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Paclitaxel Plus Radiation Therapy in Treating Children With Newly Diagnosed Brain Stem Glioma



Paclitaxel Plus Radiation Therapy in Treating Children With Newly Diagnosed Brain Stem Glioma

For Condition: untreated childhood brain stem glioma
Status: Recruiting
Sponsor(s): Children's Hospital of Philadelphia ,
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Paclitaxel may make the tumor cells more sensitive to radiation therapy. PURPOSE: Phase I trial to study the effectiveness of combining paclitaxel with radiation therapy in treating children who have newly diagnosed brain stem glioma.
Details: OBJECTIVES: - Determine the maximum tolerated dose of paclitaxel when combined with involved-field radiotherapy in children with newly diagnosed, diffuse, intrinsic brain stem glioma. - Determine the toxicity of this regimen in these patients. - Assess the antitumor activity of this regimen in these patients. OUTLINE: This is a multicenter, dose-escalation study of paclitaxel. Patients receive induction therapy comprising paclitaxel IV over 1 hour once weekly and involved-field radiotherapy (after paclitaxel infusion) once daily, 5 days a week, for 6 weeks. Beginning 6 weeks after completion of induction therapy, patients may receive maintenance therapy comprising paclitaxel IV over 1 hour once every 3 weeks for a total of 8 courses. Treatment continues in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of paclitaxel until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Patients are followed every 3 months for 1 year, every 6 months for 1 year, and then annually thereafter. PROJECTED ACCRUAL: A minimum of 12 patients will be accrued for this study within 12-18 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 3 Years/21 Years
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Newly diagnosed, diffuse, intrinsic brain stem glioma by clinical examination and MRI - Histologic verification not required - Intrinsic (more than 50% intra-axial) involvement of the pons, pons and medulla, pons and midbrain, or entire brain stem allowed - Contiguous involvement of the thalamus or upper cervical cord allowed PATIENT CHARACTERISTICS: Age: - 3 to 21 at diagnosis Performance status: - Not specified Life expectancy: - Not specified Hematopoietic: - Absolute neutrophil count greater than 1,000/mm3 - Platelet count greater than 100,000/mm3 - Hemoglobin greater than 10.0 g/dL Hepatic: - Bilirubin less than 1.5 times normal - SGOT or SGPT less than 2.5 times normal Renal: - Creatinine less than 1.5 times normal Other: - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use a highly effective method of contraception for female patients or barrier contraception for male patients PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - No other concurrent anticancer chemotherapy Endocrine therapy: - Concurrent corticosteroid therapy for increased intracranial pressure allowed Radiotherapy: - Not specified Surgery: - Not specified Other: - No concurrent cytochrome P450-inducing anticonvulsants (e.g., phenytoin or carbamazepine) during paclitaxel therapy - Other concurrent anticonvulsants (e.g., valproic acid) for pre-existing seizure disorder allowed
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
JeanBelasco,  Study Chair,  Children's Hospital of Philadelphia

Beth Israel Medical Center - Singer Division *Recruiting*
New York City,  New York,  10128
United States
Recruiting Jeffrey  Allen 212-870-9407

Children's Hospital of Philadelphia *Recruiting*
Philadelphia,  Pennsylvania,  19104
United States
Recruiting Jean  Belasco 215-590-2848

New York University Medical Center *Recruiting*
New York City,  New York,  10016
United States
Recruiting Jonathan  Finlay 212-263-6725/6829


Additional Information:
Study ID Numbers:
  CDR0000069064;  BMS-CHP-623,NCI-V01-1677,CHP-623,CHP-1999-7-1780
Study Start Date: 
Record last reviewed: March 2002
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00031577

Other Untreated Childhood Brain Stem Glioma Studies:
1. Gefitinib and Radiation Therapy in Treating Children With Newly Diagnosed Gliomas

2. Motexafin Gadolinium Plus Radiation Therapy in Treating Children With Newly Diagnosed Brain Stem Glioma

3. Antineoplaston Therapy in Treating Patients With Brain Stem Glioma

4. Irinotecan Followed by Radiation Therapy and Temozolomide in Treating Children With Newly Diagnosed Brain Tumor

5. Tipifarnib and Radiation Therapy in Treating Young Patients With Brainstem Glioma

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