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Trial ยท NCT01096368

Maintenance Chemotherapy or Observation Following Induction Chemotherapy and Radiation Therapy in Treating Patients With Newly Diagnosed Ependymoma

NCT01096368, Phase 3, Completed, Children's Oncology Group; results first posted 2023-03-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Maintenance Chemotherapy or Observation Following Induction Chemotherapy and Radiation Therapy in Treating Patients With Newly Diagnosed Ependymoma. Trials, record NCT01096368. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01096368

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Trial

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

Title
Maintenance Chemotherapy or Observation Following Induction Chemotherapy and Radiation Therapy in Treating Patients With Newly Diagnosed Ependymoma
NCT number
NCT01096368
Status
Completed
Phases
Phase 3
Enrollment
479 participants, actual
Lead sponsor
Children's Oncology Group
Conditions
Anaplastic Ependymoma, Brain Ependymoma, Cellular Ependymoma, Clear Cell Ependymoma, Ependymoma, Papillary Ependymoma
Interventions
3-Dimensional Conformal Radiation Therapy, Carboplatin, Cisplatin, Clinical Observation, Cyclophosphamide, Etoposide, Filgrastim, Laboratory Biomarker Analysis, Mesna, Vincristine
First posted
2010-03-31
Last updated
2026-04-30
Results first posted
2023-03-02

Source ClinicalTrials.gov

Registered outcomes10

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

ListOutcomeTime frameDescription
PrimaryEvent-free Survival (EFS) in Children Who Have Completely Resected Ependymoma or Achieved CR and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyUp to 10 years after enrollment. 5-year estimates of EFS are presented
Kaplan-Meier estimates of EFS are calculated from randomization date to first occurrence of disease progression, disease recurrence, second malignant neoplasm, or death from any cause. The comparison between randomized arms (post-radiation maintenance chemotherapy versus post-radiation observation only) is conveyed by the hazard ratio and 90.46% stagewise adjusted Wald confidence interval.
PrimaryOverall Survival (OS) in Children Who Have Completely Resected Ependymoma or Achieved CR and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyUp to 10 years after enrollment. 5-year estimates of OS are presented.
Kaplan-Meier estimates of OS are calculated from randomization date to death from any cause. The comparison between randomized arms (post-radiation maintenance chemotherapy versus post-radiation observation only) is conveyed by the hazard ratio and 90.46% stagewise adjusted Wald confidence interval.
OtherEFS in Children Who Have Completely Resected Ependymoma at Initial Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyUp to 10 years after enrollment. 5-year estimates of EFS are presented.
Kaplan-Meier estimates of EFS are calculated from randomization date to first occurrence of disease progression, disease recurrence, second malignant neoplasm, or death from any cause. The comparison between randomized arms (post-radiation maintenance chemotherapy versus post-radiation observation only) for this stratum is conveyed by the hazard ratio and 95% Wald confidence interval.
Other
EFS With Incomplete Resection After Initial Surgery, Then Achieved CR After Induction Chemotherapy or GTR/NTR After Second Surgery and Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only
Up to 10 years after enrollment. 5-year estimates of EFS are presented.
Kaplan-Meier estimates of EFS are calculated from randomization date to first occurrence of disease progression, disease recurrence, second malignant neoplasm, or death from any cause. The comparison between randomized arms (post-radiation maintenance chemotherapy versus post-radiation observation only) for this stratum is conveyed by the hazard ratio and 95% Wald confidence interval.
OtherOS in Children Who Have Completely Resected Ependymoma at Initial Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only.Up to 10 years after enrollment. 5-year estimates of OS are presented.
Kaplan-Meier estimates of OS are calculated from randomization date to death from any cause. The comparison between randomized arms (post-radiation maintenance chemotherapy versus post-radiation observation only) for this stratum is conveyed by the hazard ratio and 95% Wald confidence interval.
Other
OS in Children With Incomplete Resection After Initial Surgery Who Then Achieved CR After Induction Chemotherapy or GTR/NTR After Second Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only
Up to 10 years after enrollment. 5-year estimates of OS are presented.
Kaplan-Meier estimates of OS are calculated from randomization date to death from any cause. The comparison between randomized arms (post-radiation maintenance chemotherapy versus post-radiation observation only) for this stratum is conveyed by the hazard ratio and 95% Wald confidence interval.
Other
EFS of Children With Incompletely Resected Ependymoma Who Are Unable to Achieve a Complete Response (CR) by Post-operative Induction Chemotherapy or by Second Surgery and Who Are Non-randomly Assigned to Receive Maintenance Chemotherapy
Up to 10 years after enrollment. 5-year estimates of EFS are presented.The Kaplan-Meier estimate of EFS is calculated from enrollment date to first occurrence of disease progression, disease recurrence, second malignant neoplasm, or death from any cause.
Other
OS of Children With Incompletely Resected Ependymoma Who Are Unable to Achieve a Complete Response (CR) by Post-operative Induction Chemotherapy or by Second Surgery and Who Are Non-randomly Assigned to Receive Maintenance Chemotherapy
Up to 10 years after enrollment. 5-year estimates of OS are presented.The Kaplan-Meier estimate of OS is calculated from enrollment date to death from any cause.
Other
EFS of Children With Supratentorial Classic Ependymoma Who Achieve Complete Resection at First or Second Surgery or Children Who Achieve Complete Response (CR) After Induction Chemo and Who Are Non-randomly Assigned to Observation
Up to 10 years after enrollment. 5-year estimates of EFS are presented.The Kaplan-Meier estimate of EFS is calculated from enrollment date to first occurrence of disease progression, disease recurrence, second malignant neoplasm, or death from any cause.
Other
OS of Children With Supratentorial Classic Ependymoma Who Achieve Complete Resection at First or Second Surgery or Children Who Achieve Complete Response (CR) After Induction Chemo and Who Are Non-randomly Assigned to Observation
Up to 10 years after enrollment. 5-year estimates of OS are presented.The Kaplan-Meier estimate of OS is calculated from enrollment date to death from any cause.

Outcomes10

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEvent-free Survival (EFS) in Children Who Have Completely Resected Ependymoma or Achieved CR and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyUp to 10 years after enrollment. 5-year estimates of EFS are presentedEligible, randomized participants (intent-to-treat)percentage of participantsNUMBER
PRIMARYOverall Survival (OS) in Children Who Have Completely Resected Ependymoma or Achieved CR and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyUp to 10 years after enrollment. 5-year estimates of OS are presented.Eligible, randomized participants (intent-to-treat)percentage of participantsNUMBER
OTHER_PRE_SPECIFIEDEFS in Children Who Have Completely Resected Ependymoma at Initial Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyUp to 10 years after enrollment. 5-year estimates of EFS are presented.Eligible, randomized participants (intent-to-treat) in stratum 1 (completely resected ependymom at initial surgery)percentage of participantsNUMBER
OTHER_PRE_SPECIFIED
EFS With Incomplete Resection After Initial Surgery, Then Achieved CR After Induction Chemotherapy or GTR/NTR After Second Surgery and Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only
Up to 10 years after enrollment. 5-year estimates of EFS are presented.Eligible, randomized participants (intent-to-treat) in stratum 2 (completely resected ependymom at initial surgery)percentage of participantsNUMBER
OTHER_PRE_SPECIFIEDOS in Children Who Have Completely Resected Ependymoma at Initial Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only.Up to 10 years after enrollment. 5-year estimates of OS are presented.Eligible, randomized participants (intent-to-treat) in stratum 1 (completely resected ependymom at initial surgery)percentage of participantsNUMBER
OTHER_PRE_SPECIFIED
OS in Children With Incomplete Resection After Initial Surgery Who Then Achieved CR After Induction Chemotherapy or GTR/NTR After Second Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only
Up to 10 years after enrollment. 5-year estimates of OS are presented.Eligible, randomized participants (intent-to-treat) in stratum 2 (induction chemotherapy or second surgery required)percentage of participantsNUMBER
OTHER_PRE_SPECIFIED
EFS of Children With Incompletely Resected Ependymoma Who Are Unable to Achieve a Complete Response (CR) by Post-operative Induction Chemotherapy or by Second Surgery and Who Are Non-randomly Assigned to Receive Maintenance Chemotherapy
Up to 10 years after enrollment. 5-year estimates of EFS are presented.Eligible participants in Arm IV (intent-to-treat)percentage of participantsNUMBER
OTHER_PRE_SPECIFIED
OS of Children With Incompletely Resected Ependymoma Who Are Unable to Achieve a Complete Response (CR) by Post-operative Induction Chemotherapy or by Second Surgery and Who Are Non-randomly Assigned to Receive Maintenance Chemotherapy
Up to 10 years after enrollment. 5-year estimates of OS are presented.Eligible participants in Arm IV (intent-to-treat)percentage of participantsNUMBER
OTHER_PRE_SPECIFIED
EFS of Children With Supratentorial Classic Ependymoma Who Achieve Complete Resection at First or Second Surgery or Children Who Achieve Complete Response (CR) After Induction Chemo and Who Are Non-randomly Assigned to Observation
Up to 10 years after enrollment. 5-year estimates of EFS are presented.Eligible participants in Arm Ipercentage of participantsNUMBER
OTHER_PRE_SPECIFIED
OS of Children With Supratentorial Classic Ependymoma Who Achieve Complete Resection at First or Second Surgery or Children Who Achieve Complete Response (CR) After Induction Chemo and Who Are Non-randomly Assigned to Observation
Up to 10 years after enrollment. 5-year estimates of OS are presented.Eligible participants in Arm Ipercentage of participantsNUMBER

Results by group16

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

OutcomeGroupCategoryValueSpreadUnits
Event-free Survival (EFS) in Children Who Have Completely Resected Ependymoma or Achieved CR and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyArm II: Randomized to Radiation With Maintenance Chemotherapy69.295% Confidence Interval 60.8 to 76.2percentage of participants
Event-free Survival (EFS) in Children Who Have Completely Resected Ependymoma or Achieved CR and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyArm III: Randomized to Radiation Only63.795% Confidence Interval 55.1 to 71.1percentage of participants
Overall Survival (OS) in Children Who Have Completely Resected Ependymoma or Achieved CR and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyArm II: Randomized to Radiation With Maintenance Chemotherapy88.395% Confidence Interval 81.8 to 92.6percentage of participants
Overall Survival (OS) in Children Who Have Completely Resected Ependymoma or Achieved CR and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyArm III: Randomized to Radiation Only86.995% Confidence Interval 79.8 to 91.6percentage of participants
EFS in Children Who Have Completely Resected Ependymoma at Initial Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyArm II: Randomized to Radiation With Maintenance Chemotherapy in Stratum 172.795% Confidence Interval 63.8 to 79.8percentage of participants
EFS in Children Who Have Completely Resected Ependymoma at Initial Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation OnlyArm III: Randomized to Radiation Only in Stratum 162.995% Confidence Interval 53.6 to 70.9percentage of participants
EFS With Incomplete Resection After Initial Surgery, Then Achieved CR After Induction Chemotherapy or GTR/NTR After Second Surgery and Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only
Arm II: Randomized to Radiation With Maintenance Chemotherapy in Stratum 241.795% Confidence Interval 17.9 to 64.0percentage of participants
EFS With Incomplete Resection After Initial Surgery, Then Achieved CR After Induction Chemotherapy or GTR/NTR After Second Surgery and Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only
Arm III: Randomized to Radiation Only in Stratum 267.595% Confidence Interval 41.4 to 84.0percentage of participants
OS in Children Who Have Completely Resected Ependymoma at Initial Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only.Arm II: Randomized to Radiation With Maintenance Chemotherapy in Stratum 190.795% Confidence Interval 84.2 to 94.7percentage of participants
OS in Children Who Have Completely Resected Ependymoma at Initial Surgery and Are Treated With Post-radiation Maintenance Chemotherapy or Post-radiation Observation Only.Arm III: Randomized to Radiation Only in Stratum 186.495% Confidence Interval 78.5 to 91.5percentage of participants

Participant flow15

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm I: Observation37
Overall StudySTARTEDArm II: Randomized to Radiation With Maintenance Chemotherapy167
Overall StudySTARTEDArm III: Randomized to Radiation Only163
Overall StudySTARTEDArm IV: Nonrandomly Assigned to Arm II Treatment63
Overall StudySTARTEDNot Ependymoma or Withdrew Before Radiation49
Overall StudyCOMPLETEDArm I: Observation37
Overall StudyCOMPLETEDArm II: Randomized to Radiation With Maintenance Chemotherapy88
Overall StudyCOMPLETEDArm III: Randomized to Radiation Only154
Overall StudyCOMPLETEDArm IV: Nonrandomly Assigned to Arm II Treatment39
Overall StudyCOMPLETEDNot Ependymoma or Withdrew Before Radiation0

Adverse events170

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnemiaBlood and lymphatic system disordersArm I: Observation037
otherAnemiaBlood and lymphatic system disordersArm II: Randomized to Radiation With Maintenance Chemotherapy0164
otherAnemiaBlood and lymphatic system disordersArm III: Randomized to Radiation Only0161
otherAnemiaBlood and lymphatic system disordersArm IV: Nonrandomly Assigned to Arm II Treatment063
otherAnemiaBlood and lymphatic system disordersNot Ependymoma or Withdrew Before Radiation124
otherFebrile neutropeniaBlood and lymphatic system disordersArm I: Observation037
otherFebrile neutropeniaBlood and lymphatic system disordersArm II: Randomized to Radiation With Maintenance Chemotherapy1164
otherFebrile neutropeniaBlood and lymphatic system disordersArm III: Randomized to Radiation Only0161
otherFebrile neutropeniaBlood and lymphatic system disordersArm IV: Nonrandomly Assigned to Arm II Treatment063
otherFebrile neutropeniaBlood and lymphatic system disordersNot Ependymoma or Withdrew Before Radiation124

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm I: Observation037
Total, all-cause mortalityArm II: Randomized to Radiation With Maintenance Chemotherapy20164
Total, all-cause mortalityArm III: Randomized to Radiation Only27161
Total, all-cause mortalityArm IV: Nonrandomly Assigned to Arm II Treatment2263
Total, all-cause mortalityNot Ependymoma or Withdrew Before Radiation424
Total, other adverse eventsArm I: Observation037
Total, other adverse eventsArm II: Randomized to Radiation With Maintenance Chemotherapy22164
Total, other adverse eventsArm III: Randomized to Radiation Only10161
Total, other adverse eventsArm IV: Nonrandomly Assigned to Arm II Treatment1563
Total, other adverse eventsNot Ependymoma or Withdrew Before Radiation424

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

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 comparisons0

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

None in this release.

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/NCT01096368

GET https://conductscience.org/api/trials/v1/NCT01096368/events?page=2