AREN1921: Treatment of Newly Diagnosed Diffuse Anaplastic Wilms Tumors (DAWT) and Relapsed Favorable Histology Wilms Tumors (FHWT)


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Study Status:






This is a Phase 2 study of patients for the treatment of patients with high risk Wilms tumors (including those with diffuse anaplastic Wilms tumor- DAWT) and those who have relapsed favorable histology Wilms tumor (FHWT). The main goal of the study is to find out whether treatment with chemotherapy consisting of vincristine/irinotecan; cyclophosphamide/carboplatin/etoposide; and vincristine/doxorubicin/cyclophosphamide) improves the survival of patients with newly diagnosed Stage 4 diffuse anaplastic Wilms tumor (DAWT) or Standard-Risk relapsed favorable histology Wilms tumor (SRrFHWT) as compared to patients who were treated in the past. The study will also establish survival rates for High- Risk (HRrFHWT) and Very High-Risk (VHRrFHWT) relapsed favorable histology Wilms tumor patients treated with chemotherapy consisting of ifosfamide/carboplatin/etoposide and cyclophosphamide/ topotecan.

Are you Eligible? (Inclusion Criteria)

  • Patient must be ≤ 30 years of age at the time of enrollment
  • Patient must have Newly diagnosed Stages 2 - 4 diffuse anaplastic Wilms tumor (DAWT) or Favorable histology Wilms tumor at first relapse who previously achieved remission
  • Patients with newly diagnosed DAWT must have had histologic verification of the malignancy. For relapsed FHWT patients, biopsy to prove recurrence is encouraged, but not required.
  • Patient must also meet all other eligibility criteria as outlined in the study protocol.

Specialty Area(s)

Kidney Cancer/Adrenal Cancer, Childhood and Adolescent Cancers (Pediatric)

Principal Investigator

Trial Location(s)

CUIMC/Herbert Irving Pavilion
161 Fort Washington Avenue
New York, NY 10032