Ewing's Sarcoma
Conditions
Keywords
ESFT (Ewing's sarcoma family of tumors), Response rate, TTP, OS, Toxicity
Brief summary
The purpose of this clinical trial was to evaluate the efficacy and tolerability of the sequential therapy of VCD/IE in the patients with ESFT.
Detailed description
80-90% patients of ESFT will develope disease progression during the period of local treatment (surgery or radiation). The survival has been improved in these 30 years due to chemotherapy. VCD/IE is widely used in the world for the patients with ESFT, but it is rarely used in China due to its high dosage.
Interventions
VCD: VCR 2 mg d1, CTX 1200 mg/m2 d1, Mesna 240 mg/m2 tid d1, ADM 75mg/m2 d1, G-CSF 300 ug/d d5-11; IE: IFO 1800mg/m2 d1-5,Mesna 360 mg/m2 tid d1-5,VP-16 100 mg/m2 d1-5,G-CSF 300 ug/d d6-12; q3w. Surgery or radiation will be done to the patients with local diseases after four cycles of VCD/IE.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age range 10-65 years old * Histological confirmed ESFT * No previous therapy * ECOG performance status less than 2 * Life expectancy of more than 12 weeks * Normal laboratory values: hemoglobin\>8.0g/dl, neutrophil\>2×109/L, platelet \> 80×109/L, Hb \> 80×1012/L, serum creatine \< 1×upper limitation of normal(ULN), serum bilirubin \< 1.5×ULN, ALT and AST \< 2.5×ULN
Exclusion criteria
* Pregnant or lactating women * Received treatment for the disease previously * Serious uncontrolled diseases and intercurrent infection * The evidence of CNS metastasis and bone marrow involvement * History of other malignancies except cured basal cell carcinoma of skin and carcinoma in-situ of uterine cervix * History of allergy to the drugs in this trial * Abnormal LVEF level
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response Rate | every two cycles |
Secondary
| Measure | Time frame |
|---|---|
| Toxicity | every cycle |
Countries
China