Collaborative Wilms Tumour Africa Project
NCT01991652 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 400
Last updated 2020-01-03
Summary
Significant progress has been made in the treatment of Wilms tumor in high income countries, where survival is now around 85% - 90%. Survival in low income countries is much lower; specific challenges include late presentation, malnutrition, less intense supportive care facilities and failure to complete treatment.
A comprehensive treatment guideline was introduced in Malawi in 2006 which included nutritional support and social support to enable parents to complete treatment. Survival has increased to around 50%; 95% of children completed their treatment. A multi-disciplinary group of African clinicians and 'state of the art' experts produced a consensus treatment guideline for children with Wilms tumor in sub-Saharan Africa. This guideline will be implemented as a multi-center prospective clinical trial in 2014 in six - eight institutes, expecting about 200 new patients per year.
The hypothesis is that 2 year event free survival will be 50%, with \<10% failure to complete treatment and \<10% treatment related mortality. Other research questions include efficacy and toxicity of preoperative chemotherapy and the comparison of surgical staging, local pathology and central review pathology in stratifying postoperative chemotherapy.
Conditions
- Wilms Tumour
Sponsors & Collaborators
-
Amsterdam UMC, location VUmc
lead OTHER
Principal Investigators
-
Trijn Israels, MD PhD · Amsterdam UMC, location VUmc
Eligibility
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-01-31
- Primary Completion
- 2022-12-31
- Completion
- 2024-12-31
Countries
- Cameroon
- Ghana
- Malawi
Study Locations
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