2016
DOI: 10.1200/jco.2016.34.15_suppl.10516
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Vincristine/irinotecan upfront window treatment of high-risk hepatoblastoma: A report from the Children’s Oncology Group (COG) AHEP0731 study committee.

Abstract: PURPOSE-The identification of new therapies for high-risk (HR) hepatoblastoma (HB) is challenging. Children's Oncology Group Study AHEP0731 included a HR stratum to explore the efficacy of novel agents. We report the response rate to vincristine/irinotecan and the outcome of high-risk HB patients.

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“…We show that the incidence of HB and survival has increased over the past two decades in the United States, disparities in survival exist by age, race or ethnicity, and stage, and improvements in survival after 2009 may reflect systematic changes in therapy introduced to the field 1,8–12 . Our study differs from prior studies in that it utilizes databases that include between 100% and 94% of pediatric HB cases during the study period, allowing for comprehensive analysis of recent trends in incidence and survival outcomes, respectively.…”
Section: Discussionmentioning
confidence: 99%
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“…We show that the incidence of HB and survival has increased over the past two decades in the United States, disparities in survival exist by age, race or ethnicity, and stage, and improvements in survival after 2009 may reflect systematic changes in therapy introduced to the field 1,8–12 . Our study differs from prior studies in that it utilizes databases that include between 100% and 94% of pediatric HB cases during the study period, allowing for comprehensive analysis of recent trends in incidence and survival outcomes, respectively.…”
Section: Discussionmentioning
confidence: 99%
“…Lastly, the high‐risk stratum enrolled patients with any Stage IV disease or any stage HB with the initial alpha‐fetoprotein level <100 ng/ml. The treatment of high‐risk patients included an investigational upfront window containing two cycles of VCR and irinotecan (VI) and later with the addition of temsirolimus (VIT) followed by CDDP, VCR, 5FU, and DOX for six cycles with an additional two cycles of VI or VIT for patients with response to the upfront window 12 . PRETEXT 3 extensive multifocal, PRETEXT 3 +V, PRETEXT 3 +P, or PRETEXT 4 extensive multifocal tumors were candidates for orthotopic liver transplantation 10 .…”
Section: Discussionmentioning
confidence: 99%
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