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Trial · NCT00354835

Combination Chemotherapy and Radiation Therapy in Treating Patients With Newly Diagnosed Rhabdomyosarcoma

NCT00354835, Phase 3, Completed, Children's Oncology Group; results first posted 2017-07-25

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Combination Chemotherapy and Radiation Therapy in Treating Patients With Newly Diagnosed Rhabdomyosarcoma. Trials, record NCT00354835. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00354835

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Combination Chemotherapy and Radiation Therapy in Treating Patients With Newly Diagnosed Rhabdomyosarcoma
NCT number
NCT00354835
Status
Completed
Phases
Phase 3
Enrollment
481 participants, actual
Lead sponsor
Children's Oncology Group
Conditions
Adult Rhabdomyosarcoma, Childhood Alveolar Rhabdomyosarcoma, Childhood Botryoid-Type Embryonal Rhabdomyosarcoma, Childhood Embryonal Rhabdomyosarcoma, Localized Childhood Soft Tissue Sarcoma, Rhabdomyosarcoma, Sarcoma, Stage I Adult Soft Tissue Sarcoma AJCC v7, Stage II Adult Soft Tissue Sarcoma AJCC v7, Stage III Adult Soft Tissue Sarcoma AJCC v7
Interventions
Cyclophosphamide, Dactinomycin, Irinotecan Hydrochloride, Laboratory Biomarker Analysis, Questionnaire Administration, Radiation Therapy, Vincristine Sulfate
First posted
2006-07-20
Last updated
2023-01-31
Results first posted
2017-07-25

Source ClinicalTrials.gov

Registered outcomes15

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryEvent Free Survival (EFS)4 yearsProbability of no relapse, secondary malignancy, or death after 4 year in the study
PrimaryResponse Rate (RR)Reporting Period 1 (Weeks 1 - 15)
Proportion of patients with complete or partial response. Complete Response (CR): Complete disappearance of the tumor confirmed at \> 4 weeks; Partial Response (PR): At least 64% decrease in volume compared to the baseline; Overall Response (OR) = CR + PR.
PrimaryOverall Survival (OS)4 yearsProbability of being alive after 4 years in the study.
SecondaryEvent Free Survival (EFS) Probability VAC and Early (Week 4) Radiotherapy Compared to Delayed (Week 10) Radiotherapy, Using IRSIV for Historic Comparison4 years
Compare 4-year EFS using eligible participants only to the historical rate of 0.65 with IRSI-V. The 4-year EFS is probability of no relapse, secondary malignancy, or death after 4 years in the study. The Delayed (Week 10) Radiotherapy is from IRSI-V, and the number of participants of IRSI-V is unknown, but we have the rate of 0.65.
SecondaryLocal Failure2 years
Compare 2-year local failure rate to the historical rate of 0.13 with IRSI-V. The Delayed (Week 10) Radiotherapy is from IRSI-V, and the number of participants of IRSI-V is unknown, but we have the rate of 0.13.
SecondaryOverall Survival (OS) Probability VAC and Early (Week 4) Radiotherapy Compared to Delayed (Week 10) Radiotherapy, Using IRSIV for Historic Comparison4 years
Compare 4-year OS using eligible participants only to the historical rate of 0.70 with IRSI-V. The 4-year OS is probability of being alive after 4 years in the study. The Delayed (Week 10) Radiotherapy is from IRSI-V, and the number of participants of IRSI-V is unknown, but we have the rate of 0.70.
SecondaryIncidence of ToxicityUp to 15 weeks
Grade 3 or 4 nausea, diarrhea, dehydration, radiation dermatitis, mucositis due to radiation. Severe and undesirable adverse event is considered as grade 3; Life-threatening or disabling adverse event is grade 4. Grade 4 is worse than grade 3.
SecondaryAcute and Late Effects of VAC as Delivered on This Study to D9803 VACUp to 43 weeks
The toxicity rates will be estimated for each phase and course of treatment, and will be compared to the fixed rates under D9803 using one-sided lower confidence intervals for a single proportion without adjustment for multiple comparisons.
SecondaryCompare Event Free Survival (EFS) With Respect to the Level of % Change in FDG PET Maximum Standard Uptake Value (SUVmax) at Week 44 years4-year EFS (probability of no relapse, secondary malignancy, or death after 4 years in the study).
SecondaryCompare Event Free Survival (EFS) With Respect to the Level of % Change in FDG PET Maximum Standard Uptake Value (SUVmax) at Week 154 years4-year EFS (probability of no relapse, secondary malignancy, or death after 4 years in the study)

Outcomes15

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEvent Free Survival (EFS)4 yearsProbabilityNUMBER
PRIMARYResponse Rate (RR)Reporting Period 1 (Weeks 1 - 15)ProportionNUMBER
PRIMARYOverall Survival (OS)4 yearsProbabilityNUMBER
SECONDARYEvent Free Survival (EFS) Probability VAC and Early (Week 4) Radiotherapy Compared to Delayed (Week 10) Radiotherapy, Using IRSIV for Historic Comparison4 years17 ineligible participants were excluded.ProbabilityNUMBER
SECONDARYLocal Failure2 years17 ineligible participants were excluded.Proportion of participantsNUMBER
SECONDARYOverall Survival (OS) Probability VAC and Early (Week 4) Radiotherapy Compared to Delayed (Week 10) Radiotherapy, Using IRSIV for Historic Comparison4 years17 ineligible participants were excluded.ProbabilityNUMBER
SECONDARYIncidence of ToxicityUp to 15 weeksProbabilityNUMBER
SECONDARYAcute and Late Effects of VAC as Delivered on This Study to D9803 VACUp to 43 weeksNumber of patients with specific adverse events.participantsNUMBER
SECONDARYCompare Event Free Survival (EFS) With Respect to the Level of % Change in FDG PET Maximum Standard Uptake Value (SUVmax) at Week 44 years452 participants were excluded due to ineligibility or absence of SUVmax evaluation at baseline and week 4.ProbabilityNUMBER
SECONDARYCompare Event Free Survival (EFS) With Respect to the Level of % Change in FDG PET Maximum Standard Uptake Value (SUVmax) at Week 154 years421 participants were excluded due to ineligibility or absence of SUVmax evaluation at baseline and week 15.ProbabilityNUMBER

Results by group35

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Event Free Survival (EFS)Vincristine, Dactinomycin, Cyclophosphamide (VAC)0.625595% Confidence Interval 0.5575 to 0.6934Probability
Event Free Survival (EFS)VAC Alternating With Vincristine, Irinotecan (VI)0.587495% Confidence Interval 0.5178 to 0.6569Probability
Response Rate (RR)Vincristine, Dactinomycin, Cyclophosphamide (VAC)0.666795% Confidence Interval 0.6047 to 0.7287Proportion
Response Rate (RR)VAC Alternating With Vincristine, Irinotecan (VI)0.672695% Confidence Interval 0.6114 to 0.7337Proportion
Overall Survival (OS)Vincristine, Dactinomycin, Cyclophosphamide (VAC)0.729395% Confidence Interval 0.6669 to 0.7917Probability
Overall Survival (OS)VAC Alternating With Vincristine, Irinotecan (VI)0.722395% Confidence Interval 0.6583 to 0.7862Probability
Event Free Survival (EFS) Probability VAC and Early (Week 4) Radiotherapy Compared to Delayed (Week 10) Radiotherapy, Using IRSIV for Historic ComparisonVincristine, Dactinomycin, Cyclophosphamide (VAC)0.625595% Confidence Interval 0.5575 to 0.6934Probability
Local FailureVincristine, Dactinomycin, Cyclophosphamide (VAC)0.175795% Confidence Interval 0.1256 to 0.2257Proportion of participants
Overall Survival (OS) Probability VAC and Early (Week 4) Radiotherapy Compared to Delayed (Week 10) Radiotherapy, Using IRSIV for Historic ComparisonVincristine, Dactinomycin, Cyclophosphamide (VAC)0.729395% Confidence Interval 0.6669 to 0.7917Probability
Incidence of ToxicityVincristine, Dactinomycin, Cyclophosphamide (VAC)0.207295% Confidence Interval 0.1539 to 0.2605Probability

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDVincristine, Dactinomycin, Cyclophosphamide (VAC)239
Overall StudySTARTEDVAC Alternating With Vincristine, Irinotecan (VI)242
Overall StudyCOMPLETEDVincristine, Dactinomycin, Cyclophosphamide (VAC)187
Overall StudyCOMPLETEDVAC Alternating With Vincristine, Irinotecan (VI)181
Overall StudyNOT COMPLETEDVincristine, Dactinomycin, Cyclophosphamide (VAC)52
Overall StudyNOT COMPLETEDVAC Alternating With Vincristine, Irinotecan (VI)61

Adverse events402

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal distensionGastrointestinal disordersVincristine, Dactinomycin, Cyclophosphamide (VAC)02220
otherAbdominal distensionGastrointestinal disordersVAC Alternating With VI22262
otherAbdominal infectionInfections and infestationsVincristine, Dactinomycin, Cyclophosphamide (VAC)02220
otherAbdominal infectionInfections and infestationsVAC Alternating With VI22262
otherAbdominal painGastrointestinal disordersVincristine, Dactinomycin, Cyclophosphamide (VAC)922211
otherAbdominal painGastrointestinal disordersVAC Alternating With VI1222614
otherAbducens nerve disorderNervous system disordersVincristine, Dactinomycin, Cyclophosphamide (VAC)02220
otherAbducens nerve disorderNervous system disordersVAC Alternating With VI12261
otherActivated partial thromboplastin time prolongedInvestigationsVincristine, Dactinomycin, Cyclophosphamide (VAC)12221
otherActivated partial thromboplastin time prolongedInvestigationsVAC Alternating With VI02260

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityVincristine, Dactinomycin, Cyclophosphamide (VAC)
Total, all-cause mortalityVAC Alternating With VI
Total, other adverse eventsVincristine, Dactinomycin, Cyclophosphamide (VAC)209222
Total, other adverse eventsVAC Alternating With VI213226
Total, serious adverse eventsVincristine, Dactinomycin, Cyclophosphamide (VAC)4222
Total, serious adverse eventsVAC Alternating With VI11226

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
30091945DERIVEDPubMed
31174239DERIVEDPubMed
38603649DERIVEDPubMed

Grants2

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource
U10CA180886COG NCTN Network Group Operations CenterHawkins, Douglas S.COG RESEARCH FOUNDATION, LLCNATIONAL CANCER INSTITUTE2014 to 2026NIH RePORTER
U10CA098543Children's Oncology Group Chair's GrantADAMSON, PETER C.CHILDREN'S HOSP OF PHILADELPHIANATIONAL CANCER INSTITUTE2003 to 2013NIH RePORTER

Trial comparisons1

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

Comparison
Vincristine, Dactinomycin, Cyclophosphamide (VAC) vs VAC Alternating With VI: serious adverse events

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00354835

GET https://conductscience.org/api/trials/v1/NCT00354835/results?page=2