A Multicenter Study to Evaluate a Risk-adapted Strategy for Treatment of Extra Cranial Non Seminomateous Malignant Germ Cell Tumour in Children and Adolescent

NCT ID: NCT02104986

Last Updated: 2022-08-29

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

117 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-12

Study Completion Date

2021-10-14

Brief Summary

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The main objective is to assess the benefit-risk ratio of a risk-adapted strategy for treatment of extra cranial NSMGCT in children and adolescent.

Detailed Description

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Two different situations will be considered:

* in NSMGCT patients treated with cisplatin-based chemotherapy, the objective is to maintain a 2-year progression-free survival rate \>80% despite a limitation of the number of course of chemotherapy (≤4) after the achievement of a clinical and biological response (primary endpoint);
* in children over 10 years with testicular or extragonadal NSMGCT, the objective is to improve the overall survival by systematically classifying the patients in high-risk group to allow a dose intensification.

Conditions

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Extra Cranial Non Seminomateous Malignant Germ Cell Tumour

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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3 courses of Velbe-Bleomycin-Cisplatin

3 VBP (Velbe-Bleomycin-Cisplatin) Risk-adapted strategy - reduction of the number of chemotherapy courses

Group Type EXPERIMENTAL

Velbe-Bleomycin-Cisplatin

Intervention Type DRUG

Limitation of the number of chemotherapy courses (≤ 4) after the achievement of a clinical and biological response in NSMGCT patients treated with cisplatin-based chemotherapy, in order to reduce treatment long-term effects

4 courses of Velbe-Bleomycin-Cisplatin

4 VBP (Velbe-Bleomycin-Cisplatin) Risk-adapted strategy - reduction of the number of chemotherapy courses

Group Type EXPERIMENTAL

Velbe-Bleomycin-Cisplatin

Intervention Type DRUG

Limitation of the number of chemotherapy courses (≤ 4) after the achievement of a clinical and biological response in NSMGCT patients treated with cisplatin-based chemotherapy, in order to reduce treatment long-term effects

3 courses Vepeside-ifosfamide-Cisplatin

3 VIP (Vepeside-ifosfamide-Cisplatin) Risk-adapted strategy - reduction of the number of chemotherapy courses

Group Type EXPERIMENTAL

Vepeside-ifosfamide-Cisplatin

Intervention Type DRUG

4 courses Vepeside-ifosfamide-Cisplatin

4 VIP (Vepeside-ifosfamide-Cisplatin) Risk-adapted strategy - reduction of the number of chemotherapy courses

Group Type EXPERIMENTAL

Vepeside-ifosfamide-Cisplatin

Intervention Type DRUG

Interventions

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Velbe-Bleomycin-Cisplatin

Limitation of the number of chemotherapy courses (≤ 4) after the achievement of a clinical and biological response in NSMGCT patients treated with cisplatin-based chemotherapy, in order to reduce treatment long-term effects

Intervention Type DRUG

Vepeside-ifosfamide-Cisplatin

Intervention Type DRUG

Other Intervention Names

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Desescalation

Eligibility Criteria

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Inclusion Criteria

* Extra cranial non seminomateous malignant germ cell tumour (NSMGCT) except pure immature teratoma.
* Age ≤ 18 years.
* Affiliation with a social security scheme.
* Signed informed consent by parents
* Effective contraception during the study if relevant .

Exclusion Criteria

* Previous chemotherapy
* Contraindications to study treatments
* Patient who cannot follow medical surveillance due to geographical, social, or psychological reasons
* Pregnant and breast feeding women
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Leon Berard

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cécile CONTER, MD

Role: PRINCIPAL_INVESTIGATOR

Centre Léon Bérard, Lyon, FRANCE

Locations

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CHU

Amiens, , France

Site Status

CHU

Angers, , France

Site Status

CHRU

Besançon, , France

Site Status

CHU

Bordeaux, , France

Site Status

Chu Morvan

Brest, , France

Site Status

CHU

Caen, , France

Site Status

Chu Estaing

Clermont-Ferrand, , France

Site Status

CHU

Dijon, , France

Site Status

Centre Oscar Lambret

Lille, , France

Site Status

CHU

Limoges, , France

Site Status

Hopital de La Timone

Marseille, , France

Site Status

CHU

Montpellier, , France

Site Status

CHU

Nancy, , France

Site Status

CHU

Nantes, , France

Site Status

CHU

Nice, , France

Site Status

Institut Curie

Paris, , France

Site Status

Hopital Trousseau

Paris, , France

Site Status

CHU

Poitiers, , France

Site Status

CHU

Reims, , France

Site Status

CHU

Rennes, , France

Site Status

CHU

Rouen, , France

Site Status

Hopital Felix Guyon

Saint-Denis, , France

Site Status

CHRU

Saint-Etienne, , France

Site Status

CHRU

Strasbourg, , France

Site Status

CHU

Toulouse, , France

Site Status

CHRU

Tours, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Countries

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France

Other Identifiers

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TGM 2013-NS

Identifier Type: -

Identifier Source: org_study_id

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