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NCT00085202 · STUDY IN CONTEXT

Treatment of Patients With Newly Diagnosed Medulloblastoma, Supratentorial Primitive Neuroectodermal Tumor, or Atypical Teratoid Rhabdoid Tumor

Draft scope assessment: narrower. Linked by condition-string match at the cancer-entity level. The study's eligibility - stage, biomarker, treatment line and prior therapy - has not been reconciled against this page's definition, so its population is narrower than this page in ways not yet recorded. The condition was transformed or resolved through the terminology hierarchy to reach this cancer type, so the link itself is a candidate a reviewer must confirm. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.

Read the full study record and all posted results →

Linked outcomes

Measures are not ranked. Open each original source section for treatment groups, denominators, units and results.

primary · POSTED

The relationship between ERBB2 protein expression in tumors and progression-free survival was assessed in 122 participants with a diagnosis of medulloblastoma and with ERBB2 protein assessments. If the ERBB2 value was greater than zero, the ERBB2 was defined as positive for the participant. If the ERBB2 value was zero, the ERBB2 was defined as negative. Progression-free survival was calculated from the date of diagnosis to the date of disease progression/relapse, the date of death, or the date of last contact. The log-rank test was used to compare the PFS distributions of ERBB2 groups.

Analysis included the first 122 participants with a diagnosis of medulloblastoma and with fresh tissue and ERBB2 protein assessments. Participants with a diagnosis of PNET, PNET variants, or ATRT were not included in this analysis.

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primary · POSTED

122 participants with a diagnosis of medulloblastoma were grouped by ERBB2 positive/negative assessment and risk group into 4 groups. Progression-free survival was calculated from the date of diagnosis to the date of disease progression/relapse, the date of death, or the date of last contact. The log-rank test was used to compare the PFS distributions of ERBB2 groups.

Analysis was completed for the first 122 participants with a diagnosis of medulloblastoma and with fresh tissue and ERBB2 protein assessments. Participants with a diagnosis of PNET, PNET variants, or ATRT were not included in this analysis.

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primary · POSTED

The frequency of mutations for the main genes associated with SHH and WNT tumors identified via targeted sequencing based on formalin fixed paraffin embedded material is provided.

Only patients with WNT and SHH tumors with available tissue for targeted sequencing were analyzed for frequency of mutation. WNT and SHH subgroups were identified by methylation profiling.

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secondary · POSTED

SOC is standard-of-Care control group. Patients randomly assigned to the control group received the current standard of care. RI is Reading Intervention Group. Patients randomly assigned to Reading Intervention Group which is with The Fast ForWord program. Assessment of reading decoding was completed using the Woodcock Johnson, Third Edition (WJIII) Tests of Achievement (Woodcock, McGraw, \& Mather, 2001), with particular attention given to the reading and reading-related abilities. Two subtests were completed: (1) Letter-Word Identification, and (2) Word Attack, a test requiring the patient to read phonologically regular nonwords. The combination of these two subtests provided a standardized composite score of overall reading decoding ability with a population mean of 100 and a standard deviation of 15. Scores of 90-110 are considered to be in the average range, while those 80-89 are considered low-average (refer: Journal of Pediatric Psychology 39(4) pp. 450-458, 2014).

Of the 126 MB patients enrolled, 41 were not eligible. This left 85 patients considered eligible for the randomization study. Of the 85 eligible patients,81 were randomized to either SOC (n= 38) or to RI (n =43). The parents of only four patients did not consent to the intervention study. Two patients randomized to the RI group, and four patients in the SOC group, were excluded due to having only a single assessment, which resulted in 75 patients (RI=41, SOC=34) over a 5-year follow-up period.

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secondary · POSTED

To monitor for treatment failure in the posterior fossa of patients whose tumor bed receives a reduced volume of radiation.

Analysis included 100 average risk participants with a diagnosis of medulloblastoma who had cumulative radiotherapy dose profiles and treatment failure volumes data available. All participants included in analysis who were still at risk and on-study were followed for a minimum of 6 years. Participants with a diagnosis of PNET, PNET variants, or ATRT were not included in this analysis.

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secondary · POSTED

Assessment of associative memory at enrollment. Associate memory score is a representative measurement of learning and recalling pictograph representations of words. It measures associative memory (Long-Term Retrieval). Mean=100, SD=15, Average Range 85-115. Higher is better.

Children with medulloblastoma who were age 3-21 years at diagnosis and were enrolled on SJMB03 at St Jude Children's Research Hospital. Patients were excluded if the cumulative RT plan (Craniospinal Irradiation (CSI) and boost) could not be retrieved; if the baseline preRT Magnetic Resonance Image (MRI) scan was of poor quality, preventing delineation of brain substructures ; or if the patient had completed fewer than two specific neurocognitive evaluations for this objective.

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Reported safety

Serious events are not the same as severe events. Compare the original safety groups and their at-risk populations.

Open the study safety table →

Quality of life and patient-reported measures

No linked quality-of-life measure is recorded for this setting and study.

Full draft applicability and source-link record
trial
release id
clinical-indications-draft-1
disease state id
ds-central-nervous-system-tumors
nct id
NCT00085202
trial label
Treatment of Patients With Newly Diagnosed Medulloblastoma, Supratentorial Primitive Neuroectodermal Tumor, or Atypical Teratoid Rhabdoid Tumor
applicability
narrower
applicability note
Linked by condition-string match at the cancer-entity level. The study's eligibility - stage, biomarker, treatment line and prior therapy - has not been reconciled against this page's definition, so its population is narrower than this page in ways not yet recorded. The condition was transformed or resolved through the terminology hierarchy to reach this cancer type, so the link itself is a candidate a reviewer must confirm.
curation status
draft
reviewed by
Source null
reviewed at
Source null
created at
2026-09-10T00:00:00Z
provenance class
regulator-cited
discovery note
Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
outcome Count
6
harms Count
2
qol Count
0
outcomes
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0000
    source section id
    NCT00085202-om-0000
    source outcome index
    0
    endpoint
    Progression-Free Survival (PFS) in ERBB2-Negative Tumors Compared to ERBB2-Positive Tumors
    endpoint definition
    The relationship between ERBB2 protein expression in tumors and progression-free survival was assessed in 122 participants with a diagnosis of medulloblastoma and with ERBB2 protein assessments. If the ERBB2 value was greater than zero, the ERBB2 was defined as positive for the participant. If the ERBB2 value was zero, the ERBB2 was defined as negative. Progression-free survival was calculated from the date of diagnosis to the date of disease progression/relapse, the date of death, or the date of last contact. The log-rank test was used to compare the PFS distributions of ERBB2 groups.
    time origin
    2 years after tumor cell analysis in 122 participants
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Analysis included the first 122 participants with a diagnosis of medulloblastoma and with fresh tissue and ERBB2 protein assessments. Participants with a diagnosis of PNET, PNET variants, or ATRT were not included in this analysis.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0001
    source section id
    NCT00085202-om-0001
    source outcome index
    1
    endpoint
    Progression-Free Survival (PFS) Compared Between ERBB2 Assessment and Risk Group.
    endpoint definition
    122 participants with a diagnosis of medulloblastoma were grouped by ERBB2 positive/negative assessment and risk group into 4 groups. Progression-free survival was calculated from the date of diagnosis to the date of disease progression/relapse, the date of death, or the date of last contact. The log-rank test was used to compare the PFS distributions of ERBB2 groups.
    time origin
    2 years after tumor cell analysis in 122 participants
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Analysis was completed for the first 122 participants with a diagnosis of medulloblastoma and with fresh tissue and ERBB2 protein assessments. Participants with a diagnosis of PNET, PNET variants, or ATRT were not included in this analysis.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0002
    source section id
    NCT00085202-om-0002
    source outcome index
    2
    endpoint
    Frequency of Mutations Associated With SHH and WNT Tumors
    endpoint definition
    The frequency of mutations for the main genes associated with SHH and WNT tumors identified via targeted sequencing based on formalin fixed paraffin embedded material is provided.
    time origin
    within 3.5 years following completion of accrual
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Only patients with WNT and SHH tumors with available tissue for targeted sequencing were analyzed for frequency of mutation. WNT and SHH subgroups were identified by methylation profiling.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0003
    source section id
    NCT00085202-om-0003
    source outcome index
    3
    endpoint
    Reading Decoding Composite Scores in the Intervention and Standard of Care Groups
    endpoint definition
    SOC is standard-of-Care control group. Patients randomly assigned to the control group received the current standard of care. RI is Reading Intervention Group. Patients randomly assigned to Reading Intervention Group which is with The Fast ForWord program. Assessment of reading decoding was completed using the Woodcock Johnson, Third Edition (WJIII) Tests of Achievement (Woodcock, McGraw, \& Mather, 2001), with particular attention given to the reading and reading-related abilities. Two subtests were completed: (1) Letter-Word Identification, and (2) Word Attack, a test requiring the patient to read phonologically regular nonwords. The combination of these two subtests provided a standardized composite score of overall reading decoding ability with a population mean of 100 and a standard deviation of 15. Scores of 90-110 are considered to be in the average range, while those 80-89 are considered low-average (refer: Journal of Pediatric Psychology 39(4) pp. 450-458, 2014).
    time origin
    5 years postdiagnosis
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Of the 126 MB patients enrolled, 41 were not eligible. This left 85 patients considered eligible for the randomization study. Of the 85 eligible patients,81 were randomized to either SOC (n= 38) or to RI (n =43). The parents of only four patients did not consent to the intervention study. Two patients randomized to the RI group, and four patients in the SOC group, were excluded due to having only a single assessment, which resulted in 75 patients (RI=41, SOC=34) over a 5-year follow-up period.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0004
    source section id
    NCT00085202-om-0004
    source outcome index
    4
    endpoint
    Number of Average Risk Patients Whose Treatment Failure Included the Posterior Fossa
    endpoint definition
    To monitor for treatment failure in the posterior fossa of patients whose tumor bed receives a reduced volume of radiation.
    time origin
    Annually for 6 years post irradiation
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Analysis included 100 average risk participants with a diagnosis of medulloblastoma who had cumulative radiotherapy dose profiles and treatment failure volumes data available. All participants included in analysis who were still at risk and on-study were followed for a minimum of 6 years. Participants with a diagnosis of PNET, PNET variants, or ATRT were not included in this analysis.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0005
    source section id
    NCT00085202-om-0005
    source outcome index
    5
    endpoint
    Associative Memory for Two Risk Group at Enrollment
    endpoint definition
    Assessment of associative memory at enrollment. Associate memory score is a representative measurement of learning and recalling pictograph representations of words. It measures associative memory (Long-Term Retrieval). Mean=100, SD=15, Average Range 85-115. Higher is better.
    time origin
    At enrollment
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Children with medulloblastoma who were age 3-21 years at diagnosis and were enrolled on SJMB03 at St Jude Children's Research Hospital. Patients were excluded if the cumulative RT plan (Craniospinal Irradiation (CSI) and boost) could not be retrieved; if the baseline preRT Magnetic Resonance Image (MRI) scan was of poor quality, preventing delineation of brain substructures ; or if the patient had completed fewer than two specific neurocognitive evaluations for this objective.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
arms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0000
    arm key
    OG000
    arm label
    Overall Study
    regimen
    Analysis included the first 122 participants with a diagnosis of medulloblastoma and with fresh tissue and ERBB2 protein assessments. Participants with a diagnosis of supratentorial primitive neuroectodermal tumor (PNET), PNET variants (ependymoblastoma, pineoblastoma, CNS neuroblastoma), or atypical teratoid rhabdoid tumor (ATRT) were not included in the analysis of ERBB2 tumors.
    analyzed count
    122
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0000#groups/OG000
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0000
    arm key
    OG001
    arm label
    Average-Risk Group
    regimen
    Participants assigned to the average-risk arm had localized tumor without overt evidence of invasion beyond the posterior fossa. Participants with T4 disease met the following criteria: gross total resection defined as residual tumor or imaging abnormality whose size was \<1.5 cm\^2 on postoperative CT or MR images, no evidence of CNS or extraneural metastasis, and brain stem invasion by the tumor in the absence of imaging evidence of residual tumor (tumor size \<1.5 cm\^2).
    analyzed count
    85
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0000#groups/OG001
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0000
    arm key
    OG002
    arm label
    High-Risk Group
    regimen
    Participants assigned to the high-risk arm were determined to have the presence of metastatic disease within the neuraxis (i.e., evidence of subarachnoid dissemination), OR presence of residual disease (≥1.5 cm\^2) at the primary site after surgery.
    analyzed count
    37
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0000#groups/OG002
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0001
    arm key
    OG000
    arm label
    ERBB2 Positive & Average Risk
    regimen
    54 participants who were ERBB2 positive and in the average risk group.
    analyzed count
    54
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0001#groups/OG000
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0001
    arm key
    OG001
    arm label
    ERBB2 Positive & High Risk
    regimen
    23 participants who were ERBB2 positive and in the high risk group
    analyzed count
    23
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0001#groups/OG001
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0001
    arm key
    OG002
    arm label
    ERBB2 Negative & Average Risk
    regimen
    31 participants who were ERBB2 negative and in the average risk group
    analyzed count
    31
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0001#groups/OG002
  7. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0001
    arm key
    OG003
    arm label
    ERBB2 Negative & High Risk
    regimen
    14 participants who were ERBB2 negative and in the high risk group
    analyzed count
    14
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0001#groups/OG003
  8. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0002
    arm key
    OG000
    arm label
    SHH Pathway - In/Del Somatic
    regimen
    Tissue from this subgroup of patients was analyzed for somatic insertion/deletion (In/Del).
    analyzed count
    20
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0002#groups/OG000
  9. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0002
    arm key
    OG001
    arm label
    WNT Pathway - In/Del Somatic
    regimen
    Tissue from this subgroup of patients was analyzed for somatic insertion/deletion (In/Del).
    analyzed count
    18
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0002#groups/OG001
  10. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0002
    arm key
    OG002
    arm label
    SHH Pathway - In/Del Germline
    regimen
    Tissue from this subgroup of patients was analyzed for germline insertion/deletion (In/Del).
    analyzed count
    20
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0002#groups/OG002
  11. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0002
    arm key
    OG003
    arm label
    WNT Pathway - In/Del Germline
    regimen
    Tissue from this subgroup of patients was analyzed for germline insertion/deletion (In/Del).
    analyzed count
    18
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0002#groups/OG003
  12. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    outcome key
    om-0002
    arm key
    OG004
    arm label
    SHH Pathway - SNV Somatic
    regimen
    Tissue from this subgroup of patients was analyzed for somatic single nucleotide variation (SNV).
    analyzed count
    20
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00085202-om-0002#groups/OG004
harms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    harm key
    EG000
    source section id
    NCT00085202-ae
    event group key
    EG000
    event group label
    Average-Risk Group
    serious affected
    17
    serious at risk
    269
    other affected
    236
    other at risk
    269
    frequency threshold
    5
    collection period
    Adverse events (AEs) are reported through 9/17/2013 and include all grade 3, 4 and 5 events occurring during treatment to 30 days after treatment end, and events occurring >30 days after treatment end and felt to be possibly related to protocol treatment.
    event definition
    Per protocol, Grade 3 and 4 hematologic toxicities, grade 3 and 4 electrolyte abnormalities, and total parenteral nutrition or intravenous fluids administered to prevent significant weight loss/malnutrition were not collected if they occurred from the beginning of radiation therapy through the end of 4 courses of high dose chemotherapy.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-central-nervous-system-tumors
    nct id
    NCT00085202
    harm key
    EG001
    source section id
    NCT00085202-ae
    event group key
    EG001
    event group label
    High-Risk Group
    serious affected
    17
    serious at risk
    144
    other affected
    118
    other at risk
    144
    frequency threshold
    5
    collection period
    Adverse events (AEs) are reported through 9/17/2013 and include all grade 3, 4 and 5 events occurring during treatment to 30 days after treatment end, and events occurring >30 days after treatment end and felt to be possibly related to protocol treatment.
    event definition
    Per protocol, Grade 3 and 4 hematologic toxicities, grade 3 and 4 electrolyte abnormalities, and total parenteral nutrition or intravenous fluids administered to prevent significant weight loss/malnutrition were not collected if they occurred from the beginning of radiation therapy through the end of 4 courses of high dose chemotherapy.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
quality of life
    setting source links

      Preserved source evidence · Not medical advice