Combination Chemotherapy Followed by Radiation Therapy in Treating Children With Localized Ependymoma | Completed
Combination Chemotherapy Followed by Radiation Therapy in Treating Children With Localized Ependymoma

Trial Source

There is no location for this trial

Location data is sourced from multiple external providers and UKCTG is not responsible for and cannot guarantee the accuracy of data.

Health Conditions
  • Brain and Central Nervous System Tumors
Unfortunately contact details are not available for this trial.
Primary Contact Details
Recruitment Status
Primary Trial ID Number
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. Combining more than one drug and combining chemotherapy with radiation therapy may kill more tumor cells. PURPOSE: This phase II trial is studying combination chemotherapy and radiation therapy to see how well they work in treating children with localized ependymoma.
Research Details
  • OBJECTIVES: - Determine the event free and overall survival of children with incompletely resected localized ependymoma when treated with adjuvant cyclophosphamide, etoposide, and vincristine followed by radiotherapy. - Determine the response rate in these patients to this regimen. OUTLINE: This is a multicenter study. Patients undergo surgery to remove as much of tumor as possible. Patients with residual disease proceed to chemotherapy, while those with no residual disease proceed directly to radiotherapy. Chemotherapy begins within 3 weeks of surgery and consists of vincristine IV on days 1, 8, and 15, cyclophosphamide IV over 3 hours on day 1, and etoposide IV over 4 hours on days 1-3. Treatment repeats every 4 weeks for up to 4 courses. Patients who progress after 2 courses proceed to radiotherapy. If residual disease is still present at completion of chemotherapy, second look surgery is recommended. Patients undergo radiotherapy daily for 6 weeks beginning after complete resection within 4 weeks of surgery, within 3 weeks of completion of chemotherapy, or within 4 weeks of second look surgery. Patients are followed at 6 weeks after radiotherapy, every 2 months for 1 year, every 4 months for 2 years, every 6 months for 2 years, and then annually for 5 years. PROJECTED ACCRUAL: A total of 65 patients will be accrued for this study within 2-3 years.
Phase 2
Study Design
Primary Purpose: Treatment
Study Type
Drug : cyclophosphamide, Drug : etoposide, Drug : vincristine sulfate, Procedure : adjuvant therapy, Procedure : conventional surgery, Radiation : radiation therapy

Study Arm Groups : , , , , ,

Intervention Type
See Interventions above
Primary Outcome Measures
  • Event-free survival; null; Overall survival; null; Surgical operability; null; Response rate; null
Secondary Outcome Measures
    Sorry, this information is not available
Sorry, this information is not available
Result Reports
This is available on the website
Age Range
3 Years - 20 Years
Who Can Participate
Number of Participants
Participant Inclusion Criteria
  • - Histologically proven nonmetastatic intracranial ependymoma
  • - Cellular
  • - Papillary
  • - Clear cell
  • - Mixed cell
  • - Anaplastic
  • - No myxopapillary ependymoma, subependymoma, or ependymoblastoma
  • Age:
  • - 3 to 20
  • Performance status:
  • - Not specified
  • Life expectancy:
  • - Not specified
  • Hematopoietic:
  • - No hematologic disease that would preclude study participation
  • Hepatic:
  • - Not specified
  • Renal:
  • - No renal disease that would preclude study participation
  • Other:
  • - No concurrent unrelated disease that would preclude study participation
  • Biologic therapy:
  • - Not specified
  • Chemotherapy:
  • - No prior chemotherapy
  • Endocrine therapy:
  • - Prior steroids allowed
  • Radiotherapy:
  • - No prior radiotherapy
  • Surgery:
  • - Not specified
Participant Exclusion Criteria
This is in the inclusion criteria above
Trial Location(s)
West Midlands
B4 6NH
Trial Contact(s)
Primary Trial Contact
Sorry, this information is not available
Other Trial Contacts
Sorry, this information is not available
Countries Recruiting
Argentina, Canada, Italy, Netherlands, Spain, Sweden, United Kingdom
Scientific Title
SIOP Study of Combined Modality Treatment in Childhood Ependymoma
EudraCT Number
Not available for this trial
  • Children's Cancer and Leukaemia Group
  • Italian Association for Pediatric Hematology Oncology
Other Study ID Numbers
Societe Internationale d'Oncologie Pediatrique
Key Dates

Recruitment Start Date

Jan 1999

Recruitment End Date
Date Not Available
Trial Start Date
Date Not Available
Trial End Date
Date Not Available
Date Assigned

28 Jan 2000

Last Updated

23 Aug 2013