode(s) [1]
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4029 - Brisbane
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Recruitment postcode(s) [2]
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6001 - Perth
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Recruitment outside Australia
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United States of America
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Alabama
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Connecticut
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Lausanne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Children's Oncology Group
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Address
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Other collaborator category [1]
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Government body
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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: Specialized radiation therapy that delivers radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue. PURPOSE: This phase II trial is studying how well radiation therapy works in treating young patients with gliomas.
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Trial website
https://clinicaltrials.gov/study/NCT00238264
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Trial related presentations / publications
Ulin K, Urie MM, Cherlow JM. Results of a multi-institutional benchmark test for cranial CT/MR image registration. Int J Radiat Oncol Biol Phys. 2010 Aug 1;77(5):1584-9. doi: 10.1016/j.ijrobp.2009.10.017. Epub 2010 Apr 8.
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Public notes
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Contacts
Principal investigator
Name
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Joel M. Cherlow, MD
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Address
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Todd Cancer Institute at Long Beach Memorial Medical Center
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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
Ulin K, Urie MM, Cherlow JM. Results of a multi-in...
[
More Details
]
Results are available at
https://clinicaltrials.gov/study/NCT00238264
Download to PDF