[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100582279":3},{"organization":4,"armGroups":7,"interventions":32,"overallOfficials":80,"centralContacts":88,"locations":95,"responsibleParty":244,"collaborators":246,"id":251,"slug":252,"hasResults":253,"nctId":254,"briefTitle":255,"officialTitle":256,"acronym":257,"eligibilityCriteria":258,"healthyVolunteers":253,"sex":259,"minAge":93,"maxAge":93,"enrollmentInfo":260,"targetDuration":93,"studyType":263,"phases":264,"briefSummary":266,"conditions":267,"keywords":93,"overallStatus":98,"whyStopped":93,"lastUpdateSubmitDate":269,"lastUpdatePostDateStruct":270,"startDateStruct":273,"completionDateStruct":275,"leadSponsor":277,"locationsCount":278},{"fullName":5,"class":6},"University of California, San Francisco","OTHER",[8,20,24,28],{"label":9,"type":10,"description":11,"interventionNames":12},"Cohort 1: Gross-total resection, non-metastatic, early radiotherapy","EXPERIMENTAL","Participants will undergo gross total resection of the tumor prior to enrollment into this cohort. Standard dose induction chemotherapy and 6-weeks of early focal radiotherapy, followed by and a second standard dose induction chemotherapy for a total of 12 weeks of chemotherapy; 18 weeks of treatments in all. Participants will be followed for up to 2 years.",[13,14,15,16,17,18,19],"Radiation: Radiotherapy (RT)","Drug: Chemotherapy Drug, Cancer - Physician's Choice","Procedure: Non-Investigational Surgical Resection","Drug: Temozolomide","Procedure: Tumor Tissue Sample","Procedure: Blood Sample","Procedure: Cerebrospinal Fluid (CSF) Sample",{"label":21,"type":10,"description":22,"interventionNames":23},"Cohort 2: Gross-total resection, non-metastatic, high-dose chemotherapy","Participants will undergo gross total resection of the tumor prior to enrollment into this cohort. Participants will receive 6 weeks of induction chemotherapy and 3 cycles (approximately 4 weeks each) of high-dose chemotherapy with stem cell rescue and will have the option to receive radiotherapy at the completion of therapy, for a total of 18-24 weeks. Participants will be followed for up to 2 years.",[13,14,15,16,17,18,19],{"label":25,"type":10,"description":26,"interventionNames":27},"Cohort 3A: Metastatic or residual disease, early radiotherapy","Participants metastatic disease or residual disease following their initial surgical interventions prior to enrollment into this cohort will receive standard dose induction chemotherapy and 6-weeks of early focal radiotherapy, followed by and a second standard dose induction chemotherapy for a total of 12 weeks of chemotherapy; 18 weeks of treatments in all. Participants will be followed for up to 5 years.",[13,14,15,16,17,18,19],{"label":29,"type":10,"description":30,"interventionNames":31},"Cohort 3B: Metastatic or residual disease, high-dose chemotherapy","Participants metastatic disease or residual disease following their initial surgical interventions prior to enrollment into this cohort. Participants will receive 6 weeks of induction chemotherapy and 3 cycles (approximately 4 weeks each) of high-dose chemotherapy with stem cell rescue and will have the option to receive radiotherapy at the completion of therapy, for a total of 18-24 weeks. Participants will be followed for up to 5 years.",[13,14,15,16,17,18,19],[33,41,48,56,62,68,74],{"type":34,"name":35,"description":36,"armGroupLabels":37,"otherNames":38},"RADIATION","Radiotherapy (RT)","Undergo RT",[9,21,25,29],[39,40],"Focal Radiotherapy","Radiation Therapy",{"type":42,"name":43,"description":44,"armGroupLabels":45,"otherNames":46},"DRUG","Chemotherapy Drug, Cancer - Physician's Choice","One or more of the following may be assigned by the physician (physician's choice) per standard of care guidelines upon study enrollment following surgery: Cytarabine, Carboplatin, Cisplatin, Vincristine Sulfate injection (Vincristine PFS), Topotecan Hydrochloride, Dactinomycin, Thiotepa, Filgrastim, Cyclophosphamide, or Doxorubicin Hydrochloride. Not all participants will receive all possible drug regimens.",[9,21,25,29],[47],"Standard of Care, High dose Chemotherapy",{"type":49,"name":50,"description":51,"armGroupLabels":52,"otherNames":53},"PROCEDURE","Non-Investigational Surgical Resection","Undergo surgery directly before study enrollment as part of planned care.",[9,21,25,29],[54,55],"Standard of Care Surgical Resection","Standard of Care Surgical Resection of Tumor",{"type":42,"name":57,"description":58,"armGroupLabels":59,"otherNames":60},"Temozolomide","Participants assigned to or whom receive optional RT will receive concurrent temozolomide",[9,21,25,29],[61],"Temodar",{"type":49,"name":63,"description":64,"armGroupLabels":65,"otherNames":66},"Tumor Tissue Sample","Tumor tissue will be collected for correlative studies",[9,21,25,29],[67],"Tumor Specimen",{"type":49,"name":69,"description":70,"armGroupLabels":71,"otherNames":72},"Blood Sample","Blood samples will be collected for correlative studies",[9,21,25,29],[73],"Blood Specimen",{"type":49,"name":75,"description":76,"armGroupLabels":77,"otherNames":78},"Cerebrospinal Fluid (CSF) Sample","CSF samples will be collected for correlative studies",[9,21,25,29],[79],"CSF Specimen",[81,84],{"name":82,"affiliation":5,"role":83},"Sabine Mueller, MD, PhD, MAS","PRINCIPAL_INVESTIGATOR",{"name":85,"affiliation":86,"role":87},"Derek Hanson, MD","Hackensack Meridian Health","STUDY_CHAIR",[89],{"name":90,"role":91,"phone":92,"phoneExt":93,"email":94},"PNOC Operations Office","CONTACT","415-502-1600",null,"PNOC031@ucsf.edu",[96,119,135,153,172,191,208,226],{"facility":97,"status":98,"city":99,"state":100,"zip":101,"country":102,"countryCode":103,"cosmosGeoPoint":104,"geoPoint":109,"contacts":110},"University of Alabama at Birmingham","RECRUITING","Birmingham","Alabama","35233","United States","US",{"type":105,"coordinates":106},"Point",[107,108],-86.80249,33.52066,{"lat":108,"lon":107},[111,115],{"name":112,"role":91,"phone":113,"phoneExt":93,"email":114},"Girish Dhall, MD","205-638-6194","gdhall@uabmc.edu",{"name":116,"role":91,"phone":117,"phoneExt":93,"email":118},"Laura K Metrock, MD","205-638-9285","kmetrock@peds.uab.edu",{"facility":5,"status":98,"city":120,"state":121,"zip":122,"country":102,"countryCode":103,"cosmosGeoPoint":123,"geoPoint":127,"contacts":128},"San Francisco","California","94143",{"type":105,"coordinates":124},[125,126],-122.41942,37.77493,{"lat":126,"lon":125},[129,130,133],{"name":90,"role":91,"phone":92,"phoneExt":93,"email":94},{"name":93,"role":91,"phone":131,"phoneExt":93,"email":132},"877-827-3222","cancertrials@ucsf.edu",{"name":134,"role":83,"phone":93,"phoneExt":93,"email":93},"Sabine Mueller, MD, Phd, MAS",{"facility":136,"status":98,"city":137,"state":138,"zip":139,"country":102,"countryCode":103,"cosmosGeoPoint":140,"geoPoint":144,"contacts":145},"Riley Hospital for Children at Indiana University Health","Indianapolis","Indiana","46202",{"type":105,"coordinates":141},[142,143],-86.15804,39.76838,{"lat":143,"lon":142},[146,150],{"name":147,"role":91,"phone":148,"phoneExt":93,"email":149},"Brian Weiss, MD","317-944-8784","weissbd@iu.edu",{"name":151,"role":91,"phone":148,"phoneExt":93,"email":152},"Alex Lion, DO","alion@iu.edu",{"facility":154,"status":98,"city":155,"state":156,"zip":157,"country":102,"countryCode":103,"cosmosGeoPoint":158,"geoPoint":162,"contacts":163},"Johns Hopkins University","Baltimore","Maryland","21218",{"type":105,"coordinates":159},[160,161],-76.61219,39.29038,{"lat":161,"lon":160},[164,168],{"name":165,"role":91,"phone":166,"phoneExt":93,"email":167},"Kenneth Cohen, MD, MBA","410-614-5055","kcohen@jhmi.edu",{"name":169,"role":91,"phone":170,"phoneExt":93,"email":171},"Robyn Gartrell, MD, MS","410-955-2548","rgartre1@jh.edu",{"facility":173,"status":98,"city":174,"state":175,"zip":176,"country":102,"countryCode":103,"cosmosGeoPoint":177,"geoPoint":181,"contacts":182},"Washington University in St. Louis","St Louis","Missouri","63130",{"type":105,"coordinates":178},[179,180],-90.19789,38.62727,{"lat":180,"lon":179},[183,187],{"name":184,"role":91,"phone":185,"phoneExt":93,"email":186},"Michael Angelo Huang, MD","314-362-4563","huangm@wustl.edu",{"name":188,"role":91,"phone":189,"phoneExt":93,"email":190},"Mohamed AbdelBaki, MD","(314) 454-6018","Mohameda@wustl.edu",{"facility":192,"status":98,"city":193,"state":194,"zip":195,"country":102,"countryCode":103,"cosmosGeoPoint":196,"geoPoint":200,"contacts":201},"Hackensack University Medical Center","Hackensack","New Jersey","07601",{"type":105,"coordinates":197},[198,199],-74.04347,40.88593,{"lat":199,"lon":198},[202,205],{"name":85,"role":91,"phone":203,"phoneExt":93,"email":204},"551-996-5437","derek.hanson@hmhn.org",{"name":206,"role":91,"phone":203,"phoneExt":93,"email":207},"Katharine Offer, MD","katharine.offer@hmhn.org",{"facility":209,"status":98,"city":210,"state":211,"zip":212,"country":102,"countryCode":103,"cosmosGeoPoint":213,"geoPoint":217,"contacts":218},"St. Jude Children's Research Hospital","Memphis","Tennessee","38105",{"type":105,"coordinates":214},[215,216],-90.04898,35.14953,{"lat":216,"lon":215},[219,223],{"name":220,"role":91,"phone":221,"phoneExt":93,"email":222},"Emily Hanzlik, MD","901-595-2615","emily.hanzlik@stjude.org",{"name":224,"role":91,"phone":221,"phoneExt":93,"email":225},"Amar Gajjar, MD","Amar.Gajjar@stjude.org",{"facility":227,"status":98,"city":228,"state":229,"zip":230,"country":102,"countryCode":103,"cosmosGeoPoint":231,"geoPoint":235,"contacts":236},"University of Utah","Salt Lake City","Utah","84113",{"type":105,"coordinates":232},[233,234],-111.89105,40.76078,{"lat":234,"lon":233},[237,241],{"name":238,"role":91,"phone":239,"phoneExt":93,"email":240},"Nicholas Whipple, MD, MPH","801-662-4700","nicholas.whipple@hsc.utah.edu",{"name":242,"role":91,"phone":239,"phoneExt":93,"email":243},"Priya Chan, MD","priya.chan@hsc.utah.edu",{"type":245,"investigatorFullName":93,"investigatorTitle":93,"investigatorAffiliation":93,"oldNameTitle":93,"oldOrganization":93},"SPONSOR",[247,249],{"name":248,"class":6},"Pediatric Neuro-Oncology Consortium",{"name":250,"class":6},"Solving Kids' Cancer","100582279","phase-2-embryonal-tumor-with-multilayered-rosettes-100582279",false,"NCT06861244","Embryonal Tumor With Multilayered Rosettes","PNOC031: Protocol for Embryonal Tumor With Multilayered Rosettes (ETMR)","PNOC031","The eligibility criteria listed below are interpreted literally and cannot be waived.\n\nInclusion Criteria:\n\n1. Participants must have either a molecularly or histologically confirmed embryonal tumor with multilayered rosettes.\n2. For enrollment, a confirmation of a minimum of 10-20 unstained formalin-fixed paraffin-embedded (FFPE) slides or 1 block (15-20 mg) with tumor content of 40% or greater is required. Anything less must be discussed and approved by the study chairs prior to enrollment.\n3. Prior Therapy:\n\n   1. Cohort 1 participants must not have received any prior tumor-directed therapy other than surgical resection.\n   2. Cohort 2 and 3 participants may receive tumor-directed therapy prior to enrollment. These participants must be discussed with study chairs prior to enrollment.\n4. Participants must not have received prior radiation for treatment of tumor.\n5. Participants of any age are eligible.\n6. Participants should begin induction chemotherapy within 28 days of the most recent definitive surgical procedure. Participants beginning therapy beyond 28 days from surgery, will need to discuss with study chairs.\n7. Cohort specific eligibility\n\n   1. Cohort 1: Gross-total resection, Eligible for early radiotherapy (please see age criteria below), and no evidence of metastatic disease.\n   2. Cohort 2: Gross-total resection, high dose chemotherapy (please see age criteria below), and no evidence of metastatic disease.\n   3. Cohort 3A: Metastatic or residual disease, and early radiotherapy.\n   4. Cohort 3B: Metastatic or residual disease, and high dose chemotherapy.\n   5. Radiotherapy Age Criteria (at the time of planned radiation): \\>12 months of age for participants with infratentorial tumor OR \\>15 months of age for participants with supratentorial tumor. For participants being treated on radiotherapy-containing arms, the legal parent\u002Fguardian or patient and the physician must be willing to allow the use of radiotherapy for treatment.\n8. Performance Score: Karnofsky \\>= 50 for participants \\> 16 years of age and Lansky \\>= 50 for participants \\\u003C=16 years of age. Participants who are unable to walk because of paralysis, but who are up in a wheelchair, will be considered ambulatory for the purpose of assessing the performance score.\n9. Organ Function Requirements:\n\n   1. Peripheral absolute neutrophil count (ANC) \\> 75,000\u002Fmm3\n   2. Platelet count \\> 75,000\u002Fmm3 (transfusion independent, defined as not receiving platelet transfusions for at least 72 hours prior to enrollment).\n10. Adequate Renal Function defined as:\n\n    a. Serum creatinine \\\u003C 1.5 x upper limit normal (ULN) based on age and gender.\n11. Adequate Liver Function defined as:\n\n    1. Total bilirubin \\\u003C 1.5 x upper limit of normal (ULN) for age; in presence of Gilbert's syndrome, total bilirubin \\\u003C 3 x ULN or direct bilirubin \\\u003C 1.5 x ULN,\n    2. alanine aminotransferase (ALT) \\\u003C 3 x ULN,\n    3. aspartate aminotransferase (AST) \\\u003C 3 x ULN,\n12. Adequate Neurologic Function defined as:\n\n    a. Participants with seizure disorder may be enrolled if well controlled. Participants on enzyme inducing anticonvulsants may be excluded pending interaction(s) with study drugs.\n13. As chemotherapeutic agents used in this trial are known to be teratogenic, women and men of child-bearing potential must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation and 4 months after completion of study therapy. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately.\n14. Participants must be enrolled on PNOC COMP prior to enrollment on PNOC031 if PNOC COMP is open to accrual at the enrolling institution.\n15. A legal parent\u002Fguardian or patient must be able to understand, and willing to sign, a written informed consent and assent document, as appropriate.\n\nExclusion Criteria\n\n1. Cohort 1 only: Participants who have received any prior tumor-directed therapy other than surgical intervention\n2. Participants who are receiving any other tumor directed investigational agents.\n3. History of allergic reactions attributed to compounds of similar chemical or biologic composition to the agents used in study.\n4. Uncontrolled intercurrent illness.\n5. Women of childbearing potential must not be pregnant or breast-feeding.","ALL",{"count":261,"type":262},70,"ESTIMATED","INTERVENTIONAL",[265],"PHASE2","This is an open-label, comprehensive, iterative investigation of evaluating the use of induction chemotherapy, high-dose chemotherapy, and focal radiation therapy in children with newly diagnosed Embryonal Tumor With Multilayered Rosettes (ETMR).",[255,268],"Embryonal Tumor With Multilayered Rosettes, Nos","2026-06-26",{"date":271,"type":272},"2026-06-29","ACTUAL",{"date":274,"type":272},"2025-03-06",{"date":276,"type":262},"2032-03-31",{"name":5,"class":6},8]