Glioma
Conditions
Keywords
glioma, brain tumour, cancer, pediatrics, vinblastine sulfate
Brief summary
This study is examining whether Vinblastine is an effective drug to shrink low grade glioma brain tumors in children, and what the side effects are.
Interventions
Vinblastine dose: 6 mg/m\^2 (10 mg max.) route intravenous administration once a week over a period of 10 weeks. If response at week 10 is greater than or equal to stable, weekly Vinblastine will be continued for 42 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* \< 21 years of age at original diagnosis * histological verification of low grade glioma (glial tumors, neuronal tumors or chiasmatic-hypothalamic tumor) at original diagnosis * evidence of tumor recurrence or progression by MRI or contrast CT * Karnofsky and Lansky performance status of 0,1 or 2 * life expectancy of greater than or equal to 2 months * adequate organ and bone marrow function within 7 days of starting treatment with Vinblastine * absolute neutrophil count (ANC)\> 1000/uL * platelet count \> 100,000/uL (transfusion independent) * serum creatinine \< 1.5 x normal for age * written informed consent signed by subject and/or subject's parent/legal guardian
Exclusion criteria
* not recovered from the acute toxic effects of all prior chemotherapy, immunotherapy or radiotherapy * chemotherapy within 2 weeks of entry in study (4 weeks if prior nitrosourea was used) * less than 7 days since the completion of therapy with a biologic agent * less than 2 months since cranial/spinal radiation * receiving a stable dose of dexamethasone for less than one week
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the response rate to Vinblastine in recurrent low grade glioma of childhood | 52 weeks |
Secondary
| Measure | Time frame |
|---|---|
| To further assess the toxicity of weekly vinblastine in children treated at the currently defined maximally tolerated dose (MTD) of Vinblastine | 52 weeks |
Countries
Canada