Conventional Dose Versus High Dose Sequential Chemotherapy for Poor Prognosis Germ Cell Tumors

NCT ID: NCT02161692

Last Updated: 2014-06-12

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

Study Classification

INTERVENTIONAL

Study Start Date

1996-12-31

Study Completion Date

2009-04-30

Brief Summary

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The purpose of this study is to determine whether the use of a sequential high dose chemotherapy is more effective than conventional dose (i.e. 4 cycles of cisplatin, etoposide, and bleomycin \[PEB\]) in patients with metastatic poor prognosis germ cell tumors.

Detailed Description

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Conditions

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Testicular Neoplasms Germ Cell Tumors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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High dose chemotherapy

Characterized by the following sequence:

High dose cyclophosphamide (7 grams/squared meter) x 1 cycle 2 cycles of high-dose etoposide and cisplatin

1 cycle of high dose carboplatin (Area Under the Curve 27) with stem cell rescue

Group Type EXPERIMENTAL

Cyclophosphamide

Intervention Type DRUG

Etoposide

Intervention Type DRUG

Cisplatin

Intervention Type DRUG

Carboplatin

Intervention Type DRUG

High dose carboplatin

Conventional dose chemotherapy

Cisplatin, Etoposide, and Bleomycin (PEB) x 4 cycles

Group Type ACTIVE_COMPARATOR

Etoposide

Intervention Type DRUG

Cisplatin

Intervention Type DRUG

Bleomycin

Intervention Type DRUG

Interventions

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Cyclophosphamide

Intervention Type DRUG

Etoposide

Intervention Type DRUG

Cisplatin

Intervention Type DRUG

Bleomycin

Intervention Type DRUG

Carboplatin

High dose carboplatin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Clinical or Histological diagnosis of germ cell tumors
* Metastatic disease
* Poor prognostic category according to the International Germ Cell Collaborative Group (IGCCCG) classification
* No prior chemotherapy for metastatic disease

Exclusion Criteria

* Unwillingness to accomplish the study procedures
* Any existing co-morbidity that could limit the administration of high dose chemotherapy
* Any psychiatric disorder that could impact on the study compliance
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Fondazione IRCCS Istituto Nazionale dei Tumori, Milano

OTHER

Sponsor Role lead

Responsible Party

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Andrea Necchi

Faculty, Department of Medical Oncology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andrea Necchi, MD

Role: PRINCIPAL_INVESTIGATOR

Istituto Nazionale dei Tumori, Milano Italy

Locations

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Istituto Nazionale dei Tumori

Milan, Milano, Italy

Site Status

Countries

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Italy

References

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Lorch A, Bascoul-Mollevi C, Kramar A, Einhorn L, Necchi A, Massard C, De Giorgi U, Flechon A, Margolin K, Lotz JP, Germa-Lluch JR, Powles T, Kollmannsberger C, Beyer J. Conventional-dose versus high-dose chemotherapy as first salvage treatment in male patients with metastatic germ cell tumors: evidence from a large international database. J Clin Oncol. 2011 Jun 1;29(16):2178-84. doi: 10.1200/JCO.2010.32.6678. Epub 2011 Mar 28.

Reference Type BACKGROUND
PMID: 21444870 (View on PubMed)

Necchi A, Mariani L, Di Nicola M, Lo Vullo S, Nicolai N, Giannatempo P, Raggi D, Fare E, Magni M, Piva L, Matteucci P, Catanzaro M, Biasoni D, Torelli T, Stagni S, Bengala C, Barone C, Schiavetto I, Siena S, Carlo-Stella C, Pizzocaro G, Salvioni R, Gianni AM. High-dose sequential chemotherapy (HDS) versus PEB chemotherapy as first-line treatment of patients with poor prognosis germ-cell tumors: mature results of an Italian randomized phase II study. Ann Oncol. 2015 Jan;26(1):167-172. doi: 10.1093/annonc/mdu485. Epub 2014 Oct 24.

Reference Type DERIVED
PMID: 25344361 (View on PubMed)

Other Identifiers

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INT48/96

Identifier Type: -

Identifier Source: org_study_id

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