Chemotherapy and Stem Cell Transplantation in Treating Children With Central Nervous System Cancer
Brain and Central Nervous System Tumors, Lymphoma, Neuroblastoma
About this trial
This is an interventional treatment trial for Brain and Central Nervous System Tumors focused on measuring childhood central nervous system germ cell tumor, childhood choroid plexus tumor, childhood craniopharyngioma, childhood grade I meningioma, childhood grade II meningioma, childhood grade III meningioma, recurrent childhood brain stem glioma, recurrent childhood cerebellar astrocytoma, recurrent childhood cerebral astrocytoma, recurrent childhood ependymoma, recurrent childhood medulloblastoma, recurrent childhood supratentorial primitive neuroectodermal tumor, recurrent neuroblastoma, recurrent retinoblastoma, childhood visual pathway and hypothalamic glioma, childhood atypical teratoid/rhabdoid tumor, primary central nervous system non-Hodgkin lymphoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed primary central nervous system malignancy Recurrent, persistent, or progressive disease after at least 1 prior first-line treatment regimen PATIENT CHARACTERISTICS: Age 18 and under at initial diagnosis Performance status ECOG 0-2 Life expectancy At least 8 weeks Hematopoietic Absolute neutrophil count greater than 750/mm^3 WBC greater than 2,500/mm^3 Platelet count greater than 100,000/mm^3 No underlying myelodysplasia, stem cell disorder, or other inherent hematologic synthetic defect Hepatic Liver function tests less than 2 times normal OR Absence of active hepatitis by liver biopsy Bilirubin less than 1.5 mg/dL Renal Glomerular filtration rate greater than 60 mL/min by radionucleotide assay Cardiovascular Ejection fraction at least 45% Pulmonary Clinically normal pulmonary function (patients 5 years of age and under) FEV_1 and FVC at least 50% (patients over 5 years of age) OR Arterial blood gas normal and DLCO greater than 50% Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No mucositis or mucosal infection HIV negative PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy At least 3 weeks since prior systemic cytotoxic chemotherapy Endocrine therapy Not specified Radiotherapy At least 6 months since prior radiotherapy to the pelvis or spine Surgery Not specified
Sites / Locations
- St. Louis Children's Hospital
- Roswell Park Cancer Institute
- University of Texas - MD Anderson Cancer Center