Chemotherapy and Radiation Therapy After Surgery in Treating Children With Newly Diagnosed Astrocytoma, Glioblastoma Multiforme, Gliosarcoma, or Diffuse Intrinsic Pontine Glioma
Brain and Central Nervous System Tumors
About this trial
This is an interventional treatment trial for Brain and Central Nervous System Tumors focused on measuring childhood brain stem glioma, childhood high-grade cerebral astrocytoma, childhood spinal cord neoplasm, untreated childhood brain stem glioma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed newly diagnosed CNS tumor of the following types: High grade glioma (HGG) of one of the following histologies: Anaplastic astrocytoma (grade III) Glioblastoma multiforme (grade IV) Gliosarcoma Primary spinal cord malignant glioma Diffuse intrinsic pontine glioma (DIPG) Diagnosed by gadolinium-enhanced MRI At least 2/3 of tumor situated in the pons AND tumor clearly originated in the pons No diffuse leptomeningeal disease No tumors with features not typical of diffuse intrinsic brainstem glioma, including any of the following: Dorsally exophytic brainstem glioma Cervico-medullary junction tumor Focal low-grade glioma of the midbrain or brainstem No diffuse brainstem enlargement due to neurofibromatosis No primary brain stem malignant glioma No M+ disease (CSF positive for tumor or metastatic disease) Must begin study radiotherapy within 6 weeks after surgical resection (for HGG patients) or diagnosis (for DIPG patients) PATIENT CHARACTERISTICS: Age: 3 to 21 Performance status: Karnofsky 50-100% OR Lansky 50-100% Life expectancy: At least 2 months Hematopoietic: Absolute neutrophil count at least 1,000/mm^3 Platelet count at least 100,000/mm^3* Hemoglobin at least 10.0 g/dL* NOTE: *Transfusion independent Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) SGOT or SGPT less than 2.5 times ULN Renal: Creatinine no greater than 1.5 times ULN Other: No other concurrent malignancy Concurrent seizure disorder allowed if well controlled on anticonvulsants Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 2 months after completion of study treatment PRIOR CONCURRENT THERAPY: Biologic: No concurrent routine cytokine support Chemotherapy: Not specified Endocrine therapy: No concurrent corticosteroids except for increased intracranial pressure in patients with CNS tumors Radiotherapy: See Disease Characteristics Surgery: See Disease Characteristics Other: No prior therapy for HGG or DIPG
Sites / Locations
- Comprehensive Cancer Center at University of Alabama at Birmingham
- University of South Alabama Cancer Research Institute
- Phoenix Children's Hospital
- Arizona Cancer Center at University of Arizona Health Sciences Center
- Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
- Southern California Permanente Medical Group
- City of Hope Comprehensive Cancer Center
- Rebecca and John Moores UCSD Cancer Center
- Loma Linda University Cancer Institute at Loma Linda University Medical Center
- Jonathan Jaques Children's Cancer Center at Miller Children's Hospital
- Children's Hospital Los Angeles
- Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center
- Jonsson Comprehensive Cancer Center at UCLA
- Children's Hospital Central California
- Children's Hospital and Research Center at Oakland
- Chao Family Comprehensive Cancer Center at University of California Irvine Medical Center
- Children's Hospital of Orange County
- Lucile Packard Children's Hospital at Stanford University Medical Center
- Sutter Cancer Center
- University of California Davis Cancer Center
- Kaiser Permanente Medical Center - Sacramento
- Kaiser Permanente Medical Center/Kaiser Foundation Hospital - San Diego
- Children's Hospital and Health Center - San Diego
- UCSF Comprehensive Cancer Center
- Santa Barbara Cottage Hospital
- Kaiser Permanente Medical Center - Santa Clara Kiely Campus
- General Robert Huyser Cancer Center at David Grant Medical Center
- Children's Hospital Cancer Center
- Presbyterian - St. Luke's Medical Center
- Carole and Ray Neag Comprehensive Cancer Center at the University of Connecticut Health Center
- Yale Comprehensive Cancer Center
- Alfred I. duPont Hospital for Children
- Lombardi Cancer Center at Georgetown University Medical Center
- Children's National Medical Center
- Broward General Medical Center
- Children's Hospital of Southwest Florida
- University of Florida Shands Cancer Center
- Joe DiMaggio Children's Hospital at Memorial
- Nemours Children's Clinic
- Jackson Memorial Hospital
- Miami Children's Hospital
- Baptist-South Miami Regional Cancer Program
- Florida Hospital Cancer Institute
- Nemours Children's Clinic-Orlando
- Sacred Heart Children's Hospital
- All Children's Hospital
- St. Joseph's Children's Hospital of Tampa
- Kaplan Cancer Center at St. Mary's Medical Center
- AFLAC Cancer Center and Blood Disorders Service of Children's Healthcare of Atlanta - Scottish Rite Campus
- MBCCOP-Medical College of Georgia Cancer Center
- Medical Center of Central Georgia
- Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
- Cancer Research Center of Hawaii
- Tripler Army Medical Center
- St. Luke's Mountain States Tumor Institute - Boise
- University of Chicago Cancer Research Center
- Rush University Medical Center
- University of Illinois Medical Center
- Children's Memorial Hospital - Chicago
- Advocate Hope Children's Hospital
- Lutheran General Cancer Care Center
- Saint Jude Midwest Affiliate
- Southern Illinois University School of Medicine
- Riley Children Cancer Center at Riley Hospital for Children
- St. Vincent Hospitals and Health Care Centers
- Blank Children's Hospital
- Holden Comprehensive Cancer Center at University of Iowa
- Wesley Medical Center
- Markey Cancer Center at University of Kentucky Chandler Medical Center
- Kosair Children's Hospital
- MBCCOP - LSU Health Sciences Center
- Tulane Cancer Center at Tulane University Hospital and Clinic
- Children's Hospital of New Orleans
- Ochsner Cancer Institute at Ochsner Clinic Foundation
- Pediatric Specialty Clinic at Eastern Maine Medical Center
- Maine Children's Cancer Program
- Greenebaum Cancer Center at University of Maryland Medical Center
- Alvin and Lois Lapidus Cancer Institute at Sinai Hospital
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- Walter Reed Army Medical Center
- Floating Hospital for Children
- Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
- Baystate Regional Cancer Program at D'Amour Center for Cancer Care
- UMASS Memorial Cancer Center - University Campus
- University of Michigan Comprehensive Cancer Center
- Children's Hospital of Michigan
- Van Elslander Cancer Center at St. John Hospital and Medical Center
- Hurley Medical Center
- DeVos Children's Hospital
- Bronson Methodist Hospital
- Breslin Cancer Center at Ingham Regional Medical Center
- William Beaumont Hospital - Royal Oak Campus
- St. Mary's - Duluth Clinic Cancer Center
- Children's Hospitals and Clinics - Minneapolis/St. Paul
- Mayo Clinic Cancer Center
- University of Mississippi Medical Center
- University of Missouri - Columbia
- Children's Mercy Hospital
- Cardinal Glennon Children's Hospital
- St. Louis Children's Hospital
- Children's Hospital of Omaha
- UNMC Eppley Cancer Center at the University of Nebraska Medical Center
- Nevada Cancer Research Foundation
- Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
- Hackensack University Medical Center
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
- Newark Beth Israel Medical Center
- St. Joseph's Hospital and Medical Center
- Valerie Fund Children's Center at Atlantic Health
- University of New Mexico Cancer Research and Treatment Center
- Children's Hospital at Albany Medical Center
- Albert Einstein Cancer Center at Albert Einstein College of Medicine
- Brooklyn Hospital Center
- SUNY Downstate Medical Center
- Brookdale University Hospital and Medical Center
- Comprehensive Cancer Center at Maimonides Medical Center
- Schneider Children's Hospital
- Memorial Sloan-Kettering Cancer Center
- New York Weill Cornell Cancer Center at Cornell University
- Mount Sinai Medical Center
- Herbert Irving Comprehensive Cancer Center at Columbia University
- James P. Wilmot Cancer Center at University of Rochester Medical Center
- Long Island Cancer Center at Stony Brook University Hospital
- SUNY Upstate Medical University Hospital
- New York Medical College
- Mission Hospitals - Memorial Campus
- Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
- Blumenthal Cancer Center at Carolinas Medical Center
- Presbyterian Cancer Center at Presbyterian Hospital
- Duke Comprehensive Cancer Center
- Leo W. Jenkins Cancer Center at Pitt County Memorial Hospital
- Comprehensive Cancer Center at Wake Forest University
- Dakota Cancer Institute at Innovis Health - Dakota Clinic
- Children's Hospital Medical Center of Akron
- Cincinnati Children's Hospital Medical Center
- Ireland Cancer Center at University Hospitals of Cleveland and Case Western Reserve University
- Cleveland Clinic Taussig Cancer Center
- Columbus Children's Hospital
- Children's Medical Center - Dayton
- Toledo Children's Hospital
- St. Vincent Mercy Medical Center
- Tod Children's Hospital - Forum Health
- Children's Hospital at Oklahoma University Medical Center
- Natalie Warren Bryant Cancer Center at St. Francis Hospital
- CCOP - Columbia River Oncology Program
- Legacy Emanuel Hospital and Health Center & Children's Hospital
- Doernbecher Children's Hospital at Oregon Health & Science University
- Geisinger Medical Center
- Penn State Children's Hospital
- Children's Hospital of Philadelphia
- St. Christopher's Hospital for Children
- Children's Hospital of Pittsburgh
- Rhode Island Hospital
- Hollings Cancer Center at Medical University of South Carolina
- Palmetto Health South Carolina Cancer Center
- Children's Hospital of Greenville Hospital System
- Avera Cancer Institute
- Sioux Valley Hospital and University of South Dakota Medical Center
- East Tennessee State University Cancer Center at Johnson City Medical Center
- East Tennessee Children's Hospital
- St. Jude Children's Research Hospital
- Vanderbilt Children's Hospital
- Texas Tech University Health Sciences Center School of Medicine
- Children's Hospital of Austin
- Medical City Dallas Hospital
- Simmons Cancer Center at University of Texas Southwestern Medical Center at Dallas
- Cook Children's Medical Center - Fort Worth
- University of Texas Medical Branch
- M.D. Anderson Cancer Center at University of Texas
- Baylor College of Medicine
- San Antonio Military Pediatric Cancer and Blood Disorders Center
- Covenant Children's Hospital
- University of Texas Health Science Center at San Antonio
- MBCCOP - South Texas Pediatrics
- Methodist Cancer Center at Methodist Specialty and Transplant Hospital
- CCOP - Scott and White Hospital
- Center for Cancer Prevention and Care at Scott and White Clinic
- Huntsman Cancer Institute at University of Utah
- Vermont Cancer Center at University of Vermont
- University of Virginia Cancer Center
- INOVA Fairfax Hospital
- Children's Hospital of the King's Daughters
- Naval Medical Center - Portsmouth
- Massey Cancer Center at Virginia Commonwealth University
- Carilion Medical Center for Children at Roanoke Community Hospital
- Children's Hospital and Regional Medical Center - Seattle
- Fred Hutchinson Cancer Research Center
- Group Health Central Hospital
- Deaconess Medical Center
- Mary Bridge Children's Hospital and Health Center - Tacoma
- Madigan Army Medical Center
- West Virginia University - Robert C. Byrd Health Sciences Center - Charleston Division
- Cabell Huntington Hospital
- Mary Babb Randolph Cancer Center at West Virginia University Hospitals
- Bellin Memorial Hospital
- CCOP - St. Vincent Hospital Cancer Center, Green Bay
- St. Vincent Hospital
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- University of Wisconsin Comprehensive Cancer Center
- Marshfield Clinic - Marshfield Center
- CCOP - Marshfield Clinic Research Foundation
- Midwest Children's Cancer Center
- Sydney Children's Hospital
- Children's Hospital at Westmead
- Royal Children's Hospital
- Women's and Children's Hospital
- Royal Children's Hospital
- Princess Margaret Hospital for Children
- Alberta Children's Hospital
- Cross Cancer Institute at University of Alberta
- British Columbia Children's Hospital
- CancerCare Manitoba
- Janeway Children's Health and Rehabilitation Centre
- IWK Health Centre
- McMaster Children's Hospital at Hamilton Health Sciences
- Children's Hospital of Western Ontario
- Children's Hospital of Eastern Ontario
- Hospital for Sick Children
- Montreal Children's Hospital at McGill University Health Center
- Hopital Sainte Justine
- Centre de Recherche du Centre Hospitalier de l'Universite Laval
- Allan Blair Cancer Centre at Pasqua Hospital
- Saskatoon Cancer Centre
- University Medical Center Groningen
- Starship Children's Health
- Puerto Rico Cancer Center at University of Puerto Rico - Medical Sciences Campus
- San Jorge Children's Hospital
- Swiss Pediatric Oncology Group Bern
- Swiss Pediatric Oncology Group Geneva
- Swiss Pediatric Oncology Group Lausanne
Arms of the Study
Arm 1
Experimental
Chemoradiotherapy