Therapeutic Strategy Guided by PET-TDM for Patients With Seminoma

NCT ID: NCT01887340

Last Updated: 2016-06-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

271 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2026-06-30

Brief Summary

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The purpose of the study is to evaluate the ration of patients getting an lighten therapeutic strategy after 18F-fluoro-désoxyglucose positron emission tomography (PET-TDM) in grade I (cohort 1) or metastatic (cohort 2) seminoma

Detailed Description

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Conditions

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Seminoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Cohort 1

* PET-TDM
* carboplatine: Dose (mg) = AUC x (GFR + 25)

* GFR : glomérulaire filtration (ml/min)
* AUC : area under curve (mg/ml x min)

Group Type EXPERIMENTAL

Carboplatin

Intervention Type DRUG

\- carboplatine: Dose (mg) = AUC x (GFR + 25)

* GFR : glomérulaire filtration (ml/min)
* AUC : area under curve (mg/ml x min)

Cohort 2

* PET-TDM
* ETOPOSIDE (100 mg/m2 D1 to D5) and CISPLATINE (20 mg/m2 de D1 to D5)
* carboplatine: Dose (mg) = AUC x (GFR + 25)

* GFR : glomérulaire filtration (ml/min)
* AUC : area under curve (mg/ml x min)

Group Type EXPERIMENTAL

Carboplatin

Intervention Type DRUG

\- carboplatine: Dose (mg) = AUC x (GFR + 25)

* GFR : glomérulaire filtration (ml/min)
* AUC : area under curve (mg/ml x min)

Etoposide

Intervention Type DRUG

100 mg/m2 D1 to D5

Cisplatin

Intervention Type DRUG

20 mg/m2 de D1 to D5

Interventions

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Carboplatin

\- carboplatine: Dose (mg) = AUC x (GFR + 25)

* GFR : glomérulaire filtration (ml/min)
* AUC : area under curve (mg/ml x min)

Intervention Type DRUG

Etoposide

100 mg/m2 D1 to D5

Intervention Type DRUG

Cisplatin

20 mg/m2 de D1 to D5

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically proved seminoma after orchiectomy
* Primary testicular or retroperitoneal
* Normal alpha-fetoprotein before and after orchiectomy
* No prior treatment with radiotherapy or chemotherapy
* Age \>= 18 years
* ECOG 0 to 2
* PNN \>= 1500, platelets \>= 100 000, bilirubin \<= the upper limit nromale
* ASAT (SGOT) and ALAT (SGPT) \<= 1,5 x the upper limit nromale
* Serum creatinine \<140 µmol / L (or clearance\> 60 mL / min)
* Information and signed informed consent before inclusion in the study
* Patient affiliated to a social security


* grade I


* grade IIB (retroperitoneal adenopathy diameter between 2 cm and 5 cm, regardless of the LDH)
* grade IIC (retroperitoneal adenopathy diameter higher than 5 cm, regardless of the LDH)
* grade III of good prognosis (supradiaphragmatic reach with ganglionic metastasis and LDH \< 2 times normal limit and/or supradiaphragmatic reach with pulmonary metastasis and LDH \< 2 times normal limit) either at initial diagnosis or relapse of a grade I seminoma)
* PET-TDM positive (pathological fixation on metastatic lesions)

Exclusion Criteria

* Patient infected by HIV, Hepatitis B or C
* History, within 5 years, of cancer other than seminoma, except for treated skin cancer (Basal Cell) .
* visceral metastasis
* cerebral metastasis
* Any physical or mental condition incompatible with the treatment (to the investigator discretion)
* Uncontrolled or severe cardiovascular pathology
* Uncontrolled or severe hepatic pathology
* Persons deprived of liberty or under guardianship
* Unable to undergo medical monitoring due to geographical, social or psychological reasons
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Gustave Roussy, Cancer Campus, Grand Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yohann LORIOT, MD

Role: STUDY_CHAIR

Gustave Roussy, Cancer Campus, Grand Paris

Locations

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Gustave Roussy

Villejuif, Val de Marne, France

Site Status RECRUITING

Countries

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France

Central Contacts

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Yohann LORIOT, MD

Role: CONTACT

0142115276 ext. +33

Emilie LANOY

Role: CONTACT

0142114121 ext. +33

Facility Contacts

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Yohann LORIOT, MD

Role: primary

0142115276 ext. +33

References

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Loriot Y, Texier M, Culine S, Flechon A, Thiery-Vuillemin A, Gravis G, Geoffrois L, Chevreau C, Gross-Goupil M, Barthelemy P, Bompas E, Mahammedi H, Laguerre B, Lacourtoisie SA, Helissey C, Ladoire S, Abraham C, Massard C, Grimaldi S, Fizazi K. The GETUG SEMITEP Trial: De-escalating Chemotherapy in Good-prognosis Seminoma Based on Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography. Eur Urol. 2022 Aug;82(2):172-179. doi: 10.1016/j.eururo.2022.04.031. Epub 2022 May 20.

Reference Type DERIVED
PMID: 35599187 (View on PubMed)

Other Identifiers

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2012/1884

Identifier Type: OTHER

Identifier Source: secondary_id

2012-A01615-38

Identifier Type: -

Identifier Source: org_study_id

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