Vincristine, Dactinomycin, and Doxorubicin With or Without Radiation Therapy or Observation Only in Treating Younger Patients Who Are Undergoing Surgery for Newly Diagnosed Stage I, Stage II, or Stage III Wilms' Tumor
NCT00352534 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 808
Last updated 2026-02-18
Summary
This phase III trial is studying vincristine, dactinomycin, and doxorubicin with or without radiation therapy or observation only to see how well they work in treating patients undergoing surgery for newly diagnosed stage I, stage II, or stage III Wilms' tumor. Drugs used in chemotherapy, such as vincristine, dactinomycin, and doxorubicin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing, or by stopping them from spreading. Radiation therapy uses high energy x-rays, particles, or radioactive seeds to kill cancer cells and shrink tumors.Giving these treatments after surgery may kill any tumor cells that remain after surgery. Sometimes, after surgery, the tumor may not need additional treatment until it progresses. In this case, observation may be sufficient.
Conditions
- Stage I Kidney Wilms Tumor
- Stage II Kidney Wilms Tumor
- Stage III Kidney Wilms Tumor
Interventions
- RADIATION
-
3-Dimensional Conformal Radiation Therapy
Patients undergo radiotherapy
- PROCEDURE
-
Biospecimen Collection
Undergo blood sample collection
- PROCEDURE
-
Chest Radiography
Undergo chest X-ray
- PROCEDURE
-
Computed Tomography
Undergo CT
- BIOLOGICAL
-
Dactinomycin
Given IV
- DRUG
-
Doxorubicin Hydrochloride
Given IV
- PROCEDURE
-
Echocardiography Test
Undergo echocardiography
- PROCEDURE
-
Magnetic Resonance Imaging
Undergo MRI
- PROCEDURE
-
Therapeutic Conventional Surgery
Undergo surgery
- PROCEDURE
-
Ultrasound Imaging
Undergo ultrasound
- DRUG
-
Vincristine Sulfate
Given IV
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
Children's Oncology Group
lead NETWORK
Principal Investigators
-
Elizabeth A Mullen · Children's Oncology Group
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Max Age
- 29 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2006-11-06
- Primary Completion
- 2014-12-31
- Completion
- 2026-03-31
Countries
- United States
- Australia
- Canada
- Israel
- New Zealand
- Puerto Rico
- Switzerland
Study Locations
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