Sodium Thiosulfate in Preventing Hearing Loss in Young Patients Receiving Cisplatin for Newly Diagnosed Germ Cell Tumor, Hepatoblastoma, Medulloblastoma, Neuroblastoma, Osteosarcoma, or Other Malignancy
Brain Tumor, Central Nervous System Tumor, Childhood Germ Cell Tumor
About this trial
This is an interventional supportive care trial for Brain Tumor focused on measuring ototoxicity, childhood central nervous system germ cell tumor, childhood extracranial germ cell tumor, childhood extragonadal germ cell tumor, childhood malignant testicular germ cell tumor, childhood malignant ovarian germ cell tumor, childhood teratoma, childhood medulloblastoma, disseminated neuroblastoma, regional neuroblastoma, localized resectable neuroblastoma, localized unresectable neuroblastoma, stage 4S neuroblastoma, localized osteosarcoma, metastatic osteosarcoma, childhood hepatoblastoma, stage I childhood liver cancer, stage II childhood liver cancer, stage III childhood liver cancer, stage IV childhood liver cancer
Eligibility Criteria
DISEASE CHARACTERISTICS:
- Newly diagnosed (previously untreated or currently receiving cancer treatment for the diagnosis that made the patient eligible for this study) with germ cell tumor, hepatoblastoma, medulloblastoma, neuroblastoma, osteosarcoma, or other malignancy
- Planning to receive a chemotherapy treatment regimen that includes a cumulative cisplatin dose ≥ 200 mg/m² with individual cisplatin doses to be infused over ≤ 6 hours
Enrolled on hearing assessment clinical trial COG-ACCL05C1
- Normal auditory results
PATIENT CHARACTERISTICS:
- Karnofsky performance status (PS) 50-100% (for patients > 16 years of age)
- Lansky PS 50-100% (for patients ≤ 16 years of age)
- Serum sodium normal
- Absolute granulocyte count > 1,000/mm³
- Platelet count > 100,000/mm³
- Creatinine clearance or radioisotope glomerular filtration rate ≥ 70mL/min OR serum creatinine between 0.4 and 1.7 mg/dL, based on age and gender
- Total bilirubin ≤ 1.5 times upper limit of normal (ULN) for age
- AST or ALT < 2.5 times ULN for age
- Not pregnant or nursing
- Negative pregnancy test (if patient has child-bearing capacity)
- Fertile patients must use effective contraception
- No known hypersensitivity to sodium thiosulfate or other thiol agents (e.g., amifostine trihydrate, N-acetylcysteine, MESNA, or captopril)
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
No prior platinum-based chemotherapy (cisplatin or carboplatin)
- Other prior chemotherapy allowed
- Prior cranial radiotherapy (e.g., for treatment of medulloblastoma) allowed provided normal hearing is documented after completion of radiotherapy and before enrollment and administration of cisplatin chemotherapy
At least 6 months since prior hematopoietic stem cell transplantation.
- No evidence of graft-versus-host disease
No concurrent enrollment on another COG clinical trial for treatment of the cancer.
- Concurrent enrollment on a non-COG clinical trial (e.g., Head start) allowed.
- Cranial irradiation after the completion of all systemic chemotherapy allowed provided post end-of-treatment audiometry is completed prior to beginning irradiation.
- Concurrent radiotherapy to extracranial sites allowed.
Sites / Locations
- UAB Comprehensive Cancer Center
- Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
- Childrens Hospital Los Angeles
- Southern California Permanente Medical Group
- Children's Hospital Central California
- Rady Children's Hospital - San Diego
- UCSF Helen Diller Family Comprehensive Cancer Center
- Connecticut Children's Medical Center
- Yale Cancer Center
- Alfred I. duPont Hospital for Children
- Children's National Medical Center
- Lee Cancer Care of Lee Memorial Health System
- Nemours Children's Clinic
- University of Miami Sylvester Comprehensive Cancer Center - Miami
- Florida Hospital Cancer Institute at Florida Hospital Orlando
- Nemours Children's Clinic - Orlando
- Nemours Children's Clinic - Pensacola
- All Children's Hospital
- St. Joseph's Cancer Institute at St. Joseph's Hospital
- Cancer Research Center of Hawaii
- Mountain States Tumor Institute at St. Luke's Regional Medical Center
- University of Illinois Cancer Center
- Saint Jude Midwest Affiliate
- Riley's Children Cancer Center at Riley Hospital for Children
- Blank Children's Hospital
- Holden Comprehensive Cancer Center at University of Iowa
- Kosair Children's Hospital
- Tulane Cancer Center Office of Clinical Research
- Children's Hospital of New Orleans
- National Naval Medical Center
- C.S. Mott Children's Hospital at University of Michigan Medical Center
- Hurley Medical Center
- Helen DeVos Children's Hospital at Spectrum Health
- Bronson Methodist Hospital
- Children's Hospitals and Clinics of Minnesota - Minneapolis
- Masonic Cancer Center at University of Minnesota
- Mayo Clinic Cancer Center
- Children's Mercy Hospital
- Cardinal Glennon Children's Hospital
- CCOP - Nevada Cancer Research Foundation
- Hackensack University Medical Center Cancer Center
- Newark Beth Israel Medical Center
- University of New Mexico Cancer Center
- Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center
- SUNY Upstate Medical University Hospital
- Presbyterian Cancer Center at Presbyterian Hospital
- Duke Cancer Institute
- Wake Forest University Comprehensive Cancer Center
- Cincinnati Children's Hospital Medical Center
- Rainbow Babies and Children's Hospital
- Nationwide Children's Hospital
- Oklahoma University Cancer Institute
- Legacy Emanuel Children's Hospital
- Knight Cancer Institute at Oregon Health and Science University
- Lehigh Valley Hospital - Muhlenberg
- Geisinger Cancer Institute at Geisinger Health
- Children's Hospital of Pittsburgh of UPMC
- Rhode Island Hospital Comprehensive Cancer Center
- Sanford Cancer Center at Sanford USD Medical Center
- East Tennessee Children's Hospital
- Driscoll Children's Hospital
- Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas
- University of Texas Health Science Center at San Antonio
- Children's Hospital of The King's Daughters
- Virginia Commonwealth University Massey Cancer Center
- Providence Cancer Center at Sacred Heart Medical Center
- St. Vincent Hospital Regional Cancer Center
- Marshfield Clinic - Marshfield Center
- Princess Margaret Hospital for Children
- Children's and Women's Hospital of British Columbia
- CancerCare Manitoba
- IWK Health Centre
- Hospital for Sick Children
- Hopital Sainte Justine
- Saskatoon Cancer Centre at the University of Saskatchewan
- Centre Hospitalier Universitaire de Quebec
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
STS Arm (sodium thiosulfate treatment)
Observation Arm (No sodium thiosulfate treatment)
Patients receive sodium thiosulfate IV (dosage 16 g/m2 or 533 mg per kg for patients whose therapeutic protocol administers cisplatin on a per kg basis due to young age or small body) over 15 minutes beginning 6 hours after the completion of each cisplatin infusion. Treatment with sodium thiosulfate continues until the completion of cisplatin therapy.
Patients do not receive sodium thiosulfate.