Difference between revisions of "Ewing sarcoma, pediatric"
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===Regimen B Induction=== | ===Regimen B Induction=== | ||
===Regimen B Consolidation=== | ===Regimen B Consolidation=== | ||
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| + | [[Category:Ewing sarcoma regimens]] | ||
[[Category:Disease-specific pages]] | [[Category:Disease-specific pages]] | ||
[[Category:Bone sarcomas]] | [[Category:Bone sarcomas]] | ||
[[Category:Pediatric solid tumors]] | [[Category:Pediatric solid tumors]] | ||
Revision as of 10:40, 9 August 2022
Section editor transclusions Are you looking for a regimen, but can't find it here? It is possible that we've moved it to the historical regimens page. If you still can't find it, please let us know so we can add it!
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Upfront Therapy
COG AEWS1031
Regimen A Induction
- Regimen A is a standard regimen consisting of 14 day cycles
Cycles 1, 3, & 5 (VDC)
- Vincristine (Oncovin) 1.5 mg/m2/dose IV push once on day 1 of weeks 1, 2, 5, 6, 9 & 10 (maximum dose of 2 mg)
- For children < 10 kg or < 1 year, the dose is 0.05 mg/kg/dose
- Doxorubicin (Adriamycin) 37.5 mg/m2/dose IV push/infusion over 1-15 minutes on days 1 and 2 of weeks 1, 5 and 9.
- For children < 10 kg or < 1 year, the dose is 1.25 mg/kg/dose
- Administer at a concentration not to exceed 2 mg/mL. Doxorubicin (Adriamycin) should be administered through the tubing of rapidly infusing solution of D5W or 0.9% NaCl, and it should not be infused into a large vein
- Cyclophosphamide (Cytoxan) 1200 mg/m2/dose IV over 30 to60 minutes on day 1 of weeks 1, 5 and 9
- For children < 10 kg or < 1 year, the dose is 40 mg/kg/dose
- May be administered as undiluted drug (20 mg/mL, reconstitute with 0.9% NaCl to avoid hypotonic solution) or further diluted
- Mesna (Mesnex) 720 mg/m2/day by IV infusion or IV/PO with Cyclophosphamide (Cytoxan) on day 1 of weeks 1, 5 and 9
- For children < 10 kg or < 1 year, the dose is 24 mg/kg/dose
14 day cycle
Cycles 2, 4, & 6 (IE)
- Ifosfamide (Ifex) 1,800 mg/m2/dose IV infusion over 1 hour on days 1, 2, 3, 4, and 5 of Weeks 3, 7 and 11
- For children < 10 kg or < 1 year, the dose is 60 mg/kg/dose
- Achieve urine specific gravity ≤ 1.010 prior to start of Ifosfamide (Ifex).
- Mesna (Mesnex) 1,080 mg/m2/day by IV infusion or IV/PO with Ifosfamide (Ifex) on days 1, 2, 3, 4, and 5 of Weeks 3, 7 and 11
- For children < 10 kg or < 1 year, the dose is 36 mg/kg/dose
- Etoposide (Vepesid) 100 mg/m2/dose IV infusion over 1 to 2 hours once on days 1, 2, 3, 4, and 5 of weeks 3, 7 and 11
- For children < 10 kg or < 1 year, the dose is 3.3 mg/kg/dose
14 day cycle