CClinicalTrials.gg
CompletedNCT00002995Updated Feb 14, 2014

Combination Chemotherapy With or Without Radiation Therapy in Treating Patients With Newly Diagnosed Rhabdomyosarcoma

A Phase 3 interventional study of dactinomycin and filgrastim in Sarcoma, sponsored by Children's Oncology Group. Completed at 233 sites in 7 countries. Open to participants aged Up to 49 Years. Per ClinicalTrials.gov, last updated 2014-02-14.

Sponsored by Children's Oncology Group · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
483
Ages
Up to 49 Years
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy work in different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known whether chemotherapy is more effective with or without radiation therapy in treating patients who have rhabdomyosarcoma.

PURPOSE: Phase III trial to compare the effectiveness of chemotherapy with or without radiation therapy in treating patients who have newly-diagnosed rhabdomyosarcoma.

Read the detailed description

OBJECTIVES:

  • Determine the failure-free survival (FFS) rate in patients with newly diagnosed low-risk rhabdomyosarcoma of embryonal or botryoid subtype meeting criteria for group I after treatment with dactinomycin and vincristine with or without radiotherapy.
  • Determine the FFS rate in these patients meeting criteria for group II after treatment with dactinomycin, vincristine, and cyclophosphamide with or without radiotherapy.
  • Determine the FFS rate in patients with ectomesenchymomas containing rhabdomyosarcomatous elements (embryonal histiotype) who receive one of the above treatments.
  • Determine new molecular markers specific to embryonal and botryoid tumor histologies which are of diagnostic and prognostic significance in patients treated with these regimens.

OUTLINE: Patients are assigned to 1 of 2 groups, depending on histology and site of disease.

  • Group I (favorable tumor site, negative lymph nodes, stage 1, clinical group I, IIA, or III (orbit only), node negative [N0] OR unfavorable tumor site, negative or unknown lymph nodes, stage 2, clinical group I): Patients receive vincristine IV over 1 minute weekly for 8 weeks and dactinomycin IV over 1 minute once every 3 weeks for 4 doses. Treatment repeats every 12 weeks for 4 courses. Radiotherapy is administered to patients with clinical group II or III disease on weeks 3-8.
  • Group II (favorable tumor site, positive lymph nodes, stage 1, clinical group III (orbit only), node positive [N1] OR favorable tumor site except orbit, any lymph nodes, stage 1, clinical group III OR unfavorable tumor site, stage 2, clinical group II OR unfavorable tumor site, stage 3, clinical group I or II): Patients receive vincristine and dactinomycin as in group I. Patients also receive cyclophosphamide IV over 30-60 minutes and filgrastim (G-CSF) or sargramostim (GM-CSF) subcutaneously once daily beginning 24 hours after completion of chemotherapy and continuing for 10 days or until blood counts recover. Radiotherapy is administered on weeks 3-8, 12-17, or 28-33, if clinically indicated as in group I.

Patients are followed every 3-4 months for 3 years (4 years after diagnosis), every 6 months for 1 year, and then annually thereafter.

PROJECTED ACCRUAL: A total of 254 patients for group I will be accrued for this study within 6 years. Approximately 12 patients per year will be accrued for group II.

02

Conditions studied

  • Sarcoma

Keywords

  • embryonal childhood rhabdomyosarcoma
  • embryonal-botryoid childhood rhabdomyosarcoma
  • previously untreated childhood rhabdomyosarcoma
  • adult rhabdomyosarcoma
  • adult malignant mesenchymoma
  • childhood malignant mesenchymoma
  • nonmetastatic childhood soft tissue sarcoma
  • stage II adult soft tissue sarcoma
  • stage III adult soft tissue sarcoma
  • stage I adult soft tissue sarcoma
03

In context

Sarcoma

1,667 studies on the registry are indexed under Sarcoma; 393 are open to participants now.

This study's enrollment of 483 is above the median of 40 across 1,283 interventional studies indexed under Sarcoma.

Browse Sarcoma studies →

Lead sponsor

Children's Oncology Group is the lead sponsor of 436 studies on the registry; 34 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 11 (92%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 49 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed embryonal (EMB) rhabdomyosarcoma (RMS) or botryoid or spindle cell variants of EMB RMS or embryonal ectomesenchymoma meeting 1 of the following criteria:

    • Stage 1, no clinical group IV: Tumor in favorable site (orbit, head and neck [excluding parameningeal], genitourinary [not bladder/prostate], or biliary tract) and no metastatic disease
    • Stage 2 or 3, clinical group I or II: Tumor in unfavorable site (bladder/prostate, extremity, cranial parameningeal, trunk, retroperitoneum, pelvis, perineal/perianal, intrathoracic, gastrointestinal, or liver), no gross residual disease after initial surgery, and no metastatic disease
  • Must have ipsilateral lymph node dissection if age 10 or over with primary paratesticular cancer OR under age 10 with clinically positive regional lymph nodes
  • Low risk of recurrence
  • Previously untreated disease
  • No alveolar RMS or undifferentiated sarcoma
  • No intermediate-risk disease
  • No metastatic disease at diagnosis

PATIENT CHARACTERISTICS:

Age:

  • Under 50

Performance status:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Bilirubin elevation secondary to biliary or hepatic primaries allowed

Renal:

  • Creatinine elevation secondary to tumor obstruction allowed

Other:

  • No uncontrolled infection
  • Not pregnant or nursing
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • Not specified
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Masking
None (open label)
Enrollment
483 participants (actual)

Interventions

  • Biologicaldactinomycin
  • Biologicalfilgrastim
  • Biologicalsargramostim
  • Drugcyclophosphamide
  • Drugvincristine sulfate
  • Radiationradiation therapy
06

What researchers measure

Primary outcomes

  1. Failure-free survival

07

Study locations

233 sites
  • University of Alabama at Birmingham Comprehensive Cancer Center
    Birmingham, Alabama 35233, United States
  • University of South Alabama Cancer Research Institute
    Mobile, Alabama 36604, United States
  • Phoenix Children's Hospital
    Phoenix, Arizona 85016-7710, United States
  • Arizona Cancer Center at University of Arizona Health Sciences Center
    Tucson, Arizona 85724, United States
  • Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • Southern California Permanente Medical Group
    Downey, California 90242, United States
  • City of Hope Comprehensive Cancer Center
    Duarte, California 91010-3000, United States
  • Rebecca and John Moores UCSD Cancer Center
    La Jolla, California 92093-0658, United States
  • Loma Linda University Cancer Institute at Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Jonathan Jaques Children's Cancer Center at Miller Children's Hospital
    Long Beach, California 90801-1428, United States
  • Children's Hospital Los Angeles
    Los Angeles, California 90027-0700, United States
  • Cedars-Sinai Comprehensive Cancer Center at Cedars-Sinai Medical Center
    Los Angeles, California 90048, United States
  • Jonsson Comprehensive Cancer Center, UCLA
    Los Angeles, California 90095-1781, United States
  • Children's Hospital Central California
    Madera, California 93638-8762, United States
  • Children's Hospital and Research Center at Oakland
    Oakland, California 94609-1809, United States
  • Chao Family Comprehensive Cancer Center at University of California Irvine Cancer Center
    Orange, California 92868, United States
  • Children's Hospital of Orange County
    Orange, California 92868, United States
  • Lucile Packard Children's Hospital at Stanford University Medical Center
    Palo Alto, California 94304, United States
  • Sutter Cancer Center
    Sacramento, California 95816, United States
  • University of California Davis Cancer Center
    Sacramento, California 95817, United States
  • Kaiser Permanente Medical Center - Sacramento
    Sacramento, California 95825, United States
  • Kaiser Permanente Medical Center/Kaiser Foundation Hospital - San Diego
    San Diego, California 92120, United States
  • Children's Hospital and Health Center, San Diego
    San Diego, California 92123-4282, United States
  • UCSF Comprehensive Cancer Center
    San Francisco, California 94115, United States
  • Santa Barbara Cottage Hospital
    Santa Barbara, California 93102, United States
  • Kaiser Permanente Medical Center - Santa Clara
    Santa Clara, California 95051-5386, United States
  • David Grant Medical Center
    Travis Air Force Base, California 94535, United States
  • Children's Hospital of Denver
    Denver, Colorado 80218-1088, United States
  • Presbyterian - St. Luke's Medical Center
    Denver, Colorado 80218, United States
  • University of Connecticut Comprehensive Cancer Center at University of Connecticut Health Center
    Farmington, Connecticut 06360-7106, United States
  • Yale Comprehensive Cancer Center
    New Haven, Connecticut 06520-8028, United States
  • Alfred I. duPont Hospital for Children
    Wilmington, Delaware 19899, United States
  • Lombardi Cancer Center at Georgetown University Medical Center
    Washington, District of Columbia 20007, United States
  • Children's National Medical Center
    Washington, District of Columbia 20010-2970, United States
  • Walter Reed Army Medical Center
    Washington, District of Columbia 20307-5001, United States
  • Broward General Medical Center
    Fort Lauderdale, Florida 33316, United States
  • Children's Hospital of Southwest Florida
    Fort Myers, Florida 33908, United States
  • Shands Cancer Center at the University of Florida Health Science Center
    Gainesville, Florida 32610-0296, United States
  • Joe DiMaggio Children's Hospital at Memorial
    Hollywood, Florida 33021, United States
  • Nemours Children's Clinic
    Jacksonville, Florida 32207, United States
  • Jackson Memorial Hospital
    Miami, Florida 33136, United States
  • Miami Children's Hospital
    Miami, Florida 33155, United States
  • Baptist Hospital of Miami
    Miami, Florida 33176-2197, United States
  • Florida Hospital Cancer Institute
    Orlando, Florida 32804, United States
  • Nemours Children's Clinic-Orlando
    Orlando, Florida 32806, United States
  • Sacred Heart Children's Hospital
    Pensacola, Florida 32504, United States
  • All Children's Hospital
    St. Petersburg, Florida 33701, United States
  • St. Joseph's Children's Hospital
    Tampa, Florida 33677-4227, United States
  • St. Mary's Hospital
    West Palm Beach, Florida 33407, United States
  • AFLAC Cancer Center and Blood Disorders Service of Children's Healthcare of Atlanta - Scottish Rite Campus
    Atlanta, Georgia 30342, United States
  • MBCCOP-Medical College of Georgia Cancer Center
    Augusta, Georgia 30912-4000, United States
  • Medical Center of Central Georgia
    Macon, Georgia 31201, United States
  • Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
    Savannah, Georgia 31405, United States
  • Cancer Research Center of Hawaii
    Honolulu, Hawaii 96813, United States
  • Tripler Army Medical Center
    Honolulu, Hawaii 96859-5000, United States
  • Mountain States Tumor Institute - Boise
    Boise, Idaho 83712, United States
  • University of Chicago Cancer Research Center
    Chicago, Illinois 60601, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • University of Illinois Medical Center
    Chicago, Illinois 60612, United States
  • Children's Memorial Hospital - Chicago
    Chicago, Illinois 60614, United States
  • Advocate Hope Children's Hospital
    Oak Lawn, Illinois 60453, United States
  • Lutheran General Cancer Care Center
    Park Ridge, Illinois 60068-1174, United States
  • Saint Jude Midwest Affiliate
    Peoria, Illinois 61637, United States
  • Southern Illinois University School of Medicine
    Springfield, Illinois 62794-9658, United States
  • Riley Children Cancer Center at Riley Hospital for Children
    Indianapolis, Indiana 46202-5225, United States
  • St. Vincent Hospital and Health Care Center
    Indianapolis, Indiana 46260, United States
  • Blank Children's Hospital
    Des Moines, Iowa 50309, United States
  • Holden Comprehensive Cancer Center at University of Iowa
    Iowa City, Iowa 52242-1009, United States
  • Wesley Medical Center
    Wichita, Kansas 67214, United States
  • Markey Cancer Center at University of Kentucky Chandler Medical Center
    Lexington, Kentucky 40536-0284, United States
  • Kosair Children's Hospital
    Louisville, Kentucky 40202-3830, United States
  • MBCCOP - LSU Health Sciences Center
    New Orleans, Louisiana 70112, United States
  • Tulane Cancer Center at Tulane University Hospital and Clinic
    New Orleans, Louisiana 70112, United States
  • Children's Hospital of New Orleans
    New Orleans, Louisiana 70118, United States
  • Ochsner Clinic Foundation
    New Orleans, Louisiana 70121, United States
  • Eastern Maine Medical Center
    Bangor, Maine 04401, United States
  • Maine Children's Cancer Program
    Scarborough, Maine 04074-9308, United States
  • Greenebaum Cancer Center at University of Maryland Medical Center
    Baltimore, Maryland 21201-1595, United States
  • Sinai Hospital of Baltimore
    Baltimore, Maryland 21225, United States
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland 21231-2410, United States
  • Floating Hospital for Children
    Boston, Massachusetts 02111, United States
  • Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
    Boston, Massachusetts 02115, United States
  • Baystate Regional Cancer Program at Baystate Medical Center
    Springfield, Massachusetts 01107, United States
  • University of Massachusetts Memorial Medical Center - University Campus
    Worcester, Massachusetts 01655, United States
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109-0914, United States
  • Children's Hospital of Michigan
    Detroit, Michigan 48201, United States
  • Josephine Ford Cancer Center at Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Van Elslander Cancer Center at St. John Hospital and Medical Center
    Detroit, Michigan 48236, United States
  • Hurley Medical Center
    Flint, Michigan 48503, United States
  • Spectrum Health and DeVos Children's Hospital
    Grand Rapids, Michigan 49503, United States
  • Bronson Methodist Hospital
    Kalamazoo, Michigan 49007-5364, United States
  • Breslin Cancer Center at Ingham Regional Medical Center
    Lansing, Michigan 48910, United States
  • William Beaumont Hospital - Royal Oak
    Royal Oak, Michigan 48073-6769, United States
  • St. Mary's - Duluth Clinic Cancer Center
    Duluth, Minnesota 55805, United States
  • Children's Hospitals and Clinics - Minneapolis
    Minneapolis, Minnesota 55404, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • Children's Hospitals and Clinics - Minnesota
    Saint Paul, Minnesota 55102, United States
  • University of Mississippi Medical Center
    Jackson, Mississippi 39216-4505, United States
  • Children's Mercy Hospital
    Kansas City, Missouri 64108, United States
  • Cardinal Glennon Children's Hospital
    Saint Louis, Missouri 63104, United States

Showing the first 100 of 233 sites across 7 countries.

08

References and documents

Publications

  • Malempati S, Rodeberg DA, Donaldson SS, Lyden ER, Anderson JR, Hawkins DS, Arndt CA. Rhabdomyosarcoma in infants younger than 1 year: a report from the Children's Oncology Group. Cancer. 2011 Aug 1;117(15):3493-501. doi: 10.1002/cncr.25887. Epub 2011 Jan 24. PubMed 21264837 ↗
  • Walterhouse DO, Meza JL, Breneman JC, Donaldson SS, Hayes-Jordan A, Pappo AS, Arndt C, Raney RB, Meyer WH, Hawkins DS. Local control and outcome in children with localized vaginal rhabdomyosarcoma: a report from the Soft Tissue Sarcoma committee of the Children's Oncology Group. Pediatr Blood Cancer. 2011 Jul 15;57(1):76-83. doi: 10.1002/pbc.22928. Epub 2011 Feb 4. PubMed 21298768 ↗
  • Breneman J, Meza J, Donaldson SS, Raney RB, Wolden S, Michalski J, Laurie F, Rodeberg DA, Meyer W, Walterhouse D, Hawkins DS. Local control with reduced-dose radiotherapy for low-risk rhabdomyosarcoma: a report from the Children's Oncology Group D9602 study. Int J Radiat Oncol Biol Phys. 2012 Jun 1;83(2):720-6. doi: 10.1016/j.ijrobp.2011.06.2011. Epub 2011 Nov 19. PubMed 22104356 ↗
  • Raney RB, Walterhouse DO, Meza JL, Andrassy RJ, Breneman JC, Crist WM, Maurer HM, Meyer WH, Parham DM, Anderson JR. Results of the Intergroup Rhabdomyosarcoma Study Group D9602 protocol, using vincristine and dactinomycin with or without cyclophosphamide and radiation therapy, for newly diagnosed patients with low-risk embryonal rhabdomyosarcoma: a report from the Soft Tissue Sarcoma Committee of the Children's Oncology Group. J Clin Oncol. 2011 Apr 1;29(10):1312-8. doi: 10.1200/JCO.2010.30.4469. Epub 2011 Feb 28. PubMed 21357783 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 14, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00002995
Lead sponsor
Children's Oncology Group
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Aug 1997
Primary completion
Sep 2006
Completion
Jan 2011
Last update
Feb 14, 2014

Study contacts

R. Beverly Raney, MD
study chair · M.D. Anderson Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2014. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion