Titre Key Adverse Events After Childhood Cancer.
Protocole ID ALTE03N1
ClinicalTrials.gov ID NCT00082745
Type(s) de cancer Pédiatrique divers
Phase Autres
Institution CENTRE HOSPITALIER UNIVERSITAIRE SAINTE-JUSTINE
Ville Montréal
Investigateur(trice) principal(e) Dre Caroline Laverdière
Coordonnateur(trice) Linda Hershon
 514-345-4931 poste 5899
Statut Actif en recrutement
Critètes d'éligibilité
DISEASE CHARACTERISTICS:
  • Diagnosis of primary cancer at age 21 or younger
  • No prior history of allogeneic (non-autologous) hematopoietic cell transplant
  • In active follow-up by a Children's Oncology Group (COG) institution
    • Date of last visit or contact by a COG institution within the past 24 months
  • Case group
    • Development of one of the following key adverse events after initiation of prior cancer therapy:
      • Cardiac dysfunction, meeting 1 of the following criteria:
        • Symptomatic cardiac dysfunction, including current or previous diagnosis of congestive heart failure based on any of the following clinical criteria:
          • Pulmonary and/or peripheral edema
          • Dyspnea
          • Orthopnea
          • Fatigue
          • Hepatomegaly
        • Asymptomatic cardiac dysfunction
          • Ejection fraction < 40% on echocardiogram OR MUGA and/or fractional shortening < 28% on echocardiogram without clinical symptoms
      • Myocardial infarction, meeting 1 of the following criteria (closed to accrual as of 6/5/06):
        • Definite ECG changes
        • Typical, atypical, or inadequately described symptoms AND probable ECG, AND abnormal enzymes, including creatine kinase MB
        • Typical symptoms AND abnormal enzymes, including creatine kinase MB, AND ischemic ECG, non-codable ECG, or ECG not available
      • Ischemic stroke, meeting the following criteria:
        • Fixed neurological deficit lasting more than 24 hours
        • Confirmed by CT scan or MRI within 7 days of onset of symptoms
        • No subarachnoid or intracerebral hemorrhage, transient ischemic attacks, or amaurosis fugax
      • Avascular necrosis, meeting the following criteria:
        • Clinical symptoms of joint pain, joint stiffness, or decreased range of motion
        • Confirmed by plain radiographs, CT scan, MRI, or bone scan
      • Subsequent malignant neoplasm, meeting the following criteria:
        • Histologically distinct neoplasm developing in patients treated for a primary cancer
        • Confirmed by an institutional pathology report
  • Control group
    • No clinical evidence of any of the following:
      • Cardiac dysfunction
      • Myocardial infarction (closed to accrual as of 6/5/06)
      • Ischemic stroke
      • Avascular necrosis
      • Subsequent malignant neoplasm
Critètes d'exclusion