Overview

Combination Chemotherapy Alone or With Radiation Therapy in Treating Children With Kidney Cancer

Status:
Completed
Trial end date:
2003-08-01
Target enrollment:
0
Participant gender:
All
Summary
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. It is not yet known whether combination chemotherapy alone or combination chemotherapy plus radiation therapy is more effective for childhood kidney cancer. PURPOSE: Phase III trial to compare the effectiveness of combination chemotherapy with or without radiation therapy in treating children who have kidney cancer.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Children's Oncology Group
Collaborator:
National Cancer Institute (NCI)
Treatments:
Cyclophosphamide
Dactinomycin
Doxorubicin
Etoposide
Etoposide phosphate
Lenograstim
Liposomal doxorubicin
Vincristine
Criteria
DISEASE CHARACTERISTICS:

- Histologically confirmed stage I-V kidney cancer of one of the following histologies:

- Wilms' tumor, favorable histology

- Wilms' tumor, focal or diffuse anaplastic

- Clear cell sarcoma

- Rhabdoid tumor

- (The rhabdoid tumor stratum closed to accrual effective 07/13/2001)

- Prior nephrectomy or biopsy required

- Prior bilateral biopsy (preferably open) with bilateral staging and pathologic
evaluation required for bilateral tumor

- Must begin study therapy within 5 days after nephrectomy (unless medically
contraindicated)

PATIENT CHARACTERISTICS:

Age:

- Under 16

Performance status:

- Not specified

Life expectancy:

- Not specified

Hematopoietic:

- Not specified

Hepatic:

- Not specified

Renal:

- Not specified

Other:

- Not pregnant

- Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

- Not specified

Chemotherapy:

- No prior chemotherapy

Endocrine therapy:

- Not specified

Radiotherapy:

- No prior radiotherapy

Surgery:

- See Disease Characteristics