Trial Search Results

Combination Chemotherapy With or Without Radiation Therapy in Treating Young Patients With Newly Diagnosed Stage III or Stage IV Wilms' Tumor

This phase III trial is studying how well combination chemotherapy with or without radiation therapy works in treating young patients with newly diagnosed stage III or stage IV Favorable Histology Wilms' tumor. Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Radiation therapy uses high-energy x-rays to kill tumor cells. Giving more than one drug (combination chemotherapy) with or without radiation therapy may kill more tumor cells.

Stanford is currently not accepting patients for this trial.

Lead Sponsor:

Children's Oncology Group

Collaborator: National Cancer Institute (NCI)

Stanford Investigator(s):


  • Drug: doxorubicin hydrochloride
  • Drug: liposomal vincristine sulfate
  • Procedure: conventional surgery
  • Radiation: 3-dimensional conformal radiation therapy
  • Biological: dactinomycin
  • Drug: cyclophosphamide
  • Drug: etoposide


Phase 3


Inclusion Criteria:

   - Newly diagnosed Wilms' tumor meeting 1 of the following criteria:

      - Stage IV disease with favorable histology with or without loss of heterozygosity
      (LOH) for 1p and 16q

      - Stage III disease with favorable histology with LOH for 1p and 16q transferring
      from clinical trial COG-AREN0532

   - Patients must begin therapy within 14 days after surgery or biopsy, unless medically

   - No bilateral Wilms' tumors (stage IV)

      - Patients should be referred to COG-AREN0534

   - Previously enrolled in clinical trial COG-AREN03B2

   - Karnofsky performance status (PS) 50-100% (for patients > 16 years of age) OR Lansky
   PS 50-100% (for patients ≤ 16 years of age)

   - Bilirubin ≤ 1.5 times upper limit of normal (ULN)

   - AST or ALT < 2.5 times ULN

   - Shortening fraction ≥ 27% by echocardiogram OR ejection fraction ≥ 50% by radionuclide

   - Not pregnant or nursing

   - Negative pregnancy test

   - Fertile patients must use effective contraception

   - No prior tumor-directed chemotherapy or radiotherapy unless transferring from clinical
   trial COG-AREN0532 OR treatment for emergent issues, as medically indicated

   - No concurrent aprepitant

Ages Eligible for Study

N/A - 29 Years

Genders Eligible for Study


Not currently accepting new patients for this trial

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Peds Hem/Onc CRAs
Not Recruiting