Intraocular retinoblastoma MedDRA version: 20.0 Level: PT Classification code 10038916 Term: Retinoblastoma System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 20.0 Level: PT Classification code 10038916 Term: Retinoblastoma System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 20.0 Level: PT Classification code 10038916 Term: Retinoblastoma System Organ Class: 10029104
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Clinical diagnosis of single or bilateral intraocular Retinoblastoma (stage 0 according to "International Retinoblastoma Staging System-IRSS") • Patients =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Patients = 16 years old • Patients not evaluated with panormic Fundus-Cam at diagnosis • Patients who have received prior chemo or radiotherapy treatments • Ongoing pregnancy or breastfeeding • Hypersensitivity to any component of the study drugs • Vaccination with live and attenuated virus • Subjects with neuromuscular disorders • Presence of exclusion criteria for conservative treatment • Absence of eligibility criteria for the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: For patients with intraocular retinoblastoma, the main objective is to achieve at least 60% ocular survival, 24 months after diagnosis, through the proposed conservative treatment scheme, without recourse to TEN or secondary enucleation ( EFS). The proposed conservative treatment scheme, detailed in paragraph 5, provides for the introduction in the first line of chemotherapy by intra-arterial (Melphalan and Topotecan), intravitreal (Melphalan) and peribulbar (Carboplatin and Topotecan) routes.;Secondary Objective: TOXICITY The evaluate the systemic and local toxicity, short, medium and long term, of systemically or locally administered chemotherapy (intra-arterial, intravitreal and peribulbar) and focal eye treatments VISUAL OUTCOME To evaluate the residual visual function, at distance, of patients in conservative treatment. CLASSIFICATION SYSTEM To prospectively validate the 8th edition of the TNM Staging System (69) for the staging of intraocular disease, and for analysis of the histological risk factors of the enucleated eyeball d'emblée or post conservative treatment;Primary end point(s): ocular EFS;Timepoint(s) of evaluation of this end point: 24 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Medium and long-term systemic and ocular toxicity; visual outcome; Validation of the 8th edition of the TNM Staging System as a staging system;Timepoint(s) of evaluation of this end point: NA; 4 years; NA | — |
Countries
Italy
Contacts
OPBG- Ospedale Pediatrico Bambino Gesu'