Observation of Young Patients With Localized Neuroblastoma Who Have Undergone Surgery Only

September 19, 2013 updated by: Children's Cancer and Leukaemia Group

Phase II Trial of Surgery as the Only Treatment for INSS Stage 2A & 2B Neuroblastoma

RATIONALE: Observation is closely monitoring a patient's condition and not giving treatment until symptoms appear or change. Observation may help doctors see how effective surgery is in treating neuroblastoma.

PURPOSE: This phase II trial is studying how well surgery alone works in treating young patients with localized neuroblastoma.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

OBJECTIVES:

Primary

  • Evaluate the safety and efficacy of surgical treatment alone in young patients with stage 2 neuroblastoma without N-myc amplification (NMA).

Secondary

  • Determine predictive factors of relapse and survival of patients with stage 1, 2A, or 2B neuroblastoma without NMA who have undergone surgery only.

OUTLINE: This is a nonrandomized, multicenter study.

Patients with stage 1 or 2 disease and no N-myc amplification (NMA) undergo observation comprising clinical evaluation, ultrasound or CT scan of the abdomen, and chest x-ray periodically for up to 5 years. All other patients undergo additional therapy and follow-up according to national standards. Patients who develop recurrent disease or disease progression may undergo surgical resection, preceded or followed by chemotherapy, according to national standards.

PROJECTED ACCRUAL: A total of 140 patients will be accrued for this study.

Study Type

Interventional

Enrollment (Anticipated)

140

Phase

  • Phase 2

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

No older than 20 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

DISEASE CHARACTERISTICS:

  • Histologically confirmed neuroblastoma or ganglioneuroblastoma

  • Meets 1 of the following International Neuroblastoma Staging System (INSS) criteria:

    • Stage 1

    • Stage 2A or 2B meeting 1 of the following criteria:

      • With or without N-myc amplification
      • No evaluation of NMA
      • Symptomatic spinal cord compression
    • Stage 3*
    • Dumbbell syndrome with clinical signs of spinal cord compression*
  • NOTE: *These patients are eligible for the study but do not undergo observation; instead they will undergo standard treatment
  • Has undergone complete or gross surgical resection OR diagnostic surgical or needle biopsy

  • No metastases within 1 month of diagnosis

    • No skin metastases by clinical examination and MIBG scan
    • Normal liver by CT scan or ultrasonography
    • Normal chest X-ray (in case of nonthoracic primary site)

PATIENT CHARACTERISTICS:

  • Not specified

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • Prior steroids allowed
  • No prior chemotherapy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Non-Randomized

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Safety and efficacy

Secondary Outcome Measures

Outcome Measure
Predictive factors of relapse and survival

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Children's Cancer and Leukaemia Group

Investigators

  • Study Chair: Bruno De Bernardi, MD, Istituto Giannina Gaslini
  • Jean Marie Michon, MD, Institut Curie

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

December 1, 2004

Study Registration Dates

First Submitted

December 27, 2006

First Submitted That Met QC Criteria

December 27, 2006

First Posted (Estimate)

December 28, 2006

Study Record Updates

Last Update Posted (Estimate)

September 20, 2013

Last Update Submitted That Met QC Criteria

September 19, 2013

Last Verified

May 1, 2007

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • CDR0000454574
  • CCLG-NB-1995-06
  • EU-20596
  • CCLG-94-01

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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