Brain and Central Nervous System Tumors Clinical Trial
Official title:
Treatment of Children With Newly Diagnosed Diffuse Pontine Gliomas Using Conventional Radiotherapy and High Dose Tamoxifen
RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Tamoxifen may
kill tumor cells by blocking the enzymes necessary for cell growth. Combining radiation
therapy with tamoxifen may be effective in treating newly diagnosed brain stem glioma.
PURPOSE: Phase II trial to study the effectiveness of combining radiation therapy and
tamoxifen in treating children who have newly diagnosed brain stem glioma.
OBJECTIVES:
- Determine whether high-dose tamoxifen with radiotherapy increases the median survival
and overall survival of children with newly diagnosed brain stem gliomas.
- Determine the time to neurologic or radiographic progression in patients treated with
this regimen.
- Determine the acute and chronic toxicity of high-dose tamoxifen in these patients.
OUTLINE: This is a multicenter study.
Patients undergo radiotherapy once daily 5 days a week for 6 weeks. Within 2 weeks after the
initiation of radiotherapy, patients receive oral high-dose tamoxifen once daily. Tamoxifen
continues in the absence of disease progression or unacceptable toxicity.
PROJECTED ACCRUAL: Approximately 60 patients will be accrued for this study within 4 years.
;
Primary Purpose: Treatment
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