Late Effects of Treatment for Sarcomas in Children
কীওয়ার্ডস
বিমূর্ত
বর্ণনা
Childhood cancers mark a relatively infrequent disease entity with an annual age adjusted rate in children age 0-14 years of 14 per 100,000. Over the last 30 years a striking increase in survival due to improved diagnosis and aggressive treatment approaches has vastly enhanced the outlook in this patient population. 75% of children under 15 years age of can be expected to survive the diagnosis of cancer for more than 5 years. However, reports of improved survival have been followed by increasing awareness of a multitude of long-term treatment-related side effects, in addition to an overall death rate 9.6 times higher than in the sex- and age-matched general population. Over the last 35 years, patients with pediatric sarcomas have been treated in the Pediatric Oncology Branch (POB) of the National Cancer Institute. Since 1971 adriamycin and cyclophosphamide in escalating doses have been incorporated in all multimodality treatment protocols. Ifosfamide became an integral part of therapy in 1986. The survival rate of patients with these diseases has improved over this period of time. Accordingly there exists a group of long-term survivors of therapy employed in a series of POB sarcoma protocols who represent a valuable source of information on treatment-associated late-effects, e.g. cardiotoxicity, gonadal dysfunction, growth delay and stress-related neuroendocrine abnormalities. In addition there may be evaluable rehabilitative impairments and alterations in psychosocial behavior that may only manifest over time, and prove to be characteristic for this population. This protocol will systematically enumerate and describe the incidence and extent of treatment related long-term toxicities in this patient population.
তারিখ
সর্বশেষ যাচাই করা হয়েছে: | 11/17/2011 |
প্রথম জমা দেওয়া: | 11/20/2000 |
আনুমানিক তালিকাভুক্তি জমা দেওয়া হয়েছে: | 11/20/2000 |
প্রথম পোস্ট: | 11/21/2000 |
সর্বশেষ আপডেট জমা দেওয়া হয়েছে: | 06/29/2017 |
সর্বশেষ আপডেট পোস্ট: | 07/01/2017 |
আসল অধ্যয়ন শুরুর তারিখ: | 11/15/2000 |
আনুমানিক অধ্যয়ন সমাপ্তির তারিখ: | 11/17/2011 |
অবস্থা বা রোগ
পর্যায়
যোগ্যতার মানদণ্ড
বয়স অধ্যয়নের জন্য যোগ্য | 7 Years প্রতি 7 Years |
লিঙ্গ অধ্যয়নের জন্য যোগ্য | All |
স্বাস্থ্যকর স্বেচ্ছাসেবীদের গ্রহণ করে | হ্যাঁ |
নির্ণায়ক | - INCLUSION CRITERIA: Diagnosis of sarcoma. Previous enrollment on one of the POB protocols or enrollment on the Natural History protocol and treated according to POB outlines for the treatment of sarcomas. Chemotherapy delivered according to one of previous POB trials. Patients must be either in first continued remission from sarcoma after completion of therapy, or in continued remission of more than 5 years after completion of salvage therapy for disease relapse. Patients must have had no chemotherapy, radiation therapy, cancer related surgery and/or immunotherapy for at least 24 months. Patients must have had stable disease greater than 24 months or be NED by history. Must be able to travel to NCI/POB. Alternatively, subjects may consent on a separate consent document to the mail-in questionnaire component of the study only, which will not require travel to the NIH. Must be able to understand and sign consent. Minors must be accompanied by a parent or guardian legally permitted to give consent. Written assent will be obtained from all minors age 12 years or older. Patients who elect to complete the mail-in questionnaire must be greater than or equal to 18 years old. Negative pregnancy test in all female patients. Pregnant or lactating women are ineligible for study enrollment while they are pregnant or lactating, but may be enrolled at a later point once these conditions have ceased to exist. For eligible subjects consenting to participation in the mail-in questionnaire component of the study only, a urine pregnancy test will not be required. |