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Radiation + Chemotherapy for Medulloblastoma
Phase 3
Waitlist Available
Led By Jeff Michalski
Research Sponsored by Children's Oncology Group
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
No prior radiotherapy
Histologically confirmed medulloblastoma located in the posterior fossa
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 years
Awards & highlights
Summary
This trial is looking at whether standard-dose radiation therapy, versus reduced-dose, is more effective in children 3-7 years of age who have had surgery for newly diagnosed standard-risk medulloblastoma.
Who is the study for?
This trial is for young patients aged 3-7 with newly diagnosed standard-risk medulloblastoma, a type of brain tumor. They should have had surgery but no prior chemotherapy or radiotherapy, and their cancer shouldn't have spread. Their blood counts and organ functions need to meet specific criteria, they can't be pregnant or nursing, and must use effective contraception if applicable.
What is being tested?
The study compares different radiation therapy doses and volumes when combined with chemotherapy drugs like vincristine sulfate, lomustine, cisplatin, and cyclophosphamide after surgery in these children. It aims to find out which radiation strategy works best at killing remaining tumor cells without causing unnecessary harm.
What are the potential side effects?
Possible side effects include damage to healthy tissue from radiation, hair loss where the body is irradiated, fatigue from both treatments; nausea/vomiting due to chemo; increased risk of infections; bleeding issues related to low blood cell counts; kidney/liver function changes.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have not had any radiotherapy treatments before.
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My cancer, medulloblastoma, is confirmed and located in the back of my brain.
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I can perform most of my daily activities without help.
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My bilirubin levels are within normal range for my age.
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My liver enzymes are within normal limits for my age.
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My kidney function is normal or near normal.
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I have never received chemotherapy.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 3 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 years
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Event-free Survival (EFS)
Overall Survival (OS)
Secondary study objectives
Compliance Rates for All Eligible and Evaluable Patients Enrolled Within Time Window 1 (4-15 Months Post Diagnosis)
Compliance Rates for All Eligible and Evaluable Patients Enrolled Within Time Window 2 (27-48 Months Post Diagnosis)
Compliance Rates for All Eligible and Evaluable Patients Enrolled Within Time Window 3 (49 - 72 Months Post Diagnosis)
+15 moreTrial Design
6Treatment groups
Experimental Treatment
Active Control
Group I: Arm V (8-21 years of age, SDCSI, IFRT)Experimental Treatment8 Interventions
See Detailed Description (Arm V)
Group II: Arm III (3-7 years of age, SDCSI, IFRT)Experimental Treatment8 Interventions
See Detailed Description (Arm III)
Group III: Arm II (3-7 years of age, LDCSI, PFRT)Experimental Treatment8 Interventions
See Detailed Description (Arm II)
Group IV: Arm I (3-7 years of age, LDCSI, IFRT)Experimental Treatment8 Interventions
See Detailed Description (Arm I)
Group V: Arm IV (3-7 years of age, SDCSI, PFRT)Active Control7 Interventions
See Detailed Description (Arm IV)
Group VI: Arm VI (8-21 years of age, SDCSI, PFRT)Active Control8 Interventions
See Detailed Description (Arm VI)
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Cisplatin
2013
Completed Phase 3
~3120
Involved-Field Radiation Therapy
2002
Completed Phase 3
~1740
Lomustine
2008
Completed Phase 3
~1540
Radiation Therapy
2017
Completed Phase 3
~7250
Vincristine Sulfate
2005
Completed Phase 3
~10270
Cyclophosphamide
2010
Completed Phase 4
~2320
Find a Location
Who is running the clinical trial?
Children's Oncology GroupLead Sponsor
457 Previous Clinical Trials
239,281 Total Patients Enrolled
17 Trials studying Medulloblastoma
3,211 Patients Enrolled for Medulloblastoma
National Cancer Institute (NCI)NIH
13,868 Previous Clinical Trials
41,010,288 Total Patients Enrolled
89 Trials studying Medulloblastoma
9,792 Patients Enrolled for Medulloblastoma
Jeff MichalskiPrincipal InvestigatorChildren's Oncology Group
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have taken corticosteroids before.I have not had any radiotherapy treatments before.My cancer, medulloblastoma, is confirmed and located in the back of my brain.My condition is considered standard-risk.My remaining cancer is smaller than 1.5 cm^2 and not widespread, confirmed by a recent MRI.My cancer has not spread to my brain, spine, or cerebrospinal fluid.My cancer affects the brain stem.I can perform most of my daily activities without help.My bilirubin levels are within normal range for my age.My liver enzymes are within normal limits for my age.My kidney function is normal or near normal.I have never received chemotherapy.
Research Study Groups:
This trial has the following groups:- Group 1: Arm I (3-7 years of age, LDCSI, IFRT)
- Group 2: Arm II (3-7 years of age, LDCSI, PFRT)
- Group 3: Arm III (3-7 years of age, SDCSI, IFRT)
- Group 4: Arm IV (3-7 years of age, SDCSI, PFRT)
- Group 5: Arm V (8-21 years of age, SDCSI, IFRT)
- Group 6: Arm VI (8-21 years of age, SDCSI, PFRT)
Awards:
This trial has 2 awards, including:- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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