Last year in the UK over 60,000 cancer patients enrolled on clinical trials aimed at improving cancer treatments and making them available to all.
A trial looking at treatment for children and young people with Wilms' tumour and clear cell sarcoma of the kidney (UKW-R WT 2001 02)
Please note - this trial is no longer recruiting patients. We hope to add results when they are available.
This trial is looking at treatment for children and young people with Wilms’ tumour and clear cell sarcoma of the kidney that has come back after treatment.
This trial is for children and young people up to and including the age of 17. We use the term ‘you’ in this summary, but if you are a parent, we are referring to your child.
Wilms’ tumour and clear cell sarcoma of the kidney (CCSK) are types of kidney cancer that affect younger children and less often older children. They are usually treated with chemotherapy, surgery and radiotherapy. But sometimes these treatments do not work and the cancer continues to grow, or it comes back (recurs). It is then more difficult to treat these children.
At the moment, there is no standard treatment for this and treatments may vary. This trial aims to develop a standard treatment that is more effective.
The trial will also look at the role of
It is not clear which operations are useful and when it is best to have surgery. So the researchers will also collect information about surgical treatment to see which works best.
Who can enter
You can enter this trial if you
- Have a Wilms’ tumour or CCSK that has continued to grow despite treatment OR
- Have a Wilms’ tumour or CCSK that has come back (recurred) after treatment. If your cancer has come back a second or third time, the trial doctor will discuss whether you can take part in this trial
- Have a separate primary cancer or cancers in your other kidney and you have had treatment with vincristine, dactinomycin (Actinomycin D) and doxorubicin (Adriamycin) chemotherapy you will be able to take part in one the treatment groups in this trial
- Are aged less than 18 years
You cannot enter this trial if you have a rhabdoid tumour of the kidney.
There are 3 treatment groups in this trial. Your doctor will explain which group you are in. This depends on a number of factors including
- The stage of your cancer - whether the cancer is contained within the kidney or if it has spread outside the kidney to another part of the body
- The treatment you have already had
- How the cancer cells look under the microscope (the
- Blood test results
Before your treatment begins, you will have a central line or long line put in. This is also sometimes called a ‘wiggly line’. It makes it easier to give chemotherapy and take blood samples.
If you are in group 1, you have the following chemotherapy drugs
If you are in group 2, you have chemotherapy with
For groups 1 and 2, further treatment after chemotherapy will depend on how well the treatment has worked. You may have radiotherapy, surgery, or a combination of these.
You may have an operation to remove any remaining cancer. For example, abdominal surgery, or lung surgery if cancer has spread to the lungs. If surgery to remove remaining cancer isn’t possible, you may have radiotherapy, for example, to the abdomen, lungs or liver.
If you are in group 3, you have carboplatin, etoposide and cyclophosphamide. If this chemotherapy is working, you have your
You may need further treatment with radiotherapy or surgery, as with groups 1 and 2. If you have surgery, you have your operation before high dose chemotherapy and a transplant. If you have radiotherapy, you have this after your transplant.
You see a doctor for examinations and tests before treatment starts. Tests include
You may also have
You may have some of these tests again during and after your treatment. How often you visit hospital and how much time you spend in hospital depends on the treatment you are having. Your treatment may last between 9 months and a year. Visits and stays in hospital will be at least every 1 to 3 weeks
After your treatment has finished, you will see the doctor regularly. These appointments will be arranged on an individual basis.
All treatments have side effects. The most common side effects of chemotherapy and a stem cell transplant are
- A drop in blood cells causing an increased risk of infection, bleeding problems, tiredness and breathlessness
- Hair loss
- Feeling or being sick
- Loss of appetite
- Dry and sore mouth
There is more information about the side effects of vincristine, dactinomycin (Actinomycin D), doxorubicin (Adriamycin), cyclophosphamide, etoposide, carboplatin, and melphalan in the main chemotherapy section of CancerHelp UK.
There is more information about the side effects of a stem cell or bone marrow transplant on CancerHelp UK.
The side effects of having an operation include the risk of infection and pain.
The most common side effects of radiotherapy are
There is more information about the side effects of radiotherapy on CancerHelp UK.
How to join a clinical trial
Please note: In order to join a trial you will need to discuss it with your doctor, unless otherwise specified.
Dr J. Hale
Cancer Research UK Children's Cancer Trials Team
University of Birmingham
NIHR Clinical Research Network: Cancer