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NCT00499616 · OUTCOME

Definitive Determination of the Prognostic Ability of 1p and 11q

Combination Chemotherapy and Surgery With or Without Isotretinoin in Treating Young Patients With Neuroblastoma · Source last updated 2021-07-06

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of 3 yr EFS/OS rate
Interval / dispersion
95% Confidence Interval
Time frame
At baseline

What was measured

Addressed by a descriptive comparison of the EFS and OS rates for patients with 1p loss vs without 1p loss, and for those with unbalanced 11q vs normal 11q.

Analysis population: Eligible intermediate risk patients with 1p and 11q data.

Groups in this outcome

Group 2 (Chemotherapy, Surgery)

2 courses of initial chemotherapy (6 wks) - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. Partial response (PR) to chemo go to observation. No PR: 2-6 additional courses of chemo (beginning course 3 - cyclophosphamide, etoposide, filgrastim, carboplatin, doxorubicin hydrochloride). No PR after additional chemotherapy proceed to retrieval chemo: cyclophosphamide and topotecan hydrochloride on days 1-5. Treatment with retrieval chemotherapy repeats every 21 days for up to 6 courses. Some patients may also undergo surgery.

Group 3 (Chemotherapy, Surgery)

4 courses of initial chemo - carboplatin, cyclophosphamide, doxorubicin hydrochloride, filgrastim. Patients with a PR after chemo proceed to observation. No PR receive 2-4 additional courses of chemotherapy (beginning with course 5) - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. No PR after additional chemo proceed to retrieval chemo - cyclophosphamide and topotecan hydrochloride. Some patients may also undergo surgery.

Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)

8 courses of initial chemo - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. Patients \< 12 months of age with stg 3, 4, or 4S (not including liver metastases) disease who achieve a very good PR (VGPR) to chemo proceed to observation. Patients 12-18 months of age with stg 3 or 4 who achieve VGPR proceed to isotretinoin therapy. No VGPR proceed to retrieval chemo - cyclophosphamide and topotecan hydrochloride. Some patients may also undergo surgery.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)175
Group 3 (Chemotherapy, Surgery)104
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)62

Reported measurements

EFS Eligible & evaluable patients without 1p loss

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)175
Group 3 (Chemotherapy, Surgery)85
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)40
Values in percentage of 3 yr EFS/OS rate · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 2 (Chemotherapy, Surgery)87.2Not reported82.092.4Not reported
Group 3 (Chemotherapy, Surgery)84.6Not reported76.892.5Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)65.4Not reported50.080.8Not reported
OS Eligible & evaluable patients without 1p loss

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)175
Group 3 (Chemotherapy, Surgery)85
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)40
Values in percentage of 3 yr EFS/OS rate · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 2 (Chemotherapy, Surgery)99.4Not reported98.3100.0Not reported
Group 3 (Chemotherapy, Surgery)92.8Not reported87.298.4Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)83.7Not reported71.695.8Not reported
EFS Eligible & evaluable patients with 1p loss

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)0
Group 3 (Chemotherapy, Surgery)19
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)22
Values in percentage of 3 yr EFS/OS rate · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 3 (Chemotherapy, Surgery)94.7Not reported84.7100.0Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)81.8Not reported65.298.4Not reported
OS Eligible & evaluable patients with 1p loss

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)0
Group 3 (Chemotherapy, Surgery)19
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)22
Values in percentage of 3 yr EFS/OS rate · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 3 (Chemotherapy, Surgery)94.7Not reported84.7100.0Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)95.5Not reported86.5100.0Not reported
EFS Eligible & evaluable patients with normal 11q

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)175
Group 3 (Chemotherapy, Surgery)96
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)43
Values in percentage of 3 yr EFS/OS rate · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 2 (Chemotherapy, Surgery)87.2Not reported82.092.4Not reported
Group 3 (Chemotherapy, Surgery)87.5Not reported80.794.2Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)73.3Not reported59.587.0Not reported
OS Eligible & evaluable patients with normal 11q

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)175
Group 3 (Chemotherapy, Surgery)96
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)43
Values in percentage of 3 yr EFS/OS rate · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 2 (Chemotherapy, Surgery)99.4Not reported98.3100.0Not reported
Group 3 (Chemotherapy, Surgery)93.7Not reported88.798.7Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)87.7Not reported77.498.1Not reported
EFS Eligible & evaluable patients w/unbalanced 11q

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)0
Group 3 (Chemotherapy, Surgery)8
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)18
Values in percentage of 3 yr EFS/OS rate · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 3 (Chemotherapy, Surgery)75.0Not reported45.0100.0Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)65.5Not reported42.788.2Not reported
OS Eligible & evaluable patients w/unbalanced 11q

Analysis denominator · Participants

GroupSource count
Group 2 (Chemotherapy, Surgery)0
Group 3 (Chemotherapy, Surgery)8
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)18
Values in percentage of 3 yr EFS/OS rate · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Group 3 (Chemotherapy, Surgery)87.5Not reported64.6100.0Not reported
Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)88.2Not reported72.9100.0Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        82.0
        upper Limit
        92.4
        value
        87.2
      2. group Id
        OG001
        lower Limit
        76.8
        upper Limit
        92.5
        value
        84.6
      3. group Id
        OG002
        lower Limit
        50.0
        upper Limit
        80.8
        value
        65.4
    denoms
    1. counts
      1. group Id
        OG000
        value
        175
      2. group Id
        OG001
        value
        85
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    EFS Eligible & evaluable patients without 1p loss
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        98.3
        upper Limit
        100.0
        value
        99.4
      2. group Id
        OG001
        lower Limit
        87.2
        upper Limit
        98.4
        value
        92.8
      3. group Id
        OG002
        lower Limit
        71.6
        upper Limit
        95.8
        value
        83.7
    denoms
    1. counts
      1. group Id
        OG000
        value
        175
      2. group Id
        OG001
        value
        85
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    OS Eligible & evaluable patients without 1p loss
  3. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        84.7
        upper Limit
        100.0
        value
        94.7
      2. group Id
        OG002
        lower Limit
        65.2
        upper Limit
        98.4
        value
        81.8
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        19
      3. group Id
        OG002
        value
        22
      units
      Participants
    title
    EFS Eligible & evaluable patients with 1p loss
  4. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        84.7
        upper Limit
        100.0
        value
        94.7
      2. group Id
        OG002
        lower Limit
        86.5
        upper Limit
        100.0
        value
        95.5
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        19
      3. group Id
        OG002
        value
        22
      units
      Participants
    title
    OS Eligible & evaluable patients with 1p loss
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        82.0
        upper Limit
        92.4
        value
        87.2
      2. group Id
        OG001
        lower Limit
        80.7
        upper Limit
        94.2
        value
        87.5
      3. group Id
        OG002
        lower Limit
        59.5
        upper Limit
        87.0
        value
        73.3
    denoms
    1. counts
      1. group Id
        OG000
        value
        175
      2. group Id
        OG001
        value
        96
      3. group Id
        OG002
        value
        43
      units
      Participants
    title
    EFS Eligible & evaluable patients with normal 11q
  6. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        98.3
        upper Limit
        100.0
        value
        99.4
      2. group Id
        OG001
        lower Limit
        88.7
        upper Limit
        98.7
        value
        93.7
      3. group Id
        OG002
        lower Limit
        77.4
        upper Limit
        98.1
        value
        87.7
    denoms
    1. counts
      1. group Id
        OG000
        value
        175
      2. group Id
        OG001
        value
        96
      3. group Id
        OG002
        value
        43
      units
      Participants
    title
    OS Eligible & evaluable patients with normal 11q
  7. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        45.0
        upper Limit
        100.0
        value
        75.0
      2. group Id
        OG002
        lower Limit
        42.7
        upper Limit
        88.2
        value
        65.5
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        8
      3. group Id
        OG002
        value
        18
      units
      Participants
    title
    EFS Eligible & evaluable patients w/unbalanced 11q
  8. categories
    1. measurements
      1. group Id
        OG001
        lower Limit
        64.6
        upper Limit
        100.0
        value
        87.5
      2. group Id
        OG002
        lower Limit
        72.9
        upper Limit
        100.0
        value
        88.2
    denoms
    1. counts
      1. group Id
        OG000
        value
        0
      2. group Id
        OG001
        value
        8
      3. group Id
        OG002
        value
        18
      units
      Participants
    title
    OS Eligible & evaluable patients w/unbalanced 11q
denoms
  1. counts
    1. group Id
      OG000
      value
      175
    2. group Id
      OG001
      value
      104
    3. group Id
      OG002
      value
      62
    units
    Participants
description
Addressed by a descriptive comparison of the EFS and OS rates for patients with 1p loss vs without 1p loss, and for those with unbalanced 11q vs normal 11q.
dispersion Type
95% Confidence Interval
groups
  1. description
    2 courses of initial chemotherapy (6 wks) - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. Partial response (PR) to chemo go to observation. No PR: 2-6 additional courses of chemo (beginning course 3 - cyclophosphamide, etoposide, filgrastim, carboplatin, doxorubicin hydrochloride). No PR after additional chemotherapy proceed to retrieval chemo: cyclophosphamide and topotecan hydrochloride on days 1-5. Treatment with retrieval chemotherapy repeats every 21 days for up to 6 courses. Some patients may also undergo surgery.
    id
    OG000
    title
    Group 2 (Chemotherapy, Surgery)
  2. description
    4 courses of initial chemo - carboplatin, cyclophosphamide, doxorubicin hydrochloride, filgrastim. Patients with a PR after chemo proceed to observation. No PR receive 2-4 additional courses of chemotherapy (beginning with course 5) - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. No PR after additional chemo proceed to retrieval chemo - cyclophosphamide and topotecan hydrochloride. Some patients may also undergo surgery.
    id
    OG001
    title
    Group 3 (Chemotherapy, Surgery)
  3. description
    8 courses of initial chemo - carboplatin, cyclophosphamide, doxorubicin hydrochloride, etoposide, filgrastim. Patients \< 12 months of age with stg 3, 4, or 4S (not including liver metastases) disease who achieve a very good PR (VGPR) to chemo proceed to observation. Patients 12-18 months of age with stg 3 or 4 who achieve VGPR proceed to isotretinoin therapy. No VGPR proceed to retrieval chemo - cyclophosphamide and topotecan hydrochloride. Some patients may also undergo surgery.
    id
    OG002
    title
    Group 4 (Chemotherapy, Surgery, Antineoplastic Therapy)
param Type
NUMBER
population Description
Eligible intermediate risk patients with 1p and 11q data.
reporting Status
POSTED
time Frame
At baseline
title
Definitive Determination of the Prognostic Ability of 1p and 11q
type
PRIMARY
unit Of Measure
percentage of 3 yr EFS/OS rate

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