• Follow
  • Follow
  • Follow
  • Follow
U

Search



Shop

w

News

w

Blog

DONATE
Team Jack Foundation
  • About Us
    • Our Mission
    • Jack Hoffman
    • Board & Staff
    • Financials
  • Our Impact
    • Scientific Advisory Board
    • Sponsored Grants
    • Research Articles
  • Brain Cancer
    • What is Brain Cancer?
      • What is DIPG?
    • Brain Cancer Facts
    • Cancer Awareness Months
      • Brain Tumor Awareness Month
    • Family Resources
  • Events
  • Get Involved
    • Fundraise
      • Host an Event
      • Run For Team Jack
      • Birthday Fundraiser
    • Give
    • Our Sponsors
    • Volunteer
  • Heroes
  • Donate
  • Shop
  • Blog
  • News
Select Page

Get Involved

Clinical Trial Finder

Search Results

HeadStart4: Newly Diagnosed Children (<10 y/o) With Medulloblastoma and Other CNS Embryonal Tumors

Study Purpose

This is a prospective randomized clinical trial, to determine whether dose-intensive tandem Consolidation, in a randomized comparison with single cycle Consolidation, provides an event-free survival (EFS) and overall survival (OS). The study population will be high-risk patients (non-Wnt and non-Shh sub-groups) with medulloblastoma, and for all patients with central nervous system (CNS) embryonal tumors completing "Head Start 4" Induction. This study will further determine whether the additional labor intensity (duration of hospitalizations and short-term and long-term morbidities) associated with the tandem treatment is justified by the improvement in outcome. It is expected that the tandem (3 cycles) Consolidation regimen will produce a superior outcome compared to the single cycle Consolidation, given the substantially higher dose intensity of the tandem regimen, without significant addition of either short-term or long-term morbidities.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages N/A - 10 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Patients 10 years of age at the time of definitive confirmatory eligible histologic or cytologic diagnosis of eligible CNS tumor (brain or spinal cord) - Patients may not have received irradiation or chemotherapy (except corticosteroids) - Have histologically proven diagnosis of medulloblastoma or CNS embryonal tumors of the brain or spinal cord.
  • - Medulloblastoma.
  • - Posterior fossa classic, desmoplastic or extensive nodular or anaplastic/large cell medulloblastoma with appropriate and sufficient tumor material (FFPE or snap frozen) for proposed assays: all stages, age less than 6 years at diagnosis.
  • - Posterior fossa classic or anaplastic/large cell medulloblastoma with sufficient tumor material (FFPE or snap frozen) for proposed assays: clinically high-stage (neuraxis or extra-neural dissemination, M1-4), age greater than 6 years to less than 10 years at diagnosis.
  • - Posterior fossa medulloblastoma, those 6 years of age and above at diagnosis, will only be eligible if they have evidence of neuraxis or extraneural dissemination.
Patients 6 years of age and above with low-stage (standard-risk, M0) medulloblastoma will NOT be eligible for this study, irrespective of molecular subgroup and extend of local resection.
  • - CNS Embryonal Tumors: - Pineoblastoma, CNS neuroblastoma, CNS ganglioneuroblastoma, embryonal tumor with multi-layered rosettes (ETMR, including embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma and ETMR not otherwise specified), medulloepithelioma, CNS embryonal tumor with rhabdoid features (INI1 intact) and CNS embryonal tumor, not otherwise specified.
  • - Must commence Induction chemotherapy within 28 days of the most recent definitive surgical procedure and within 21 days of the most recent neuro-imaging studies (MRI of brain, performed with and without gadolinium contrast, and MRI of total spine, performed with gadolinium contrast) and lumbar CSF cytological examination.
  • - Patients must have adequate organ functions at the time of registration: - Liver: bilirubin less than 1.5 mg/dL (except for patients with Gilbert's Syndrome of indirect hyperbilirubinemia) and transaminases [SGPT or ALT, and SGOT or AST] less than 2.5 (two and a half) times the upper limits of institutional normal.
  • - Renal: Creatinine clearance and/or glomerular filtration rate (GFR) greater than or equal to 60 mL/min/1.73m² within 21 days of protocol therapy.
  • - Bone Marrow Function: 1.
Peripheral absolute phagocyte count (APC) > 1000/ µL. APC = numbers of banded neutrophils + segmented neutrophils + metamyelocytes + monocytes + eosinophils Please note, if institution reports differential as a percentage, then APC = [percentage of banded neutrophils + segmented neutrophils+ metamyelocytes+monocytes+eosinophils] x total white cell count. 2. Platelet Count > 100,000/µL (transfusion independent) 3. Hemoglobin > 8 gm/dL (may have received RBC transfusions).

Exclusion Criteria:

  • - Patients older than 10 years of age at time of diagnosis.
  • - Following diagnoses are not eligible for study enrollment: CNS atypical teratoid/rhabdoid tumor (AT/RT); all ependymomas including anaplastic ependymomas of the brain or spinal cord; all choroid plexus carcinomas; all high-grade glial and glio-neuronal tumors; all primary CNS germ cell tumors; all primary CNS sarcomas; all primary or metastatic CNS lymphomas and solid leukemic lesions (i.e., chloromas, granulocytic sarcomas).
  • - Patients with unbiopsied diffuse intrinsic pontine tumors will NOT be eligible for this study.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT02875314
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 4
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Parth Patel
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Randal Olshefski, MDJonathan Finlay, MDGirish Dhall, MD
Principal Investigator Affiliation Nationwide Children's HospitalGlobal Neuro-Oncology, Inc.Children's of Alabama at UAB
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Active, not recruiting
Countries Canada, New Zealand, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Medulloblastoma, Central Nervous System Embryonal Tumors
Additional Details

Due to the inferior response and event-free survival data of Regimens D and D2 on "Head Start III" for all children with supratentorial embryonal tumors, in comparison with the published data from "Head Start II" with Regimen A2 for metastatic patients, all such patients will receive the "Head Start II" Induction Regimen A2, on "Head Start 4", for either three or five cycles, depending upon whether or not they achieve complete remission by the end of Induction cycle #3. They will then undergo randomization to either single cycle or three tandem cycles of Consolidation marrow-ablative chemotherapy with AuHPCR. Because of the unsatisfactory event-free survival for young children with non-desmoplastic/extensive nodular medulloblastoma (predominantly non-Shh and non-Wnt medulloblastoma subgroups) on Regimens D and D2 of "Head Start III", all these patients will receive the "Head Start II" Induction Regimen A2 on ""Head Start 4"", for either three or five cycles, depending upon whether or not they achieve complete remission by the end of Induction cycle #3. They will then undergo randomization to either single cycle or three tandem cycles of Consolidation marrow-ablative chemotherapy with AuHPCR. Because of the excellent event-free and overall survival for young children with good risk medullo-blastoma (Shh or Wnt subgroups) treated with up-front "Head Start" chemotherapy strategies, such patients will undergo risk-tailored reduction of duration of Induction therapy from five cycles to three cycles of the "Head Start II" Induction Regimen A2 on "Head Start 4" for patients achieving a complete response to 3 cycles, followed, provided they are also without evidence of residual tumor following recovery from Induction cycle #3. They will NOT then undergo randomization, but will follow with a single cycle of Consolidation marrow-ablative chemotherapy as in "Head Start" studies.

Arms & Interventions

Arms

Experimental: Induction

The 5 chemotherapy drugs used in the Induction part of treatment are vincristine, cisplatin, cyclophosphamide, etoposide and high-dose methotrexate. Three medications are also given to help reduce the side effects of the chemotherapy drugs. Filgrastim will be given through a vein or through a tiny needle into the tissue just under the skin to help blood counts recover after the chemotherapy. Mesna will be given through a vein with cyclophosphamide to help prevent bleeding in the bladder. Leucovorin will be given through a vein after the methotrexate to protect the body from the side effects of the methotrexate.

Experimental: Single Cycle Intensive Chemotherapy

The three drugs to be used in this research study are thiotepa, etoposide and carboplatin. These drugs will be given over 6 days to help kill the cancer cells. After 72 hours from getting these drugs, previously collected and frozen blood cells will be thawed and returned through the venous catheter. Carboplatin is given by vein over 4 hours. Thiotepa is given by vein over 3 hours. Etoposide is given by vein over 3 hours. The schedule for these drugs is as follows: Day -8: Carboplatin Day -7: Carboplatin Day -6: Carboplatin Day -5: Thiotepa, Etoposide Day -4: Thiotepa, Etoposide Day -3: Thiotepa, Etoposide Day -2: Rest Day -1: Rest Day 0: Re-infusion of blood cells

Experimental: Tandem 3 Cycle Intensive Chemotherapy

The 2 drugs to be used in this treatment are thiotepa and carboplatin. These drugs will be given over 2 days to help kill the cancer cells. After 72 hours from getting these drugs, previously collected and frozen blood cells will be thawed and returned through the venous catheter. Day -4: Thiotepa, Carboplatin Day -3: Thiotepa, Carboplatin Day -2: Rest Day -1: Rest Day 0: Re-infusion of blood cells. Following recovery from the first cycle of this chemotherapy, about 28 days following the Day 0 reinfusion of blood cells, the same cycle will be repeated again. A total of 3 cycles of this therapy will be administered, over the course of 12 weeks.

Interventions

Drug: - Induction

vincristine, cisplatin, cyclophosphamide, etoposide, high-dose methotrexate

Drug: - Single Cycle Intensive Chemotherapy

Carboplatin, thiotepa, etoposide

Drug: - Tandem 3 Cycle Intensive Chemotherapy

Carboplatin, thiotepa

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Children's of Alabama, Birmingham 4049979, Alabama 4829764

Status

Address

Children's of Alabama

Birmingham 4049979, Alabama 4829764, 35233

Phoenix Children's Hospital, Phoenix 5308655, Arizona 5551752

Status

Address

Phoenix Children's Hospital

Phoenix 5308655, Arizona 5551752, 85016

Arkansas Children's Hospital, Little Rock 4119403, Arkansas 4099753

Status

Address

Arkansas Children's Hospital

Little Rock 4119403, Arkansas 4099753, 72202

Loma Linda University Medical Center, Loma Linda 5367696, California 5332921

Status

Address

Loma Linda University Medical Center

Loma Linda 5367696, California 5332921, 92350

Memorial Care Health Services, Long Beach 5367929, California 5332921

Status

Address

Memorial Care Health Services

Long Beach 5367929, California 5332921, 90806

Children's Hospital Los Angeles, Los Angeles 5368361, California 5332921

Status

Address

Children's Hospital Los Angeles

Los Angeles 5368361, California 5332921, 90027

Mattel Children's Hospital (UCLA), Los Angeles 5368361, California 5332921

Status

Address

Mattel Children's Hospital (UCLA)

Los Angeles 5368361, California 5332921, 90095

UCSF Oakland Benioff, Oakland 5378538, California 5332921

Status

Address

UCSF Oakland Benioff

Oakland 5378538, California 5332921, 94609

Children's Hospital Orange County, Orange 5379513, California 5332921

Status

Address

Children's Hospital Orange County

Orange 5379513, California 5332921, 91868

Children's Hospital Colorado, Aurora 5412347, Colorado 5417618

Status

Address

Children's Hospital Colorado

Aurora 5412347, Colorado 5417618, 80045

Wilmington 4145381, Delaware 4142224

Status

Address

Nemours Center for Cancer and Blood Disorders

Wilmington 4145381, Delaware 4142224, 19803

Children's National Medical Center, Washington D.C. 4140963, District of Columbia 4138106

Status

Address

Children's National Medical Center

Washington D.C. 4140963, District of Columbia 4138106, 20010

Gainesville 4156404, Florida 4155751

Status

Address

Shands Children's Hospital/ University of FL

Gainesville 4156404, Florida 4155751, 32608

Jacksonville 4160021, Florida 4155751

Status

Address

Nemours Center for Cancer and Blood Disorders

Jacksonville 4160021, Florida 4155751, 19803

Nicklaus Children's Hospital, Miami 4164138, Florida 4155751

Status

Address

Nicklaus Children's Hospital

Miami 4164138, Florida 4155751, 33155

Orlando Health, Orlando 4167147, Florida 4155751

Status

Address

Orlando Health

Orlando 4167147, Florida 4155751, 32806

John's Hopkins All Children's Hospital, St. Petersburg 4171563, Florida 4155751

Status

Address

John's Hopkins All Children's Hospital

St. Petersburg 4171563, Florida 4155751, 33701

Children's Healthcare of Atlanta, Atlanta 4180439, Georgia 4197000

Status

Address

Children's Healthcare of Atlanta

Atlanta 4180439, Georgia 4197000, 30342

Indianapolis 4259418, Indiana 4921868

Status

Address

Riley Children's Hospital/University of Indiana

Indianapolis 4259418, Indiana 4921868, 46202

University of Iowa Hospital and Clinics, Iowa City 4862034, Iowa 4862182

Status

Address

University of Iowa Hospital and Clinics

Iowa City 4862034, Iowa 4862182, 52242

Louisville 4299276, Kentucky 6254925

Status

Address

University of Louisville School of Medicine

Louisville 4299276, Kentucky 6254925, 40202

Baltimore 4347778, Maryland 4361885

Status

Address

John's Hopkins University School of Medicine

Baltimore 4347778, Maryland 4361885, 21287

Dana Farber Cancer Institute, Boston 4930956, Massachusetts 6254926

Status

Address

Dana Farber Cancer Institute

Boston 4930956, Massachusetts 6254926, 02215

University of Michigan, Ann Arbor 4984247, Michigan 5001836

Status

Address

University of Michigan

Ann Arbor 4984247, Michigan 5001836, 48109

Central Michigan University, Detroit 4990729, Michigan 5001836

Status

Address

Central Michigan University

Detroit 4990729, Michigan 5001836, 48201

Helen DeVos Children's Hospital, Grand Rapids 4994358, Michigan 5001836

Status

Address

Helen DeVos Children's Hospital

Grand Rapids 4994358, Michigan 5001836, 49503

Children's Hospital of Minnesota, Minneapolis 5037649, Minnesota 5037779

Status

Address

Children's Hospital of Minnesota

Minneapolis 5037649, Minnesota 5037779, 55404

Minneapolis 5037649, Minnesota 5037779

Status

Address

Masonic Children's Hospital/University of Minnesota

Minneapolis 5037649, Minnesota 5037779, 55454

Mayo Clinic, Rochester 5043473, Minnesota 5037779

Status

Address

Mayo Clinic

Rochester 5043473, Minnesota 5037779, 55905

Washington University School of Medicine, St Louis 4407066, Missouri 4398678

Status

Address

Washington University School of Medicine

St Louis 4407066, Missouri 4398678, 63110

Children's Specialty Care of Nevada, Las Vegas 5506956, Nevada 5509151

Status

Address

Children's Specialty Care of Nevada

Las Vegas 5506956, Nevada 5509151, 89135

Hackensack 5098706, New Jersey 5101760

Status

Address

Joseph Sanzari Children's Hospital/ Hackensack University

Hackensack 5098706, New Jersey 5101760, 07601

Morristown 5101427, New Jersey 5101760

Status

Address

Morristown Medical Center, Atlantic Health System

Morristown 5101427, New Jersey 5101760, 07960

New York Medical College, Hawthorne 5120284, New York 5128638

Status

Address

New York Medical College

Hawthorne 5120284, New York 5128638, 10532

Northwell Health, Hempstead 5120478, New York 5128638

Status

Address

Northwell Health

Hempstead 5120478, New York 5128638, 11549

NYU Langone Medical Center, New York 5128581, New York 5128638

Status

Address

NYU Langone Medical Center

New York 5128581, New York 5128638, 10016

New York 5128581, New York 5128638

Status

Address

Columbia Presbyterian Children's Hospital

New York 5128581, New York 5128638, 10032

Memorial Sloan Kettering Cancer Center, New York 5128581, New York 5128638

Status

Address

Memorial Sloan Kettering Cancer Center

New York 5128581, New York 5128638, 10065

Syracuse 5140405, New York 5128638

Status

Address

Upstate Golisano Children's Hospital/ SUNY Upstate Medical University

Syracuse 5140405, New York 5128638, 13210

Charlotte 4460243, North Carolina 4482348

Status

Address

Carolina's HealthCare System/Levine Cancer Institute

Charlotte 4460243, North Carolina 4482348, 28204

Duke University Medical Center, Durham 4464368, North Carolina 4482348

Status

Address

Duke University Medical Center

Durham 4464368, North Carolina 4482348, 27710

Akron Children's Hospital, Akron 5145476, Ohio 5165418

Status

Address

Akron Children's Hospital

Akron 5145476, Ohio 5165418, 44308

Rainbow Babies & Children's Hospital, Cleveland 5150529, Ohio 5165418

Status

Address

Rainbow Babies & Children's Hospital

Cleveland 5150529, Ohio 5165418, 44106

Cleveland Clinic, Cleveland 5150529, Ohio 5165418

Status

Address

Cleveland Clinic

Cleveland 5150529, Ohio 5165418, 44195

Nationwide Children's Hospital, Columbus 4509177, Ohio 5165418

Status

Address

Nationwide Children's Hospital

Columbus 4509177, Ohio 5165418, 43205

Dayton Children's Hospital, Dayton 4509884, Ohio 5165418

Status

Address

Dayton Children's Hospital

Dayton 4509884, Ohio 5165418, 45404

Penn State Hershey Children's Hospital, Hershey 5193342, Pennsylvania 6254927

Status

Address

Penn State Hershey Children's Hospital

Hershey 5193342, Pennsylvania 6254927, 17033

Children's Hospital of Philadelphia, Philadelphia 4560349, Pennsylvania 6254927

Status

Address

Children's Hospital of Philadelphia

Philadelphia 4560349, Pennsylvania 6254927, 19104

Medical University of South Carolina, Charleston 4574324, South Carolina 4597040

Status

Address

Medical University of South Carolina

Charleston 4574324, South Carolina 4597040, 29425

Vanderbilt-Ingram Cancer Center, Nashville 4644585, Tennessee 4662168

Status

Address

Vanderbilt-Ingram Cancer Center

Nashville 4644585, Tennessee 4662168, 37232

MD Anderson Cancer Center, Houston 4699066, Texas 4736286

Status

Address

MD Anderson Cancer Center

Houston 4699066, Texas 4736286, 77030

Primary Children's Hospital, Salt Lake City 5780993, Utah 5549030

Status

Address

Primary Children's Hospital

Salt Lake City 5780993, Utah 5549030, 84113

Virginia Commonwealth University, Richmond 4781708, Virginia 6254928

Status

Address

Virginia Commonwealth University

Richmond 4781708, Virginia 6254928, 23219

Madison 5261457, Wisconsin 5279468

Status

Address

American Family Children's Hospital/University of Wisconsin

Madison 5261457, Wisconsin 5279468, 53792

Medical College of Wisconsin, Milwaukee 5263045, Wisconsin 5279468

Status

Address

Medical College of Wisconsin

Milwaukee 5263045, Wisconsin 5279468, 58226

International Sites

B.C. Children's Hospital, Vancouver 6173331, British Columbia 5909050, Canada

Status

Address

B.C. Children's Hospital

Vancouver 6173331, British Columbia 5909050, V6H 3V4

Alberta Children's Hospital, Calgary 5913490, Canada

Status

Address

Alberta Children's Hospital

Calgary 5913490, ,

Stollery Children's Hospital, Edmonton 5946768, Canada

Status

Address

Stollery Children's Hospital

Edmonton 5946768, ,

Hamilton 5969782, Canada

Status

Address

Hamilton Health/McMasters Children's Hospital, Hamilton, Canada

Hamilton 5969782, ,

The Hospital of Sick Children, Toronto 6167865, Canada

Status

Address

The Hospital of Sick Children

Toronto 6167865, ,

Starship Children's Hospital, Auckland 2193733, New Zealand

Status

Address

Starship Children's Hospital

Auckland 2193733, ,

Christchurch Children's Hospital, Christchurch 2192362, New Zealand

Status

Address

Christchurch Children's Hospital

Christchurch 2192362, ,

Resources

  • Patient and Caregiver Survey
  • Clinical Trial Endpoints
  • Research Resources
Powered By

The content provided on clinical trials is for informational purposes only and is not a substitute for medical consultation with your healthcare provider. We do not recommend or endorse any specific study and you are advised to discuss the information shown with your healthcare provider. While we believe the information presented on this website to be accurate at the time of writing, we do not guarantee that its contents are correct, complete, or applicable to any particular individual situation. We strongly encourage individuals to seek out appropriate medical advice and treatment from their physicians. We cannot guarantee the availability of any clinical trial listed and will not be responsible if you are considered ineligible to participate in a given clinical trial. We are also not liable for any injury arising as a result of participation.

Make an impact through your inbox

News, upcoming events and research updates delivered straight to your inbox.

  • This field is for validation purposes and should be left unchanged.
MAKE AN IMPACT

Donate today to help the Team Jack Foundation fund research and fight pediatric brain cancer.

Make a Donation
  • About Us
  • Our Mission
  • Jack Hoffman
  • Board & Staff
  • Fund Allocation
  • Financials
  • Our Impact
  • Scientific Advisory Board
  • Sponsored Grants
  • Research Articles
  • Brain Cancer
  • Family Resources
  • Get Involved
  • Fundraise
  • Give
  • Events
  • Our Sponsors
  • Volunteer
  • Follow
  • Follow
  • Follow
  • Follow
  • Follow
seal of transparency badge - 2019 Gold
combined health agencies drive member charity badge
Share Omaha member badge
© 2021 Team Jack Foundation. PO Box 607, Atkinson, NE, 68713. All Rights Reserved. Team Jack Foundation, Inc. is exempt from federal income tax under section 501(c)3, ID Number 46-2301134, of the internal revenue code. All contributions to the Foundation are tax deductible. Privacy Policy • Contact