Description:
RATIONALE: Surgery may be an effective treatment for neuroblastoma. PURPOSE: This phase II trial is studying how well surgery works in treating patients with neuroblastoma.
RATIONALE: Surgery may be an effective treatment for neuroblastoma. PURPOSE: This phase II trial is studying how well surgery works in treating patients with neuroblastoma.
Unknown status
Phase 2
OBJECTIVES:
- Evaluate the safety and efficacy of surgical treatment alone for stage II neuroblastoma
without N-myc amplification (NMA).
- Describe predictive factors of relapse and survival for stages I and II neuroblastoma
without NMA treated by surgery alone.
OUTLINE: Patients with localized resectable tumors undergo surgery. Postoperative evaluations
are performed 30 days following surgery. Study patients with stage I (without N-myc
amplification) tumors and trial patients with stage II tumors receive no further therapy.
Study patients (except stage I patients) receive surgery and/or chemotherapy according to
other protocols as necessary for disease progression or relapse.
Patients are followed every 3 months for the first year, then every 4 and 6 months for the
second and third year respectively, then yearly for 5 years.
PROJECTED ACCRUAL: This study will accrue 140 stage II patients for the trial portion at a
rate of 40 per year over 3.5 years. At least 70 more patients will be accrued for the study
portion.
| Name | Type | Description | Interventions |
|---|
DISEASE CHARACTERISTICS:
- Trial: Histologically proven International Neuroblastoma Staging System (INSS) stage
IIA and IIB neuroblastoma without amplification of the N-myc oncogene
- Study: Histologically proven neuroblastoma
- Stage I
- Stage II with amplified N-myc
- Stage II without evaluation of N-myc
- Stage II with symptomatic spinal cord compression
- Stage III
- No metastases diagnosed within 1 month of study
PATIENT CHARACTERISTICS:
Age:
- 20 and under
Performance status:
- Not specified
Life expectancy:
- Not specified
Hematopoietic:
- Not specified
Hepatic:
- Not specified
Renal:
- Not specified
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- No prior chemotherapy
- No adjuvant chemotherapy planned
Endocrine therapy:
- Prior use of steroids allowed
Radiotherapy:
- Not specified
Surgery:
- Not specified
| Maximum Eligible Age: | 20 Years |
| Minimum Eligible Age: | N/A |
| Eligible Gender: | All |
| Healthy Volunteers: | No |
| Measure: | Safety and efficacy |
| Time Frame: | |
| Safety Issue: | |
| Description: |
| Phase: | Phase 2 |
| Primary Purpose: | Interventional |
| Overall Status: | Unknown status |
| Lead Sponsor: | Societe Internationale d'Oncologie Pediatrique |
August 26, 2013