Authorised Therapeutic confirmatory (Phase III) Stage IV childhood renal tumour with pulmonary +/- non-pulmonary metastasis

SIOP RANDOMET 2017

EU CTIS ID: 2023-508926-91-00

What this study is testing

To determine non-inferiority of preoperative 6 weeks of VCE to VAD in the overall metastatic rapid response rate (MetRR) in newly diagnosed stage 4 childhood renal tumours. The MetRR will include the pulmonary response rate (PRR) and the response rate on non-pulmonary metastasis (NPRR).

  • Therapeutic confirmatory (Phase III)

A plain-language read of the study's public EU CTIS listing. The study team confirms the details.

Who can take part

You may be able to join if

  • Age <18 years >3 months
  • Patient suffering from metastatic renal tumour at initial diagnosis having at least one circumscript, non-calcified (pulmonary) nodule (or other lesion highly suspicious of metastasis according to criteria for metastatic disease) ≥3 mm as determined by chest CT-scan and abdominal CT-scan/MRI. Metastatic disease must be confirmed by central review.
  • Understand and voluntarily provide permission (subjects and when applicable, parental/legal representative(s)) to the ICF prior to conducting any study related assessments/procedures
  • Able to adhere to the study visit schedule and other protocol requirements
  • No pre-existing and ongoing cardiac malfunction disease
  • No pre-existing and ongoing liver function deficiency which is not controllable by substitution

You likely can't join if

  • Patient and/or parental/legal representative(s) denied randomization
  • pre-existing health impairment that significantly hazards the safe treatment according to the study
  • unwillingness to follow adequate supportive measures including transfusion of blood products if medically needed
  • inability to receive chemotherapy according to the protocol, this is particulary true for: a. acute kidney failure needing dialysis treatment b. pre-existing peripheral neuropathy
  • Active, uncontrolled life threatening Infection (e.g. Acute Hepatitis, Pneumonia, AIDS, Varizella)
  • known chromosomal instability/susceptibility (e.g. Fanconi Anemia, Nijmegen Breakage Syndrome)
See the full eligibility criteria
Who can join
  • Age <18 years >3 months
  • Patient suffering from metastatic renal tumour at initial diagnosis having at least one circumscript, non-calcified (pulmonary) nodule (or other lesion highly suspicious of metastasis according to criteria for metastatic disease) ≥3 mm as determined by chest CT-scan and abdominal CT-scan/MRI. Metastatic disease must be confirmed by central review.
  • Understand and voluntarily provide permission (subjects and when applicable, parental/legal representative(s)) to the ICF prior to conducting any study related assessments/procedures
  • Able to adhere to the study visit schedule and other protocol requirements
  • No pre-existing and ongoing cardiac malfunction disease
  • No pre-existing and ongoing liver function deficiency which is not controllable by substitution
  • Metastatic childhood renal tumour must be confirmed by central review.
What rules you out
  • Patient and/or parental/legal representative(s) denied randomization
  • pre-existing health impairment that significantly hazards the safe treatment according to the study
  • unwillingness to follow adequate supportive measures including transfusion of blood products if medically needed
  • inability to receive chemotherapy according to the protocol, this is particulary true for: a. acute kidney failure needing dialysis treatment b. pre-existing peripheral neuropathy
  • Active, uncontrolled life threatening Infection (e.g. Acute Hepatitis, Pneumonia, AIDS, Varizella)
  • known chromosomal instability/susceptibility (e.g. Fanconi Anemia, Nijmegen Breakage Syndrome)
  • participation in other interventional trials (registration in observational noninterventional studies is acceptable)
  • age at start of treatment <3 months or >18 years
  • any other medical condition incompatible with the protocol treatment
  • primary nephrectomy
  • inability to be followed until two years after treatment
  • other chemotherapy prior to enrolment
  • other histology than nephroblastoma at diagnosis
  • Pregnancy or lactating
  • Fertile female with child bearing potential and fertile male subjects who deny the use of highly effective contraceptive measures
  • Treated by any investigational agent in a clinical study within previous 4 weeks
  • Hypersensitivity to the active substances or other excipients contained in the investigational medical products listed in the summary of product characteristics (SmPC) or Investigators Brochure (IB).

The study team makes the final eligibility decision.

Where it's taking place

  • United Kingdom
  • Holy See (Vatican City State)
  • Switzerland
  • Brazil

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 0-17 years. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include United Kingdom; Holy See (Vatican City State); Switzerland; Brazil. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.