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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02727387
Other study ID # ISG/AIEOP EW-2
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date June 1, 2009
Est. completion date April 29, 2022

Study information

Verified date September 2022
Source Italian Sarcoma Group
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Study for the treatment of metastatic Ewing sarcoma with high doses chemotherapy, radiotherapy and maintenance therapy.


Description:

Study for the treatment of Ewing metastatic sarcoma with and induction phase with Vincristine (VIN), Adriamycin (ADM), Ciclofosfamide(CYC), Ifosfamide(IFO), Etoposide(ETO) and radiotherapy (RT)followed by a consolidation phase with Busulfan and Melfalan (BUMEL) and Peripheral Blood Stem Cells Transplantation (PBSCT) and a subsequent maintenance phase with Ciclofosfamide and Celecoxib for High Risk (HR) patients. Very High Risk (VHR) patients will receive a prior frontline therapy with Temozolomide and Irinotecan (TEMIRI), while patient with lung metastasis only will undergo to total lung irradiation after PBSCT


Recruitment information / eligibility

Status Completed
Enrollment 155
Est. completion date April 29, 2022
Est. primary completion date April 29, 2022
Accepts healthy volunteers No
Gender All
Age group N/A to 40 Years
Eligibility Inclusion Criteria: - Histologically proven Ewing's sarcoma - Age = 40 years - No previous treatment - Multiple skeletal metastasis or bone marrow infiltration , with/without lung/pleural metastasis - Signed Informed Consent Exclusion Criteria: - Localized Ewing's sarcoma - Any contraindications to the study treatment - Female patients who not accept to use an effective birth control method. - Pregnant or breast-feeding patients

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
TEMIRI
Window therapy frontline for VHR patients
ADM
Drug used in the Induction phase in association with Vincristine, Ifosfamide, cyclophosphamide and Etoposide
IFO
Drug used in the Induction phase in association with Vincristine, Adriamycin, cyclophosphamide and Etoposide
CYC
Drug used in the Induction phase in association with Vincristine, Ifosfamide, Adriamycin and Etoposide
ETO
Drug used in the Induction phase in association with Vincristine, Ifosfamide, cyclophosphamide and Adriamycin
BUMEL
Consolidation phase
VIN
Drug used in the Induction phase in association with cyclophosphamide , Ifosfamide, Adriamycin and Etoposide

Locations

Country Name City State
Italy Centro di Riferimento Oncologico - Unit of Medical Oncology Aviano Pordenone
Italy Azienda ospedaliero universitaria consorziale policlinico - bari Bari
Italy Istituto Ortopedico Rizzoli - Unit of Chemotherapy of Muscoloskeletal Tumors Bologna
Italy Servizio di Oncoematologi Pediatrica Ospedale microcitemico ASL 8 Cagliari
Italy I.R.C.C. - Unit of Medical Oncology Candiolo Torino
Italy A.O. Universitaria Meyer Firenze
Italy Istituto Giannina Gaslini Genova
Italy Fondazione IRCCS INT Milano Milano
Italy Azienda Ospedaliera di Padova Padova
Italy Azienda Ospedaliero-Universitaria Pisana Pisa
Italy Ospedale Pediatrico Bambin Gesu' Roma
Italy Ospedale Infantile Regina Margherita - Unit of Paediatric Oncoematology Torino
Italy IRCCS materno infantile Burlo Garofolo Trieste

Sponsors (1)

Lead Sponsor Collaborator
Italian Sarcoma Group

Country where clinical trial is conducted

Italy, 

References & Publications (3)

Gardner SL, Carreras J, Boudreau C, Camitta BM, Adams RH, Chen AR, Davies SM, Edwards JR, Grovas AC, Hale GA, Lazarus HM, Arora M, Stiff PJ, Eapen M. Myeloablative therapy with autologous stem cell rescue for patients with Ewing sarcoma. Bone Marrow Transplant. 2008 May;41(10):867-72. doi: 10.1038/bmt.2008.2. Epub 2008 Feb 4. — View Citation

Paulussen M, Ahrens S, Burdach S, Craft A, Dockhorn-Dworniczak B, Dunst J, Fröhlich B, Winkelmann W, Zoubek A, Jürgens H. Primary metastatic (stage IV) Ewing tumor: survival analysis of 171 patients from the EICESS studies. European Intergroup Cooperative Ewing Sarcoma Studies. Ann Oncol. 1998 Mar;9(3):275-81. — View Citation

Picci P, Böhling T, Bacci G, Ferrari S, Sangiorgi L, Mercuri M, Ruggieri P, Manfrini M, Ferraro A, Casadei R, Benassi MS, Mancini AF, Rosito P, Cazzola A, Barbieri E, Tienghi A, Brach del Prever A, Comandone A, Bacchini P, Bertoni F. Chemotherapy-induced tumor necrosis as a prognostic factor in localized Ewing's sarcoma of the extremities. J Clin Oncol. 1997 Apr;15(4):1553-9. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Overall Survival (OS) Evaluation of the OS in patients treated according to the protocol Expected average 3 year
Primary Event Free Survival (DFS) Evaluation of the time in which the patient do not experience any progression, relapse of toxicity event when treated according to the protocol Expected average 1 year
Secondary Safety - Incidence and grade of treatment-emergent Adverse Events Incidence and grade of treatment-emergent Adverse Events every 21 days up to 1 year
Secondary Evaluation of Quality of life using Pediatric Quality of Life Inventory (PedQL) -in child and adolescents(EORTC QLQ-C30) for children and adolescents Evaluation of patient's Quality of life: comparison of the Baseline and On treatrment quality of life score using PedQL every 3 weeks for the first 6 months and 3 monthly up to 1 year
Secondary Evaluation of Quality of life using European Organisation for Research and Treatment of Cancer Quality of Life of Cancer Patients (EORTC QLQ-C30) for adult patients Evaluation of patient's Quality of life: comparison of the Baseline and On treatrment quality of life score using EORTC QLQ-C30 every 3 weeks for the first 6 months and 3 monthly up to 1 year