Glioma, brain stem neoplasm
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients between 0 and 18 years diagnosed with DIPG by imaging. Absence of acute cerebral bleeding. It includes subdural hematoma, subarachnoid and intraparenchymal bleeding. No prior treatment with chemotherapy or radiotherapy.
Exclusion criteria
Exclusion criteria: History of recent head trauma. Coma with brain herniation. Coagulopathy (platelet counts 1.8). Previous recent use of valproic acid. Use of other anti-convulsant drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Survival probability distribution of patients treated with radiochemotherapy combined with valproic acid, estimated by Kaplan-Meyer method and plotted as percent probability versus time from treatment, with 95% confidence intervals. | — |
Secondary
| Measure | Time frame |
|---|---|
| Median survival in months estimated by Kaplan-Meyer method and compared by a log-rank test with that from the original group that used a similar chemoradiation protocol (HIT-GBM-D); comparison of the median survival with the historical group of patients with the same diagnosis treated in same institution by a log-rank test; comparison of the median survival with that from the group treated in a national clinical trial previously published, using a log-rank test; RANO radiological response (%) of patients 2 months after the end of radiation therapy; progression-free survival 6 months after the beginning of the treatment, estimated by Kaplan-Meier method; quality of life of patients after the end of treatment, evaluated with PEDS-QL scale and expressed as percentile; incidence of severe toxicity, evaluated by NCI criteria and expressed in absolute count and relative percentile. | — |
Countries
Brazil
Contacts
Hospital Infantil Albert Sabin