Neuroblastoma Clinical Trial
Official title:
Combination Chemotherapy Followed by Stem Cell Transplant and Isotretinoin in Treating Young Patients With High-risk Neuroblastoma
Improvement of event free survival of high-risk neuroblastoma patients by introduction of two additional topotecan containing chemotherapy cycles into the multimodal standard treatment (induction chemotherapy, myeloablative therapy, radiation, surgery as indicated, and consolidation therapy).
Experimental intervention (6 weeks + duration of the control intervention):
2 x N8 cycle (topotecan, cyclophosphamide, and etoposide) followed by standard arm treatment
(i.e., control intervention)
Control intervention (total duration 70-76 weeks):
3 x N5 cycle (cisplatin, etoposide, and vindesine) 3 x N6 cycle (vincristine, dacarbacine,
ifosfamide, and doxorubicine), myeloablative chemotherapy with autologous stem cell
transplantation (melphalan, carboplatin, etoposide) 9 x retinoic acid cycles (6 months, 3
months break, 3 months) supportive care (PCP/fungal prophylaxis, transfusions, antibiotics,
G-CSF)
;
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