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Trial · NCT02567435

Combination Chemotherapy With or Without Temsirolimus in Treating Patients With Intermediate Risk Rhabdomyosarcoma

NCT02567435, Phase 3, Active not recruiting, National Cancer Institute (NCI); results first posted 2024-10-01

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Combination Chemotherapy With or Without Temsirolimus in Treating Patients With Intermediate Risk Rhabdomyosarcoma. Trials, record NCT02567435. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02567435

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Trial

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

Title
Combination Chemotherapy With or Without Temsirolimus in Treating Patients With Intermediate Risk Rhabdomyosarcoma
NCT number
NCT02567435
Status
Active not recruiting
Phases
Phase 3
Enrollment
325 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Alveolar Rhabdomyosarcoma, Botryoid-Type Embryonal Rhabdomyosarcoma, Embryonal Rhabdomyosarcoma, Rhabdomyosarcoma, Sclerosing Rhabdomyosarcoma, Spindle Cell Rhabdomyosarcoma
Interventions
Cyclophosphamide, Dactinomycin, Irinotecan Hydrochloride, Laboratory Biomarker Analysis, Questionnaire Administration, Radiation Therapy, Temsirolimus, Vincristine Sulfate, Vinorelbine
First posted
2015-10-05
Last updated
2026-10-01
Results first posted
2024-10-01

Source ClinicalTrials.gov

Registered outcomes6

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

ListOutcomeTime frameDescription
PrimaryEvent-free Survival (EFS)Up to 3 years from study entry
The Kaplan-Meier method will used to estimate 3-year EFS between the randomized treatment groups (Regimen A (VAC/VI) vs. Regimen B (VAC/VI/Temsirolimus)) using the log-rank test. EFS event is defined as the time from study entry until first occurrence of progression, relapse, second malignancy, or death.
SecondaryOverall Survival (OS)Up to 3 years from study entry
The Kaplan-Meier method will used to estimate 3-year OS between the randomized treatment groups (Regimen A (VAC/VI) vs. Regimen B (VAC/VI/Temsirolimus)) using the log-rank test. OS event is defined as the time from study entry until death.
OtherFrequency of Circulating Tumor DNA (ctDNA) at Diagnosis and Subsequent Time-pointsUp to 10 years
Will determine the frequency with which of ctDNA is detected in patients with intermediate-risk (IR) rhabdomyosarcoma (RMS) at diagnosis and how these levels change over time with. In addition, the level of ctDNA as a percent of total cell-free DNA will be summarized by reporting the median and range. Since no prior data are available on the rate of positivity nor the change over time, the analysis will be purely descriptive. Changes over time will be plotted to visually determine and compare the trajectories of ctDNA during the early and late stages of therapy.
OtherPatient Outcome Based on Their Forkhead Box O1 Protein (FOXO1) Partner, by Evaluating PAX3 vs. PAX7 in All Patients Found to be FOXO1 Fusion PositiveUp to 10 years
OtherPatient Outcome Based on Their [F18]-Fluorodeoxy-D-glucose-positron Emission Tomography (FDG-positron Emission Tomography [PET]) ResponseAt week 9Assessed by Deauville Criteria (5-point).
Other
Patient Outcomes Based on (Vincristine, Dactinomycin, and Cyclophosphamide [VAC]/Vincristine and Irinotecan [VI] With or Without Temsirolimus) Who Have Received Maintenance Therapy on ARST1431 to Those Who Received VAC/VI on ARST0531
Up to 10 yearsThe two-sample log-rank test will be performed.

Outcomes6

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYEvent-free Survival (EFS)Up to 3 years from study entry
As pre-specified in the protocol, patients randomized to Regimen A (VAC/VI) and Regimen B (VAC/VI/Temsirolimus) were included in this analysis. The data was analyzed with revised intention-to-treat approach. Following patients were excluded 4 ineligible patients, 11 feasibility patients and 13 inevaluable patients (due to FOXO1 results or who did not receive maintenance therapy due to an amendment added during the study) .
Percentage of participantsNUMBER
SECONDARYOverall Survival (OS)Up to 3 years from study entry
As pre-specified in the protocol, patients randomized to Regimen A (VAC/VI) and Regimen B (VAC/VI/Temsirolimus) were included in this analysis. The data was analyzed with revised intention-to-treat approach. Following patients were excluded 4 ineligible patients, 11 feasibility patients and 13 inevaluable patients (due to FOXO1 results or who did not receive maintenance therapy due to an amendment added during the study) .
Percentage of participantsNUMBER
OTHER_PRE_SPECIFIEDFrequency of Circulating Tumor DNA (ctDNA) at Diagnosis and Subsequent Time-pointsUp to 10 years
OTHER_PRE_SPECIFIEDPatient Outcome Based on Their Forkhead Box O1 Protein (FOXO1) Partner, by Evaluating PAX3 vs. PAX7 in All Patients Found to be FOXO1 Fusion PositiveUp to 10 years
OTHER_PRE_SPECIFIEDPatient Outcome Based on Their [F18]-Fluorodeoxy-D-glucose-positron Emission Tomography (FDG-positron Emission Tomography [PET]) ResponseAt week 9
OTHER_PRE_SPECIFIED
Patient Outcomes Based on (Vincristine, Dactinomycin, and Cyclophosphamide [VAC]/Vincristine and Irinotecan [VI] With or Without Temsirolimus) Who Have Received Maintenance Therapy on ARST1431 to Those Who Received VAC/VI on ARST0531
Up to 10 years

Results by group4

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

OutcomeGroupCategoryValueSpreadUnits
Event-free Survival (EFS)Regimen A (VAC/VI)64.8095% Confidence Interval 55.5 to 74.1Percentage of participants
Event-free Survival (EFS)Regimen B (VAC/VI/Temsirolimus)66.8095% Confidence Interval 57.5 to 76.2Percentage of participants
Overall Survival (OS)Regimen A (VAC/VI)78.7095% Confidence Interval 70.9 to 86.4Percentage of participants
Overall Survival (OS)Regimen B (VAC/VI/Temsirolimus)77.8095% Confidence Interval 69.7 to 85.9Percentage of participants

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRegimen A (VAC/VI)156
Overall StudySTARTEDRegimen B (VAC/VI/Temsirolimus)156
Overall StudySTARTEDRegimen C (FOXO1 Fusion Negative, VAC/VA)3
Overall StudySTARTEDFeasibility (VAC/VI/Temsirolimus)10
Overall StudyCOMPLETEDRegimen A (VAC/VI)150
Overall StudyCOMPLETEDRegimen B (VAC/VI/Temsirolimus)147
Overall StudyCOMPLETEDRegimen C (FOXO1 Fusion Negative, VAC/VA)3
Overall StudyCOMPLETEDFeasibility (VAC/VI/Temsirolimus)9
Overall StudyNOT COMPLETEDRegimen A (VAC/VI)6
Overall StudyNOT COMPLETEDRegimen B (VAC/VI/Temsirolimus)9

Adverse events1,412

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal distensionGastrointestinal disordersRegimen A (VAC/VI)31553
otherAbdominal distensionGastrointestinal disordersRegimen B (VAC/VI/Temsirolimus)21533
otherAbdominal distensionGastrointestinal disordersRegimen C (FOXO1 Fusion Negative, VAC/VA)030
otherAbdominal distensionGastrointestinal disordersFeasibility (VAC/VI/Temsirolimus)1101
otherAbdominal infectionInfections and infestationsRegimen A (VAC/VI)11552
otherAbdominal infectionInfections and infestationsRegimen B (VAC/VI/Temsirolimus)11532
otherAbdominal infectionInfections and infestationsRegimen C (FOXO1 Fusion Negative, VAC/VA)030
otherAbdominal infectionInfections and infestationsFeasibility (VAC/VI/Temsirolimus)0100
otherAbdominal painGastrointestinal disordersRegimen A (VAC/VI)1515523
otherAbdominal painGastrointestinal disordersRegimen B (VAC/VI/Temsirolimus)2915336

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRegimen A (VAC/VI)33155
Total, all-cause mortalityRegimen B (VAC/VI/Temsirolimus)33153
Total, all-cause mortalityRegimen C (FOXO1 Fusion Negative, VAC/VA)03
Total, all-cause mortalityFeasibility (VAC/VI/Temsirolimus)410
Total, other adverse eventsRegimen A (VAC/VI)139155
Total, other adverse eventsRegimen B (VAC/VI/Temsirolimus)141153
Total, other adverse eventsRegimen C (FOXO1 Fusion Negative, VAC/VA)13
Total, other adverse eventsFeasibility (VAC/VI/Temsirolimus)810
Total, serious adverse eventsRegimen A (VAC/VI)17155
Total, serious adverse eventsRegimen B (VAC/VI/Temsirolimus)77153

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
38603649DERIVEDPubMed
38936378DERIVEDPubMed
41914453DERIVEDPubMed

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
U10CA180886COG NCTN Network Group Operations CenterHawkins, Douglas S.COG RESEARCH FOUNDATION, LLCNATIONAL CANCER INSTITUTE2014 to 2026

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/NCT02567435

GET https://conductscience.org/api/trials/v1/NCT02567435/events?page=2