UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000973
Receipt number R000001097
Scientific Title An early phase II study of delayed local treatment with surgery and radiation, that follows high dose chemotherapy with peripheral blood stem cell transplantation in patients with advanced neuroblastoma
Date of disclosure of the study information 2008/01/07
Last modified on 2012/02/07 09:51:51

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Basic information

Public title

An early phase II study of delayed local treatment with surgery and radiation, that follows high dose chemotherapy with peripheral blood stem cell transplantation in patients with advanced neuroblastoma

Acronym

An early phase II study of delayed local treatment in advanced neuroblastoma

Scientific Title

An early phase II study of delayed local treatment with surgery and radiation, that follows high dose chemotherapy with peripheral blood stem cell transplantation in patients with advanced neuroblastoma

Scientific Title:Acronym

An early phase II study of delayed local treatment in advanced neuroblastoma

Region

Japan


Condition

Condition

Neuroblastoma

Classification by specialty

Hematology and clinical oncology Surgery in general Pediatrics
Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To examine the efficacy and toxicity of delayed local treatment with surgery and radiation, that follows bone marrow ablative high-dose chemotherapy and autologous hematopoietic stem cell transplantation, in children older than 1 year with INSS stage 4 neuroblastoma

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

1-year progression-free survival rate from the 12th week of the protocol

Key secondary outcomes

2-year progression-free and overall survival rates, clinical response rate at the 12th week of the protocol and that before surgery, the incidence of adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Chemothrapy, surgery and radiation in INSS satge 4 neuroblastoma

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

1 years-old <=

Age-upper limit

18 years-old >

Gender

Male and Female

Key inclusion criteria

Childen older than 1 year with INSS stage 4 neuroblastoma

Key exclusion criteria

Active double cancer; pregnant or possiblly pregnant women and those during breast feeding; patients with psychologic disease or symptoms who have difficulty in receiving protocol treatment; patients with disease that may interfere with the protocol treatment

Target sample size

16


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hideo Mugishima

Organization

Nihon University School Of Medicine

Division name

Division of Pediatrics and Child Health

Zip code


Address

30-1,Oyaguchi-kamichou,Itabashiku,Tokyou,Japan

TEL

03-3972-8111(2442)

Email



Public contact

Name of contact person

1st name
Middle name
Last name Hiroyuki Shichino

Organization

Nihon University School Of Medicine

Division name

Division of Pediatrics and Child Health

Zip code


Address

30-1,Oyaguchi-kamichou,Itabashiku,Tokyou,Japan

TEL

0339728111(2442)

Homepage URL

http://www.jnbsg.jp/

Email

shichino.hiroyuki@nihon-u.ac.jp


Sponsor or person

Institute

Japan Neuroblastoma Study Group

Institute

Department

Personal name



Funding Source

Organization

A research grant from the Ministry of Health, Labour and Welfare: Cancer clinical research project of the year 2009

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2008 Year 01 Month 07 Day


Related information

URL releasing protocol

http://www.jnbsg.jp/

Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Background: The progression-free survival rates of high risk neuroblastoma (HR-NB) patients are still unacceptable. The Japan Neuroblastoma Study Group (JNBSG) has examined the feasibility of time-intensive multimodal treatment with delayed local control treatment (DLCT).

Methods: Between June 2006 and February 2008, 11 patients, four male and seven female, with newly diagnosed HR-NB patients were enrolled in the study. The median age at diagnosis was 22 months (range, 13 to 66 months). DLCT consisted of induction chemotherapy (IC) with cisplatin (100mg/m2), pirarubicin (40mg/m2), vincristine (1.5mg/m2), and cyclophosphamide (2,400mg/m2). After 5 courses of IC, all patients were treated immediately with myeloablative chemotherapy with carboplatin (1,600mg/m2), etoposide (800mg/m2), and melphalan (200mg/m2). After these treatments, local tumor eradication with surgery and irradiation (21Gy) was performed.

Results: DLCT was completed in 4 patients, while it was discontinued in the remaining 7 patients due to progressive disease (PD) or regimen related toxicity (RRT). Six patients died due to PD (n=4) or RRT (n=2), and 5 patients were alive at the time of evaluation.

Conclusions: These results suggest that DLCT is feasible in terms of completion. Based on the results of the study, we designed a phase II study that will be conducted by the JNBSG.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2005 Year 11 Month 18 Day

Date of IRB


Anticipated trial start date

2005 Year 12 Month 01 Day

Last follow-up date

2009 Year 10 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2008 Year 01 Month 07 Day

Last modified on

2012 Year 02 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001097


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name