Overview

Vinorelbine in Treating Children With Recurrent or Refractory Cancers

Status:
Completed
Trial end date:
2007-03-01
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. PURPOSE: Phase II trial to study the effectiveness of vinorelbine in treating children with recurrent or refractory cancer.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Children's Oncology Group
Collaborator:
National Cancer Institute (NCI)
Treatments:
Vinblastine
Vinorelbine
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed recurrent or refractory solid malignant
tumors of childhood including: Soft tissue sarcoma Rhabdomyosarcoma Nonrhabdomyosarcoma
Extraosseous Ewing's sarcoma CNS tumors Astrocytoma Primitive neuroectodermal tumor
Atypical teratoid/rhabdoid tumors Ependymoma Recurrent neuroblastoma Measurable disease No
more than 2 prior treatment regimens

PATIENT CHARACTERISTICS: Age: 21 and under at diagnosis Performance status: ECOG 0-2 Life
expectancy: At least 2 months Hematopoietic: For patients with solid tumors (unless marrow
involvement): Absolute neutrophil count (ANC) at least 1000/mm3 Platelet count at least
100,000/mm3 (transfusion independent) Hemoglobin at least 10 g/dL (RBC transfusions
allowed) For patients post bone marrow transplantation: ANC at least 1,000/mm3 Platelet
count at least 50,000/mm3 (transfusion independent) Hemoglobin at least 10 g/dL (RBC
transfusions allowed) Hepatic: Total bilirubin no greater than 1.5 times normal SGOT/SGPT
less than 2.5 times normal Renal: Creatinine no greater than 1.5 times normal OR Creatinine
clearance or radioisotope glomerular filtration rate at least 70 mL/min Neurologic: Seizure
disorder allowed if well controlled CNS toxicity no greater than grade 2

PRIOR CONCURRENT THERAPY: Biologic therapy: At least 6 months since prior bone marrow
transplantation No concurrent immunomodulating agents Chemotherapy: At least 2 weeks since
prior chemotherapy (4 weeks for nitrosourea) and recovered No other concurrent chemotherapy
Endocrine therapy: No concurrent corticosteroids except for increased intracranial pressure
due to CNS tumors Radiotherapy: At least 6 months since prior radiotherapy to craniospinal
axis, spine, and/or more than 50% of the bony pelvis Concurrent radiotherapy to localized
painful lesions allowed if at least one measurable lesion is not in radiation field
Surgery: Not specified Other: No concurrent participation in another CCG, POG, or COG
therapeutic study