Financial Toxicity and Quality of Life in Patients With TGCT

NCT ID: NCT04531709

Last Updated: 2025-07-14

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

Total Enrollment

24 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-03-01

Study Completion Date

2025-02-04

Brief Summary

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This is a cross-sectional, observational study employing validated questionnaires to investigate financial toxicity in subjects with testicular germ cell tumors (TGCT). As background, TGCTs are the most common malignancies among men from age 15-35. Treatment is highly curative, but often consists of intensive multi-cycle chemotherapy with significant potential for physical toxicity. The treatment course itself is disruptive and long term physical and mental health consequences can increase risk for financial toxicity. Thus, we aim to study financial toxicity in both patients with TGCT actively receiving treatment and in TGCT survivors. There will be two separate cohorts: Cohort 1 will consist of subjects with recently diagnosed TGCT who will undergo multi-agent, multi-cycle chemotherapy and Cohort 2 will consist of subjects who have completed chemotherapy and are long-term survivors.

Detailed Description

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Conditions

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Testicular Neoplasm

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Long-term survivors of TGCT

Comprehensive Score for financial toxicity (COST)

Intervention Type OTHER

Measure indirect and direct health care cost that burden patients and their loved ones.

Functional Assessment of Cancer Therapy: General (FACT-G)

Intervention Type OTHER

General quality of life instrument

EORTC QLQ C-30

Intervention Type OTHER

Assess quality of life in cancer patients

EORTC QLQ-TC26.

Intervention Type OTHER

To measure disease and treatment related quality of life issues relevant to testicular cancer patients that were not explored in the QLQ-C30 questionnaire.

Interventions

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Comprehensive Score for financial toxicity (COST)

Measure indirect and direct health care cost that burden patients and their loved ones.

Intervention Type OTHER

Functional Assessment of Cancer Therapy: General (FACT-G)

General quality of life instrument

Intervention Type OTHER

EORTC QLQ C-30

Assess quality of life in cancer patients

Intervention Type OTHER

EORTC QLQ-TC26.

To measure disease and treatment related quality of life issues relevant to testicular cancer patients that were not explored in the QLQ-C30 questionnaire.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years of age
* Patients with histologically or clinically confirmed germ cell tumor.
* Completed treatment for germ cell tumor with multicycle (\> 2 cycles) / multiagent chemotherapy.
* Within years 1-5 of surveillance since Day 1 of last cycle of chemotherapy
* Signed informed consent

Exclusion Criteria

* Long-term survivors

* Patients undergoing active chemotherapy
* Patients who did not complete 1st line chemotherapy.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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The University of Texas Health Science Center at San Antonio

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Deepak Pruthi, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center at San Antonio

Locations

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Mays Cancer Center

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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de Souza JA, Yap BJ, Wroblewski K, Blinder V, Araujo FS, Hlubocky FJ, Nicholas LH, O'Connor JM, Brockstein B, Ratain MJ, Daugherty CK, Cella D. Measuring financial toxicity as a clinically relevant patient-reported outcome: The validation of the COmprehensive Score for financial Toxicity (COST). Cancer. 2017 Feb 1;123(3):476-484. doi: 10.1002/cncr.30369. Epub 2016 Oct 7.

Reference Type BACKGROUND
PMID: 27716900 (View on PubMed)

Nigam M, Aschebrook-Kilfoy B, Shikanov S, Eggener S. Increasing incidence of testicular cancer in the United States and Europe between 1992 and 2009. World J Urol. 2015 May;33(5):623-31. doi: 10.1007/s00345-014-1361-y. Epub 2014 Jul 17.

Reference Type RESULT
PMID: 25030752 (View on PubMed)

Baird DC, Meyers GJ, Hu JS. Testicular Cancer: Diagnosis and Treatment. Am Fam Physician. 2018 Feb 15;97(4):261-268.

Reference Type RESULT
PMID: 29671528 (View on PubMed)

Palumbo C, Mistretta FA, Mazzone E, Knipper S, Tian Z, Perrotte P, Antonelli A, Montorsi F, Shariat SF, Saad F, Simeone C, Briganti A, Lattouf JB, Karakiewicz PI. Contemporary Incidence and Mortality Rates in Patients With Testicular Germ Cell Tumors. Clin Genitourin Cancer. 2019 Oct;17(5):e1026-e1035. doi: 10.1016/j.clgc.2019.06.003. Epub 2019 Jun 13.

Reference Type RESULT
PMID: 31378580 (View on PubMed)

Mariotto AB, Yabroff KR, Shao Y, Feuer EJ, Brown ML. Projections of the cost of cancer care in the United States: 2010-2020. J Natl Cancer Inst. 2011 Jan 19;103(2):117-28. doi: 10.1093/jnci/djq495. Epub 2011 Jan 12.

Reference Type RESULT
PMID: 21228314 (View on PubMed)

Sztankay M, Aaronson NK, Arraras JI, Basso U, Bumbasirevic U, Efficace F, Giesinger JM, Johnson CD, van Leeuwen M, Oberguggenberger AS, Sosnowski R, Young T, Holzner B; European Organisation for Research and Treatment of Cancer Quality of Life Group (EORTC QLG). International phase IV validation study of an EORTC quality of life questionnaire for testicular cancer patients: the EORTC QLQ-TC26. BMC Cancer. 2018 Nov 12;18(1):1104. doi: 10.1186/s12885-018-5036-8.

Reference Type RESULT
PMID: 30419889 (View on PubMed)

Other Identifiers

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HSC20200462E

Identifier Type: OTHER

Identifier Source: secondary_id

CTMS 20-0061

Identifier Type: -

Identifier Source: org_study_id

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