ClinicalTrials.gg
CompletedNCT01217437Updated Jul 23, 2021Results posted

Temozolomide and Irinotecan Hydrochloride With or Without Bevacizumab in Treating Young Patients With Recurrent or Refractory Medulloblastoma or CNS Primitive Neuroectodermal Tumors

A Phase 2 interventional study of Bevacizumab and Irinotecan Hydrochloride in Central Nervous System Neoplasm, Pineoblastoma and Recurrent Medulloblastoma, sponsored by National Cancer Institute (NCI). Completed at 158 sites in 5 countries. Open to participants aged Up to 21 Years. Per ClinicalTrials.gov, last updated 2021-07-23.

Primary conditionPinealomaRegistry: Central Nervous System NeoplasmsReclassifiedWhy we changed it
Registry
Central Nervous System Neoplasms — the first condition term the registry derived for this study.
ClinicalTrials.gg
Pinealoma
Why
  1. The study's listed conditions name Pinealoma, a narrower term within Central Nervous System Neoplasms.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
Up to 21 Years
Sex
All
01

Study summary

This randomized phase II trial studies how well giving temozolomide and irinotecan hydrochloride together with or without bevacizumab works in treating young patients with recurrent or refractory medulloblastoma or central nervous system (CNS) primitive neuroectodermal tumors. Drugs used in chemotherapy, such as temozolomide and irinotecan hydrochloride, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. It is not yet known whether temozolomide and irinotecan hydrochloride are more effective with or without bevacizumab in treating medulloblastoma or CNS primitive neuroectodermal tumors.

Read the detailed description

PRIMARY OBJECTIVES:

l. To compare the overall survival (OS) of subjects receiving the combination of temozolomide and irinotecan with that of subjects receiving temozolomide, irinotecan (irinotecan hydrochloride), and bevacizumab for recurrent medulloblastoma (MB)/primitive neuroectodermal tumor (PNET) of childhood.

SECONDARY OBJECTIVES:

I. To assess the response rate for each treatment arm amongst patients who are enrolled with measurable disease.

II. To determine event-free survival (EFS) for each patient compared across regimens.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

ARM I: Patients receive temozolomide orally (PO) and irinotecan hydrochloride IV over 90 minutes on days 1-5.

ARM II: Patients receive temozolomide PO and irinotecan hydrochloride IV as in arm I and bevacizumab IV over 30-90 minutes on days 1 and 15.

In both arms, treatment repeats every 28 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up for 5 years.

02

Conditions studied

  • Central Nervous System Neoplasm
  • Pineoblastoma
  • Recurrent Medulloblastoma
  • Recurrent Primitive Neuroectodermal Tumor
  • Refractory Medulloblastoma
  • Refractory Peripheral Primitive Neuroectodermal Tumor
03

In context

Pinealoma Reclassified

66 studies on the registry are indexed under Pinealoma; 11 are open to participants now.

This study's enrollment of 108 is above the median of 26 across 43 interventional studies indexed under Pinealoma.

Browse Pinealoma studies →

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,556 studies on the registry; 336 are open to participants now.

Of its 411 completed or terminated interventional studies of FDA-regulated products, 373 (91%) have results posted.

Compared within Pinealoma, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Central Nervous System Neoplasms. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
Up to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Medulloblastoma or PNET of childhood that has or become refractory to standard chemotherapy; patients with pineoblastoma are eligible
  • Patients must have had histologic verification of the at original diagnosis or at the time of recurrence
  • Patients must have clear residual disease, defined as tumor that is measurable in two perpendicular diameters on magnetic resonance imaging (MRI) OR diffuse OR clear MRI evidence of disease that may not be measurable in two perpendicular diameters
  • All patients must have a brain MRI with and without gadolinium and a spine MRI with gadolinium performed within 2 weeks prior to study enrollment
  • Patients must have a Lansky or performance status score of >= 50%, corresponding to (ECOG) categories of 0, 1, or 2 (use Karnofsky for patients > 16 years of age and Lansky for patients =\< 16 years of age)
  • Patients must have a of >= 8 weeks
  • Patients must have experienced at least one and at most two relapses prior to study enrollment; patients with primary refractory disease are eligible
  • Patients must have fully recovered from the acute toxic effects of all prior chemotherapy, immunotherapy, or radiotherapy prior to entering this study

    • Myelosuppressive chemotherapy: Must not have received within 3 weeks of entry onto this study (6 weeks if prior nitrosourea)
    • Biologic (anti-neoplastic agent): At least 7 days since the completion of therapy with a biologic agent; at least 3 weeks for biologic agents with a long half life, such as antibodies
    • External beam radiation therapy (XRT): Must not have received craniospinal radiotherapy within 24 weeks prior to study entry; the tumor designated as "measurable" for protocol purposes must not have received radiation within 12 weeks prior to study entry); focal radiation to areas of symptomatic disease must not be given within 14 days of study entry
    • Stem cell transplant (SCT): For SCT, >= 3 months must have elapsed prior to study entry
    • Study specific limitations on prior therapy:

      • Patients must not have previously received bevacizumab, irinotecan, temozolomide or other anti-vascular endothelial growth factor (VEGF) inhibitor
      • Patients must not be taking enzyme-inducing antiepileptic medicines within 1 week of study entry
  • Patients must have recovered from any surgical procedure before enrolling on this study:

    • Patients with a major surgical procedure within 28 days prior to enrollment should be excluded
    • Patients with an intermediate surgical procedure within 14 days prior to enrollment should be excluded
    • For minor surgical procedures (including Broviac line or infusaport placement), patients should not receive the first planned dose of bevacizumab until the wound is healed and at least 7 days have elapsed
    • There should be no anticipation of need for major surgical procedures during the course of the study

      • Examples of major, intermediate, or minor surgical procedures:

        • Major procedures: Major craniotomy for tumor resection; organ resection; bowel wall anastomosis; arteriovenous grafts; exploratory laparotomy; thoracotomy
        • Intermediate procedures: Ventriculoperitoneal (VP)-shunt placement; stereotactic brain
        • Minor procedures: Incision and drainage of superficial skin abscesses; punch biopsy of skin lesions; superficial skin wound suturing; bone marrow aspirate and/or biopsy; fine needle aspirations; Broviac line or infusaport placement; paracentesis or thoracocentesis
    • Please note: Lumbar punctures or placement of peripherally inserted central catheter (PICC) lines are not considered minor procedures and may occur at any time prior to or during therapy
  • Hypertension must be well controlled (=\< 95th percentile for age and height if patient is =\< 17 years) on stable doses of medication
  • Concomitant medications restrictions:

    • Growth factor(s): Must not have received within 7 days of entry onto this study
    • : Patients who are receiving corticosteroids must be on a stable or decreasing dose for at least 7 days
    • Study Specific: Patients must not be currently taking nonsteroidal anti-inflammatory drugs (NSAIDs), clopidrogel, dipyridamole or aspirin therapy > 81 mg/day
  • Peripheral (ANC) >= 1000/uL (must not have received filgrastim [G-CSF] within the prior 7 days)
  • count >= 100,000/uL (transfusion independent)
  • >= 8.0 gm/dL (may receive packed red blood cell [PRBC] transfusions)
  • or radioisotope (GFR) >= 70 mL/min OR a serum creatinine based on age/gender as follows:

    • =\< 0.4 mg/dL (for patients aged 1 month to \< 6 months)
    • =\< 0.5 mg/dL (for patients aged 6 months to \< 1 year)
    • =\< 0.6 mg/dL (for patients aged 1 to \< 2 years)
    • =\< 0.8 mg/dL (for patients aged 2 to \< 6 years)
    • =\< 1 mg/dL (for patients aged 6 to \< 10 years)
    • =\< 1.2 mg/dL (for patients aged 10 to \< 13 years)
    • =\< 1.4 mg/dL (for female patients aged >= 13 years)
    • =\< 1.5 mg/dL (for male patients aged 13 to \< 16 years)
    • =\< 1.7 mg/dL (for male patients aged >= 16 years)
  • Urine protein should be screened by dipstick analysis; if protein >= 2+ on dipstick, then urine protein creatinine (UPC) ratio should be calculated; if UPC ratio > 0.5, 24-hour urine protein should be obtained and the level should be \< 1000 mg/24 hours for patient enrollment
  • Total =\< 1.5 x (ULN) for age
  • Serum glutamate pyruvate transaminase () (alanine aminotransferase [ALT]) =\< 3 x upper limit of normal (ULN) for age
  • Central nervous system function defined as

    • Patients with a seizure disorder may be enrolled if well-controlled and on non-enzyme inducing anticonvulsants
  • Adequate coagulation defined as

    • (INR)/prothrombin time (PT) =\< 1.5 x upper limit of normal

Exclusion criteria

Exclusion Criteria:

  • Patients with a serious or non-healing wound, ulcer, or bone fracture are not eligible for this study
  • Patients must not have a history of abdominal fistula, gastrointestinal perforation or intra-abdominal abscess within 6 months prior to study entry
  • Patients must not have a known bleeding diathesis or coagulopathy
  • Patients must not have had significant vascular disease (eg, aortic aneurysm requiring surgical repair, deep venous or arterial thrombosis) within the last 6 months prior to study entry
  • Patients must not have a known thrombophilic condition (i.e. protein S, protein C or antithrombin III deficiency, Factor V Leiden, Factor II G20210A mutation, homocysteinemia or antiphospholipid antibody syndrome); testing is not required in patients without thrombophilic history
  • Patients must not have evidence of new CNS hemorrhage on baseline MRI obtained within 14 days prior to study enrollment
  • Patients with a history of stroke, myocardial infarction, (TIA), severe or unstable angina, peripheral vascular disease, or grade II or greater congestive heart failure within the past 6 months are not eligible
  • Patients must not have serious and inadequately controlled cardiac arrhythmia
  • Female patients who are pregnant are not eligible for this study
  • Female patients who are breastfeeding are not eligible for this study unless they agree not to breastfeed
  • Female patients of must have a negative pregnancy test
  • Sexually active patients of childbearing potential must agree to use an effective method of during the study and for at least 6 months after the completion of bevacizumab therapy
  • Patients with known to Chinese hamster ovary cell products or other recombinant human antibodies
Terms in these criteria, in plain language(23)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
108 participants (actual)

Study arms

  • Experimental
    Arm I (temozolomide, irinotecan hydrochloride)

    Patients receive temozolomide PO and irinotecan hydrochloride IV over 90 minutes on days 1-5.

    Drug: Irinotecan Hydrochloride · Drug: Temozolomide

  • Experimental
    Arm II (temozolomide, irinotecan hydrochloride, bevacizumab)

    Patients receive temozolomide PO and irinotecan hydrochloride IV as in arm I and bevacizumab IV over 30-90 minutes on days 1 and 15.

    Biological: Bevacizumab · Drug: Irinotecan Hydrochloride · Drug: Temozolomide

Interventions

  • BiologicalBevacizumab

    Given IV

    Also known as: ABP 215, Anti-VEGF, Anti-VEGF Humanized Monoclonal Antibody, Anti-VEGF rhuMAb, Avastin, Bevacizumab awwb, Bevacizumab Biosimilar ABP 215, Bevacizumab Biosimilar BEVZ92, Bevacizumab Biosimilar BI 695502, Bevacizumab Biosimilar CBT 124, Bevacizumab Biosimilar CT-P16, Bevacizumab Biosimilar FKB238, Bevacizumab Biosimilar GB-222, Bevacizumab Biosimilar HD204, Bevacizumab Biosimilar HLX04, Bevacizumab Biosimilar IBI305, Bevacizumab Biosimilar LY01008, Bevacizumab Biosimilar MIL60, Bevacizumab Biosimilar Mvasi, Bevacizumab Biosimilar MYL-1402O, Bevacizumab Biosimilar QL 1101, Bevacizumab Biosimilar RPH-001, Bevacizumab Biosimilar SCT501, Bevacizumab Biosimilar Zirabev, Bevacizumab-awwb, Bevacizumab-bvzr, BP102, BP102 Biosimilar, HD204, Immunoglobulin G1 (Human-Mouse Monoclonal rhuMab-VEGF Gamma-Chain Anti-Human Vascular Endothelial Growth Factor), Disulfide With Human-Mouse Monoclonal rhuMab-VEGF Light Chain, Dimer, Mvasi, MYL-1402O, Recombinant Humanized Anti-VEGF Monoclonal Antibody, rhuMab-VEGF, SCT501, Zirabev

  • Given IV

    Also known as: Campto, Camptosar, Camptothecin 11, Camptothecin-11, CPT 11, CPT-11, Irinomedac, Irinotecan Hydrochloride Trihydrate, Irinotecan Monohydrochloride Trihydrate, U-101440E

  • Given PO

    Also known as: CCRG-81045, Imidazo[5,1-d]-1,2,3,5-tetrazine-8-carboxamide, 3, 4-dihydro-3-methyl-4-oxo-, M & B 39831, M and B 39831, Methazolastone, RP-46161, SCH 52365, Temcad, Temodal, Temodar, Temomedac, TMZ

06

What researchers measure

Primary outcomes

  1. Overall Survival

    Percentage Probability of remaining alive 5 years after enrollment estimated by the method of Kaplan and Meier

    Time frame: Up to 5 years after enrollment

Secondary outcomes

  1. Response

    Patient's best response during protocol therapy coded as complete response, partial response or no response.

    Time frame: Up to 12 cycles of therapy (11 months)

  2. Event-free Survival

    Percentage Probability of remaining event-free 5 years after enrollment estimated by the method of Kaplan and Meier

    Time frame: Up to 5 years after enrollment

07

Results

Posted Sep 13, 2019

Participant flow

Participant flow — Overall Study
MilestoneArm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)
Started5553
Completed1212
Not completed4341
Withdrew: Adverse event08
Withdrew: Death50
Withdrew: Lack of efficacy2925
Withdrew: Physician decision85
Withdrew: Withdrawal by subject02
Withdrew: Ineligible11

Outcome measures

PrimaryOverall Survival

Percentage Probability of remaining alive 5 years after enrollment estimated by the method of Kaplan and Meier

Time frame:
Up to 5 years after enrollment
Reported as:
Number · percent probability
Overall Survival
percent probabilityArm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)
Overall Survival2.43 (0.2 to 10.9)13.6 (4.7 to 27.1)
SecondaryResponse

Patient's best response during protocol therapy coded as complete response, partial response or no response.

Time frame:
Up to 12 cycles of therapy (11 months)
Reported as:
Count of participants · Participants
Response
ParticipantsArm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)
Complete Response08
Partial Response1614
No Response3224
SecondaryEvent-free Survival

Percentage Probability of remaining event-free 5 years after enrollment estimated by the method of Kaplan and Meier

Time frame:
Up to 5 years after enrollment
Reported as:
Number · percent probability
Event-free Survival
percent probabilityArm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)
Event-free Survival1.85 (0.15 to 8.62)15.4 (7.2 to 26.4)

Adverse events

Collected over 12 cycles (planned 336 days of protocol therapy). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm I (Temozolomide, Irinotecan Hydrochloride)48/54 (88.9%)9/54 (16.7%)31/54 (57.4%)
Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)42/52 (80.8%)12/52 (23.1%)42/52 (80.8%)
Most frequent serious events
Showing 10 of 31
Most frequent serious events
EventArm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)
HyponatremiaMetabolism and nutrition disorders0/544/52
Death NOSGeneral disorders4/542/52
SepsisInfections and infestations3/541/52
HypokalemiaMetabolism and nutrition disorders1/542/52
Platelet count decreasedInvestigations0/542/52
HypotensionVascular disorders2/540/52
Alanine aminotransferase increasedInvestigations1/541/52
ApneaRespiratory, thoracic and mediastinal disorders0/541/52
Catheter related infectionInfections and infestations0/541/52
DiarrheaGastrointestinal disorders0/541/52
Most frequent other events
Showing 10 of 63
Most frequent other events
EventArm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)
Neutrophil count decreasedInvestigations19/5424/52
Platelet count decreasedInvestigations15/5419/52
DiarrheaGastrointestinal disorders13/5415/52
White blood cell decreasedInvestigations13/5415/52
Lymphocyte count decreasedInvestigations9/5410/52
AnemiaBlood and lymphatic system disorders10/547/52
VomitingGastrointestinal disorders7/542/52
Febrile neutropeniaBlood and lymphatic system disorders5/546/52
DehydrationMetabolism and nutrition disorders6/544/52
HypokalemiaMetabolism and nutrition disorders6/543/52

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Arm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)Total
<=18 years5149100
Between 18 and 65 years448
>=65 years000
Age, Continuous
Age, Continuous(years)Arm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)Total
Mean9.82 ± 5.2910.25 ± 4.9110.03 ± 5.09
Sex: Female, Male
Sex: Female, Male(Participants)Arm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)Total
Female211637
Male343771
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Arm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)Total
Hispanic or Latino91019
Not Hispanic or Latino454388
Unknown or Not Reported101
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Arm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)Total
American Indian or Alaska Native000
Asian224
Native Hawaiian or Other Pacific Islander112
Black or African American8614
White414283
More than one race000
Unknown or Not Reported325
Region of Enrollment
Region of Enrollment(participants)Arm I (Temozolomide, Irinotecan Hydrochloride)Arm II (Temozolomide, Irinotecan Hydrochloride, Bevacizumab)Total
United States454388
Canada7714
Australia325
New Zealand011
08

Study locations

158 sites
  • Children's Hospital of Alabama
    Birmingham, Alabama 35233, United States
  • University of Alabama at Birmingham Cancer Center
    Birmingham, Alabama 35233, United States
  • Phoenix Childrens Hospital
    Phoenix, Arizona 85016, United States
  • Arkansas Children's Hospital
    Little Rock, Arkansas 72202-3591, United States
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • Kaiser Permanente Downey Medical Center
    Downey, California 90242, United States
  • Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Miller Children's and Women's Hospital Long Beach
    Long Beach, California 90806, United States
  • Children's Hospital Los Angeles
    Los Angeles, California 90027, United States
  • Cedars Sinai Medical Center
    Los Angeles, California 90048, United States
  • Valley Children's Hospital
    Madera, California 93636, United States
  • Kaiser Permanente-Oakland
    Oakland, California 94611, United States
  • Children's Hospital of Orange County
    Orange, California 92868, United States
  • Lucile Packard Children's Hospital Stanford University
    Palo Alto, California 94304, United States
  • Sutter Medical Center Sacramento
    Sacramento, California 95816, United States
  • University of California Davis Comprehensive Cancer Center
    Sacramento, California 95817, United States
  • Rady Children's Hospital - San Diego
    San Diego, California 92123, United States
  • UCSF Medical Center-Parnassus
    San Francisco, California 94143, United States
  • UCSF Medical Center-Mission Bay
    San Francisco, California 94158, United States
  • Connecticut Children's Medical Center
    Hartford, Connecticut 06106, United States
  • Alfred I duPont Hospital for Children
    Wilmington, Delaware 19803, United States
  • MedStar Georgetown University Hospital
    Washington, District of Columbia 20007, United States
  • Children's National Medical Center
    Washington, District of Columbia 20010, United States
  • Lee Memorial Health System
    Fort Myers, Florida 33901, United States
  • Golisano Children's Hospital of Southwest Florida
    Fort Myers, Florida 33908, United States
  • University of Florida Health Science Center - Gainesville
    Gainesville, Florida 32610, United States
  • Nemours Children's Clinic-Jacksonville
    Jacksonville, Florida 32207, United States
  • University of Miami Miller School of Medicine-Sylvester Cancer Center
    Miami, Florida 33136, United States
  • AdventHealth Orlando
    Orlando, Florida 32803, United States
  • Nemours Children's Clinic - Orlando
    Orlando, Florida 32806, United States
  • Orlando Health Cancer Institute
    Orlando, Florida 32806, United States
  • Nemours Children's Hospital
    Orlando, Florida 32827, United States
  • Nemours Children's Clinic - Pensacola
    Pensacola, Florida 32504, United States
  • Johns Hopkins All Children's Hospital
    Saint Petersburg, Florida 33701, United States
  • Saint Joseph's Hospital/Children's Hospital-Tampa
    Tampa, Florida 33607, United States
  • Saint Mary's Hospital
    West Palm Beach, Florida 33407, United States
  • Children's Healthcare of Atlanta - Egleston
    Atlanta, Georgia 30322, United States
  • Memorial Health University Medical Center
    Savannah, Georgia 31404, United States
  • University of Hawaii Cancer Center
    Honolulu, Hawaii 96813, United States
  • Kapiolani Medical Center for Women and Children
    Honolulu, Hawaii 96826, United States
  • Saint Luke's Cancer Institute - Boise
    Boise, Idaho 83712, United States
  • Lurie Children's Hospital-Chicago
    Chicago, Illinois 60611, United States
  • University of Illinois
    Chicago, Illinois 60612, United States
  • University of Chicago Comprehensive Cancer Center
    Chicago, Illinois 60637, United States
  • Advocate Children's Hospital-Oak Lawn
    Oak Lawn, Illinois 60453, United States
  • Saint Jude Midwest Affiliate
    Peoria, Illinois 61637, United States
  • Riley Hospital for Children
    Indianapolis, Indiana 46202, United States
  • Blank Children's Hospital
    Des Moines, Iowa 50309, United States
  • University of Kentucky/Markey Cancer Center
    Lexington, Kentucky 40536, United States
  • Norton Children's Hospital
    Louisville, Kentucky 40202, United States
  • Tulane University Health Sciences Center
    New Orleans, Louisiana 70112, United States
  • Children's Hospital New Orleans
    New Orleans, Louisiana 70118, United States
  • Johns Hopkins University/Sidney Kimmel Cancer Center
    Baltimore, Maryland 21287, United States
  • Walter Reed National Military Medical Center
    Bethesda, Maryland 20889-5600, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • C S Mott Children's Hospital
    Ann Arbor, Michigan 48109, United States
  • Wayne State University/Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Michigan State University Clinical Center
    East Lansing, Michigan 48824-7016, United States
  • Bronson Methodist Hospital
    Kalamazoo, Michigan 49007, United States
  • Children's Hospitals and Clinics of Minnesota - Minneapolis
    Minneapolis, Minnesota 55404, United States
  • University of Minnesota/Masonic Cancer Center
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic in Rochester
    Rochester, Minnesota 55905, United States
  • University of Mississippi Medical Center
    Jackson, Mississippi 39216, United States
  • Columbia Regional
    Columbia, Missouri 65201, United States
  • Children's Mercy Hospitals and Clinics
    Kansas City, Missouri 64108, United States
  • Cardinal Glennon Children's Medical Center
    Saint Louis, Missouri 63104, United States
  • Washington University School of Medicine
    Saint Louis, Missouri 63110, United States
  • Mercy Hospital Saint Louis
    Saint Louis, Missouri 63141, United States
  • University Medical Center of Southern Nevada
    Las Vegas, Nevada 89102, United States
  • Sunrise Hospital and Medical Center
    Las Vegas, Nevada 89109, United States
  • Alliance for Childhood Diseases/Cure 4 the Kids Foundation
    Las Vegas, Nevada 89135, United States
  • Summerlin Hospital Medical Center
    Las Vegas, Nevada 89144, United States
  • Nevada Cancer Research Foundation NCORP
    Las Vegas, Nevada 89169, United States
  • Dartmouth Hitchcock Medical Center
    Lebanon, New Hampshire 03756, United States
  • Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
  • Saint Barnabas Medical Center
    Livingston, New Jersey 07039, United States
  • Morristown Medical Center
    Morristown, New Jersey 07960, United States
  • Saint Peter's University Hospital
    New Brunswick, New Jersey 08901, United States
  • Rutgers Cancer Institute of New Jersey-Robert Wood Johnson University Hospital
    New Brunswick, New Jersey 08903, United States
  • Newark Beth Israel Medical Center
    Newark, New Jersey 07112, United States
  • Overlook Hospital
    Summit, New Jersey 07902, United States
  • University of New Mexico Cancer Center
    Albuquerque, New Mexico 87102, United States
  • Albany Medical Center
    Albany, New York 12208, United States
  • Montefiore Medical Center - Moses Campus
    Bronx, New York 10467, United States
  • Roswell Park Cancer Institute
    Buffalo, New York 14263, United States
  • The Steven and Alexandra Cohen Children's Medical Center of New York
    New Hyde Park, New York 11040, United States
  • Laura and Isaac Perlmutter Cancer Center at NYU Langone
    New York, New York 10016, United States
  • NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
    New York, New York 10032, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • University of Rochester
    Rochester, New York 14642, United States
  • State University of New York Upstate Medical University
    Syracuse, New York 13210, United States
  • New York Medical College
    Valhalla, New York 10595, United States
  • UNC Lineberger Comprehensive Cancer Center
    Chapel Hill, North Carolina 27599, United States
  • Carolinas Medical Center/Levine Cancer Institute
    Charlotte, North Carolina 28203, United States
  • Novant Health Presbyterian Medical Center
    Charlotte, North Carolina 28204, United States
  • Sanford Broadway Medical Center
    Fargo, North Dakota 58122, United States
  • Children's Hospital Medical Center of Akron
    Akron, Ohio 44308, United States
  • Cincinnati Children's Hospital Medical Center
    Cincinnati, Ohio 45229, United States
  • Rainbow Babies and Childrens Hospital
    Cleveland, Ohio 44106, United States
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States

Showing the first 100 of 158 sites across 5 countries. Choose a country and city above to see the rest.

09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01217437
Responsible party
Sponsor
First posted
Oct 8, 2010
Start date
Nov 22, 2010
Primary completion
Dec 31, 2017
Completion
Jun 30, 2021
Results posted
Sep 13, 2019
Last update
Jul 23, 2021

Study contacts

Adam S Levy
principal investigator · Children's Oncology Group

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2021. 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.

Studies of the drugs tested here: Irinotecan · Temozolomide

Start the discussion