This clinical trial is studying Rhabdomyosarcoma, a type of cancer that develops in muscle tissue. The study will test several cancer medications including regorafenib, irinotecan, cyclophosphamide, doxorubicin, temozolomide, ifosfamide, vincristine, dactinomycin, and vinorelbine in different combinations.
The main purpose is to find better treatment options for both newly diagnosed and relapsed rhabdomyosarcoma in children and adults. The study will evaluate different timing and doses of chemotherapy and radiation therapy. Some patients will receive standard treatment while others will receive new combinations of medications.
The trial will last several years, with an estimated completion date in 2030. Throughout the study, researchers will monitor how well the treatments work by measuring survival rates and checking if the cancer returns. They will also track side effects and complications from the treatments.



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