5-FU in relapsed Ependymoma v2.0

  • Research type

    Research Study

  • Full title

    Pilot institutional study evaluating 5-fluorouracil following radiation therapy in children and young adults with relapsed/refractory ependymoma.

  • IRAS ID

    149833

  • Contact name

    Fernando Carceller

  • Contact email

    fernando.carceller@icr.ac.uk

  • Sponsor organisation

    Royal Marsden NHS Foundation Trust

  • Eudract number

    2014-001470-34

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    Ependymoma is the third most common tumour in childhood. Around one third of these children will experience relapse and for them treatment options are very limited, with long-term survival rates below 30%. Recent laboratory research has highlighted 5-fluorouracil (5-FU); a chemotherapy drug which has been used for many years in certain adult cancers, and for which safety information is available. 5-FU has recently demonstrated promising activity against ependymoma cells in the laboratory.
    Hence, this study aims to evaluate whether 5-FU given into the vein, as a bolus (quick push) followed by continuous infusion over 48 hours, is effective and tolerable in a small number of children and young adults with ependymoma which has recurred following previous standard treatment. Participants should be aged 1-24 years and should have been treated previously with radiotherapy.
    This study will also evaluate new techniques of magnetic resonance imaging (MRI), generically called “functional” MRI, to assess changes induced by 5-FU in the ependymoma.
    If the results of this pilot study are encouraging, it will be implemented in a larger trial conducted jointly with other specialist centres such as ours.

  • REC name

    London - Central Research Ethics Committee

  • REC reference

    14/LO/1553

  • Date of REC Opinion

    30 Oct 2014

  • REC opinion

    Further Information Favourable Opinion