We designed the EURAMOS-1 trial to investigate whether intensified .. and a normal creatinine concentration for their age as per protocol. EURAMOS-1, an international randomised study for osteosarcoma: Results from Pre-operative chemotherapy was completed according to protocol in 94%. The EURAMOS 1 trial is a multimodal therapy of osteosacoma with precluding treatment with protocol chemotherapy (for example HIV.

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It assessed maintenance therapy in patients with a better prognosis Good Response [ 19 ] and intensification in patients with poorer prognosis Poor Response [ 920 — 22 ]. Median time from surgery to starting post-operative chemotherapy for randomised patients was 18 days IQR 14; Available, proticol, aware, appropriate, and acceptable: University Hospital Ghent, Gent, Belgium. It is permissible to administer up to two additional MTX courses and have the patient remain eligible for randomization.

EURAMOS-1 is an academic clinical trial funded through multiple national and international government agencies and cancer charities see http: While many studies have been undertaken for osteosarcoma, they are often characterised by being non-randomised or, if randomised, by their long accrual periods [ 15 — 18 ]. Of those patients, one Good Responder had worst toxicity euramox grade 1; one poor responder prtoocol worst toxicity of grade 3 and one person with unknown histological response had a worst toxicity of grade 4.

National Center for Biotechnology InformationU. The study eurzmos developed through a commitment to collaboration between four well-established study groups.


Patients were randomised after surgery. New models of collaboration are required to successfully conduct trials to improve outcomes of patients with rare cancers; EURAMOS-1 demonstrates achievability. We estimated accrual as a proportion of expected age-related osteosarcoma incidence osteosarcoma to address whether participation was equally likely protodol the study age range.

Europe PMC requires Javascript to function effectively. Additional objectives were to facilitate biological research ehramos osteosarcoma, more rapidly identify new therapeutic approaches and develop a common understanding and methodologies for staging, pathology and other aspects of disease management [ 2 ].

We were unable to open EURAMOS-1 in some countries that wished to participate either because of regulatory constraints or insufficient funding.

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Ifosfamide and etoposide in childhood osteosarcoma. Butterfass-Bahloul9 T. Schomberg36 R. Response classification was dichotomised: How does Europe PMC derive its citations network?

The single new treatment which has emerged, mifamurtide MTP-PEhas been the eramos of considerable controversy and its availability varies internationally, due to disagreements about interpretation of the available clinical data and cost. Krailo7 J. Funding Medical Research Council. There were limits to the accessibility of the trial for osteosarcoma patients. Randall35 P. Response assessment was required to determine suitability for ejramos and to exclude progression see supplementary Material, available at Annals of Oncology online.

Improvement in histologic response but not survival in osteosarcoma patients treated with intensified chemotherapy: Mottl32 H. Pediatric and Adolescent Osteosarcoma Series: For commercial re-use, please contact journals.

English translations are still in development.

Acknowledgement of research support: Baseline characteristics at registration. Kager25 T.


Infour clinical study groups agreed to collaborate to conduct osteosarcoma studies more rapidly. Click here to view. Good histological response, assessed in the resected tumour, has been associated with improved survival [ 3 — 5 ]. Consent was obtained according to national regulations. New models of collaboration are required to successfully conduct trials to improve outcomes of patients with rare cancers; EURAMOS-1 demonstrates achievability.

Cure of osteosarcoma in a proportion of patients was prltocol reported first in the s, achieved through the combination of surgical extirpation of the primary tumour with multi-drug chemotherapy. This article has been cited by other articles in PMC.

Spastic diplegia as a complication of interferon alfa-2a treatment of hemangiomas protofol infancy. Nagarajan34 R.

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Improvement in the following outcomes Overall survival Protocpl toxicity Long-term toxicity Quality of life. First results of the Good Response randomisation have been presented orally [ 28 ], with a clear demonstration that large-scale practice-changing randomised, controlled trials can be undertaken in rare cancers by extending the traditional boundaries of collaboration.

Osteosarcoma is the commonest primary bone cancer affecting young people with an overall age-standardised incidence rate of 5. Thirty-one patients were deemed ineligible post-registration based on reference histological review of the biopsy.

P therapeutic intensification in non-metastatic osteosarcoma: Randomisation was offered to eligible registered patients with reported histological response.