First Line TIP in Poor Prognosis TGCTs.

NCT ID: NCT02414685

Last Updated: 2020-08-07

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

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-30

Study Completion Date

2020-06-30

Brief Summary

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TIP in the 1st line treatment of GCTs patients with unfavorable decline of serum tumor markers after 1 cycle of the BEP regimen.TIP will be administered to the patient until progression, unacceptable toxicity, complete response or inability of the subject to comply with study requirements.

Detailed Description

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Cycle 1: BEP regimen

Serum tumor markers at day 18-21:

•Patients with an unfavorable pattern of tumor marker decrease after 1 cycle of BEP will receive 4 more cycles of TIP.

TIP regimen:

* Taxol 250 mg/ m2 iv on day 1
* Ifosfamid 1,2 g/ m2/ day iv x 5 days
* Cisplatin 20 mg/ m2/ day iv x 5 days One cycle of therapy consists of 22 days. Estimated duration of treatment: Until progression, unacceptable toxicity, complete response or inability of the subject to comply with study requirements.

Conditions

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Germ Cell Tumor

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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intravenous chemotherapy

TIP regimen:

* Paclitaxel 250 mg/ m2 iv on day 1
* Ifosfamide 1,2 g/ m2/ day iv x 5 days
* Cisplatin 20 mg/ m2/ day iv x 5 days

Group Type EXPERIMENTAL

Paclitaxel

Intervention Type DRUG

paclitaxel, ifosfamide, cisplatin until progression, unacceptable toxicity, complete response or inability of the subject to comply with study requirements

Ifosfamide

Intervention Type DRUG

paclitaxel, ifosfamide, cisplatin until progression, unacceptable toxicity, complete response or inability of the subject to comply with study requirements

Cisplatin

Intervention Type DRUG

paclitaxel, ifosfamide, cisplatin until progression, unacceptable toxicity, complete response or inability of the subject to comply with study requirements

Interventions

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Paclitaxel

paclitaxel, ifosfamide, cisplatin until progression, unacceptable toxicity, complete response or inability of the subject to comply with study requirements

Intervention Type DRUG

Ifosfamide

paclitaxel, ifosfamide, cisplatin until progression, unacceptable toxicity, complete response or inability of the subject to comply with study requirements

Intervention Type DRUG

Cisplatin

paclitaxel, ifosfamide, cisplatin until progression, unacceptable toxicity, complete response or inability of the subject to comply with study requirements

Intervention Type DRUG

Other Intervention Names

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paclitaxel ebewe ifosfamide-holoxan cisplatin-hospira

Eligibility Criteria

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Inclusion Criteria

* Patients older than 16 years.
* Evidence of NSGCT based on histologic examination or based on clinical evidence and high serum HCG or AFP levels (in case of clinical emergency, therapy can be started before pathologic sample is obtained if tumor markers are very elevated)
* Testicular, retroperitoneal, or mediastinal primary site.
* Evidence of disseminated disease (clinical stages II or III).
* Disease classified as poor prognosis according to IGCCCG criteria:
* Primary mediastinal NSGCT or
* Non-pulmonary visceral metastases or
* HCG \> 50,000 UI/l, or AFP \> 10,000 ng/ml, or LDH \> 10 times the upper normal value.
* No prior chemotherapy.
* No previous carcinoma, except basal-cell carcinoma of the skin.
* Adequate renal function: measured or calculated creatinine clearance\> 60 ml/min.
* Absolute granulocyte count \>= 1,500/mm3, platelets \>= 100,000 mm3, bilirubine \<= 1.5 fold the upper normal value.
* Unfavorable tumor marker decline after 1.cycle of BEP
* Signed informed consent.

Exclusion Criteria

* Patients infected by the Human Immunodeficiency Virus (HIV).
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, Slovakia

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michal Mego, Ass.prof

Role: STUDY_CHAIR

National Cancer Institute, Slovakia

Locations

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National Cancer Institute

Bratislava, , Slovakia

Site Status

Countries

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Slovakia

Other Identifiers

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GCTSK003

Identifier Type: -

Identifier Source: org_study_id

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