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Trial ยท NCT00602667

Risk-Adapted Therapy for Young Children With Embryonal Brain Tumors, Choroid Plexus Carcinoma, High Grade Glioma or Ependymoma

NCT00602667, Phase 2, Active not recruiting, St. Jude Children's Research Hospital; results first posted 2019-01-30

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Risk-Adapted Therapy for Young Children With Embryonal Brain Tumors, Choroid Plexus Carcinoma, High Grade Glioma or Ependymoma. Trials, record NCT00602667. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00602667

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Trial

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

Title
Risk-Adapted Therapy for Young Children With Embryonal Brain Tumors, Choroid Plexus Carcinoma, High Grade Glioma or Ependymoma
NCT number
NCT00602667
Status
Active not recruiting
Phases
Phase 2
Enrollment
293 participants, actual
Lead sponsor
St. Jude Children's Research Hospital
Conditions
Brain and Central Nervous System Tumors
Interventions
Induction Chemotherapy, Low-Risk Therapy, High-Risk Therapy, Intermediate-Risk Therapy
First posted
2008-01-28
Last updated
2026-10-16
Results first posted
2019-01-30
Limitations and caveats
Results for the some of the secondary objectives are not available yet. These results will be posted as they become available.

Source ClinicalTrials.gov

Registered outcomes82

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

ListOutcomeTime frameDescription
PrimaryPercent Probability of Progression-free Survival (PFS) for Medulloblastoma PatientsFrom date on treatment until date of first progression or relapse or disease related death or date of last contact, estimated at 1 year after treatment
Progression was defined as 25% increase in the size of any measurable lesion; the appearance of a new lesion; or the conversion of negative cerebrospinal fluid (CSF) cytology to positive. Defined as the time interval from date on treatment until the date of first progression, medulloblastoma-related death or date of last contact for patients who have not experienced an event. All eligible medulloblastoma patients who received any methotrexate are included in this analysis.
PrimaryPercent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation SubgroupFrom date on treatment to date of first progression or relapse or disease related death or date of last contact, estimated at 1 year after treatment
Defined as the time interval from date on treatment until the date of first progression, medulloblastoma-related death or date of last contact for patients who have not experienced an event. Eligible medulloblastoma patients who received any methotrexate and had molecularly confirmed medulloblastoma are included in this analysis. Five patients were excluded as 3 had no archival tissue available and 2 were found to not be medulloblastoma by methylation profile.
PrimaryPercent Probability of Event-free Survival (EFS) for Medulloblastoma PatientsFrom date on treatment to date of first progression, relapse, second malignancy or death from any cause or to date of last contact, estimated at 1 year after
Defined as the time interval from date on treatment until the date of first progression, second malignancy or death due to any cause; or date of last contact for patients who have not experienced an event. All eligible medulloblastoma patients who received any methotrexate are included in this analysis.
SecondaryNumber of Participants With Chromosomal AbnormalitiesBased on samples obtained at the time of initial surgery or repeat surgery prior to treatmentAmplifications and deletions (gains and losses) for chromosomes of interest are shown in the table of measured values.
SecondaryNumbers of Patients With Gene AlterationsBased on samples obtained at the time of initial surgery or repeat surgery prior to treatment
Gene alterations, which include single nucleotide variants (SNPs), amplifications, deletions, translocations, indels, and germline alterations are shown for specific genes of interest in the results table.
SecondaryNumbers of Patients With Molecular Abnormalities by Tumor TypeBased on samples obtained at the time of initial surgery or repeat surgery prior to treatment
Alterations included single nucleotide variants (SNPs), amplifications, deletions, translocations, indels, and germline alterations. Cytogenetic information shows gains and losses as specified in the table of measured values.
SecondaryNumber of Successful Collections for Frozen and Fixed Tumor SamplesBased on samples obtained at the time of initial surgery or repeat surgery prior to treatmentSuccessful collections will be defined as the number of patients who have frozen/fixed tumor samples available.
SecondaryEvent-free Survival (EFS) Compared to Historical ControlsFrom date on treatment until date of first event (progression, second malignancy or death) or until date of last contact, assessed up to 10 years
EFS was measured from the date of initial treatment to the earliest date of disease progression, second malignancy or death for patients who fail; and to the date of last contact for patients who remain at risk for failure. 1-year EFS estimates are reported by risk group. EFS was compared to St. Jude historical cohorts by risk group using hazard ratios with 95% confidence intervals.
SecondaryOverall Survival (OS) Compared to Historical Controls1 year after treatment initiation of last patient
OS was measured from the date of initial treatment to date of death or to date of last contact for survivors. 1-year OS estimates were reported by risk group. OS was compared to St. Jude historical cohorts by risk group using hazard ratios with 95% confidence intervals.
SecondaryPercentage of Patients With Objective Responses Rate to Induction ChemotherapyFrom on-study date to 2 months after completion of induction chemotherapy (up to 4 months after on-study date)
For patients treated in the intermediate and high risk strata with residual or metastatic disease we will estimate the stratum-specific objective response rate (complete response (CR) or partial response \[ PR\]). All patients who receive at least 1 -dose of methotrexate are evaluable for response. Objective responses must be sustained for at least eight weeks.

Outcomes82

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercent Probability of Progression-free Survival (PFS) for Medulloblastoma PatientsFrom date on treatment until date of first progression or relapse or disease related death or date of last contact, estimated at 1 year after treatmentAll eligible medulloblastoma patients started methotrexate and were included (n=81). PFS estimates are reported by risk group.Percent ProbabilityNUMBER
PRIMARYPercent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation SubgroupFrom date on treatment to date of first progression or relapse or disease related death or date of last contact, estimated at 1 year after treatment
Eligible patients with molecularly confirmed medulloblastoma (n=76) were included. PFS estimates are reported by methylation subgroup and risk group. There were no low-risk group 3 or group 4 patients.
Percent ProbabilityNUMBER
PRIMARYPercent Probability of Event-free Survival (EFS) for Medulloblastoma PatientsFrom date on treatment to date of first progression, relapse, second malignancy or death from any cause or to date of last contact, estimated at 1 year afterEligible medulloblastoma patients (n=81) were included. EFS estimates are reported by risk group.Percent ProbabilityNUMBER
SECONDARYNumber of Participants With Chromosomal AbnormalitiesBased on samples obtained at the time of initial surgery or repeat surgery prior to treatmentEligible medulloblastoma patients (n=81) were included in these analyses. 23 of 23 low risk patients had data available for this objective, as did 27/32 and 24/26 intermediate and high risk patients.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumbers of Patients With Gene AlterationsBased on samples obtained at the time of initial surgery or repeat surgery prior to treatmentEligible medulloblastoma patients (n=81) were included in these analyses. Not all patients had data available for each gene.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumbers of Patients With Molecular Abnormalities by Tumor TypeBased on samples obtained at the time of initial surgery or repeat surgery prior to treatmentEligible patients with molecularly confirmed medulloblastoma (n=76) were included in these analyses. Not all patients had data available for each gene.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Successful Collections for Frozen and Fixed Tumor SamplesBased on samples obtained at the time of initial surgery or repeat surgery prior to treatmentAll eligible patients enrolled (n=290) were included in this analysis. The numbers of patients with pre-study samples were considered for these results.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYEvent-free Survival (EFS) Compared to Historical ControlsFrom date on treatment until date of first event (progression, second malignancy or death) or until date of last contact, assessed up to 10 years
Eligible medulloblastoma patients who received any methotrexate were included in this analysis. Hazard ratios with 95% confidence intervals are reported and compare SJYC07 patients to historical controls in each risk group. As there were too few low-risk historical controls, no hazard ratio is included for the low-risk group.
Percent probabilityNUMBER
SECONDARYOverall Survival (OS) Compared to Historical Controls1 year after treatment initiation of last patient
Eligible medulloblastoma patients who received any methotrexate were included in this analysis. Hazard ratios with 95% confidence intervals are reported and compare SJYC07 patients to historical controls in each risk group. As there were too few low-risk historical controls, no hazard ratio is included for the low-risk group.
Percent probabilityNUMBER
SECONDARYPercentage of Patients With Objective Responses Rate to Induction ChemotherapyFrom on-study date to 2 months after completion of induction chemotherapy (up to 4 months after on-study date)Eligible intermediate and high risk group patients who received at least 1 dose of methotrexate were included in this analysis. One of the high risk patients did not start therapy and was excluded.Percentage of patientsNUMBER

Results by group787

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

OutcomeGroupCategoryValueSpreadUnits
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma PatientsLow-Risk Group73.995% Confidence Interval 56.5 to 91.3Percent Probability
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma PatientsIntermediate-Risk Group46.995% Confidence Interval 30.2 to 63.6Percent Probability
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma PatientsHigh-Risk Group30.895% Confidence Interval 14.1 to 47.5Percent Probability
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation SubgroupLow-risk SHH Patients73.995% Confidence Interval 56.5 to 91.3Percent Probability
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation SubgroupIntermediate-risk SHH Patients50.095% Confidence Interval 19.0 to 81.0Percent Probability
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation SubgroupHigh-risk SHH Patients54.595% Confidence Interval 27.3 to 81.7Percent Probability
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation SubgroupIntermediate-risk Group 3 Patients30.895% Confidence Interval 8.5 to 53.1Percent Probability
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation SubgroupHigh-risk Group 3 Patients9.195% Confidence Interval 0.0 to 21.1Percent Probability
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation SubgroupIntermediate-risk Group 4 Patients62.595% Confidence Interval 31.9 to 93.1Percent Probability
Percent Probability of Progression-free Survival (PFS) for Medulloblastoma Patients by DNA Methylation SubgroupHigh-risk Group 4 Patients50.095% Confidence Interval 1.0 to 99.0Percent Probability

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDLow-Risk Group57
Overall StudySTARTEDIntermediate-Risk Group156
Overall StudySTARTEDHigh-Risk Group77
Overall StudyCOMPLETEDLow-Risk Group38
Overall StudyCOMPLETEDIntermediate-Risk Group75
Overall StudyCOMPLETEDHigh-Risk Group14
Overall StudyNOT COMPLETEDLow-Risk Group19
Overall StudyNOT COMPLETEDIntermediate-Risk Group81
Overall StudyNOT COMPLETEDHigh-Risk Group63

Adverse events198

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherFebrile neutropeniaBlood and lymphatic system disordersLow-Risk Group365783
otherFebrile neutropeniaBlood and lymphatic system disordersIntermediate-Risk Group92156169
otherFebrile neutropeniaBlood and lymphatic system disordersHigh-Risk Group4876120
otherNeutrophils/granulocytes (ANC/AGC)Blood and lymphatic system disordersLow-Risk Group325760
otherNeutrophils/granulocytes (ANC/AGC)Blood and lymphatic system disordersIntermediate-Risk Group57156124
otherNeutrophils/granulocytes (ANC/AGC)Blood and lymphatic system disordersHigh-Risk Group107620
otherLeukocytes (total WBC)Blood and lymphatic system disordersLow-Risk Group245738
otherLeukocytes (total WBC)Blood and lymphatic system disordersIntermediate-Risk Group4515683
otherLeukocytes (total WBC)Blood and lymphatic system disordersHigh-Risk Group67611
otherVomitingGastrointestinal disordersLow-Risk Group105711

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityLow-Risk Group1057
Total, all-cause mortalityIntermediate-Risk Group58156
Total, all-cause mortalityHigh-Risk Group4977
Total, other adverse eventsLow-Risk Group5557
Total, other adverse eventsIntermediate-Risk Group145156
Total, other adverse eventsHigh-Risk Group7076
Total, serious adverse eventsLow-Risk Group357
Total, serious adverse eventsIntermediate-Risk Group7156
Total, serious adverse eventsHigh-Risk Group576

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
29778738DERIVEDPubMed
33502920DERIVEDPubMed
33945291DERIVEDPubMed

Grants1

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 years
R01CA154619Anticancer Drug Pharmacology in Very Young ChildrenSTEWART, CLINTON FST. JUDE CHILDREN'S RESEARCH HOSPITALNATIONAL CANCER INSTITUTE2012 to 2016

Trial comparisons2

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

ComparisonSource
Intermediate-Risk Group vs High-Risk Group: Participants With PK-guided Dosage Adjustment Achieving Target System Exposure of Intravenous TopotecanTrial comparisons
Intermediate-Risk Group vs High-Risk Group: Participants With Empirical Dosage Achieving Target System Exposure of Intravenous TopotecanTrial comparisons

Tests1

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

TestNamed as
Verbal FluencySecondary outcome

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/NCT00602667

GET https://conductscience.org/api/trials/v1/NCT00602667/registered?page=2