SJiMB21: Phase 2 Study of Molecular and Clinical Risk-Directed Therapy for Infants and Young Children With Newly Diagnosed Medulloblastoma
St. Jude Children's Research Hospital
Summary
This is a multi-center, multinational phase 2 trial that aims to explore the use of molecular and clinical risk-directed therapy in treatment of children 0-4.99 years of age with newly diagnosed medulloblastoma.
Description
The objectives of this study are: Primary Objectives * To estimate the progression free survival of SHH-2 infant (0-2.99 years) and young child (3-4.99 years) medulloblastoma patients treated with systemic HD-MTX- based chemotherapy only. * To estimate the progression free survival of SHH-1 infant (0-2.99 years) medulloblastoma patients treated with systemic HD-MTX-based chemotherapy augmented with IVT-MTX. * To estimate the progression free survival of G3/G4 infant (0-2.99 years) medulloblastoma patients treated with systemic chemotherapy and delayed risk- adapted CSI augmented with carbopl…
Eligibility
- Age range
- Up to 4 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria - Screening Phase (All Patients) * Participants with presumptive/suspected newly diagnosed medulloblastoma. * Participant meets one of the following criteria at the time of screening: * Age \< 36 months OR Age ≥ 36 months and \< 60 months with presumptive/suspected non-metastatic disease * Participant must have adequate tumor tissue from primary tumor for central review of pathology and molecular classification by methylation and IHC * Participant must be able to begin treatment as outlined in the protocol within 36 days of definitive surgery (day of surgery is Day 0). I…
Interventions
- ProcedureSurgical resection
All participants enrolled will undergo surgical resection prior to treatment. The maximal resection that can be achieved without undue risk to the patient will be attempted, with decisions about feasibility and extent of resection left to the discretion of the neurosurgeon. In instances where an STR is the best extent of resection achieved prior to start of therapy, a "second-look" surgery may be performed between cycles of chemotherapy after discussion with the principal investigator.
- ProcedureOmmaya/VPS
All participants enrolled on S-1 will undergo
- DrugMethotrexate
Route of administration: Intravenously (IV)
- DrugCisplatin
Route of administration: Intravenously (IV)
- DrugVincristine
Route of administration: Intravenously (IV)
- DrugCyclophosphamide
Locations (10)
- Lucille Packard Children's Hospital StanfordPalo Alto, California
- Orlando Health Arnold Palmer Hospital for ChildrenOrlando, Florida
- St. Joseph's Children's HospitalTampa, Florida
- C.S. MOTT Children's Hospital, University of MichiganAnn Arbor, Michigan
- Children's Hospital and Clinics of MinnesotaMinneapolis, Minnesota
- St. Jude Children's Research HospitalMemphis, Tennessee