Gemcitabine, Paclitaxel and Oxaliplatin (GemPOx)
Study Details
Study Description
Brief Summary
This study will look to see how well patients with relapsed or recurrent intracranial germ cell tumors respond to the new combination of chemotherapy (in induction)of Gemcitabine, Paclitaxel and Oxaliplatin (GemPOx) followed by consolidation chemotherapy and autologous stem cell rescue.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Gemcitabine, Paclitaxel and Oxaliplatin (GemPOx) Two to four cycles of induction therapy with open label GemPOx followed by consolidation and autologous stem cell transplant (ASCT). |
Drug: Gemcitabine, Paclitaxel and Oxaliplatin (GemPOx).
Two to four cycles of induction therapy with GemPOx followed by consolidation and ASCT.
Other Names:
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Outcome Measures
Primary Outcome Measures
- Response rate [4 months]
To estimate response rate after at least two and up to four courses of induction chemotherapy with GemPOx regimen in patients with recurrent intracranial MMGCT
Secondary Outcome Measures
- Toxicity levels [4 months]
To assess the toxicity of GemPOx regimen in all patients with ICGCT (pure germinoma and MMGCT)
Eligibility Criteria
Criteria
Inclusion Criteria:
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ICGCT including pure germinoma and MMGCT.
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Patients with histologically proven germinoma and MMGCT, including endodermal sinus tumor (yolk sac tumor), embryonal carcinoma, choriocarcinoma and mixed germ cell tumor will be eligible for the study.
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Patients with mature/immature teratoma who have tumor marker elevations are eligible on this study.
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Patient with ONLY mature and/or immature teratoma are ineligible in the absence of the tumor marker elevations.
Exclusion Criteria:
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Patients with ICGCTs who are newly diagnosed are excluded from the study.
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Patients with the diagnosis of mature or immature teratoma in the absence of tumor marker elevations are excluded from the study.
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Patients who are pregnant or breastfeeding are excluded from the study.
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Patients who have received previously a high dose chemotherapy regimen and autologous transplant are excluded from this study.
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Patients who have received gemcitabine, oxaliplatin and/or paclitaxel are excluded from this study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Phoenix Children's Hospital | Phoenix | Arizona | United States | 85016 |
2 | Children's Hospital Los Angeles | Los Angeles | California | United States | 90027 |
3 | New York University Langone Medical Center | New York | New York | United States | 10016 |
4 | Nationwide Children's Hospital | Columbus | Ohio | United States | 43205 |
5 | The Ohio State University Wexner Medical Center_The James Comprehensive Cancer Center | Columbus | Ohio | United States | 43210 |
Sponsors and Collaborators
- Nationwide Children's Hospital
Investigators
- Principal Investigator: Randal Olshefski, MD, Nationwide Children's Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- GemPOx