Darbepoetin Alfa in Patients With "Poor Prognosis" Germ Cell Tumor Treated With High-Dose Chemotherapy (HD-VIP)
Study Details
Study Description
Brief Summary
The aim is to determine the frequency of RBC transfusion in patients with metastatic "poor prognosis" germ cell tumor during high-dose chemotherapy (HD-VIP, level 6) with or without Darbepoetin alfa
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Study Design
Outcome Measures
Primary Outcome Measures
- frequency of transfusions (reduction from 90% to 65%) []
Secondary Outcome Measures
- proportion of patients with no transfusions []
- developing of hemoglobin levels []
- objective remission rate []
- progression-free- and overall-survival (pfs, os) []
- quality of life []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Poor prognosis" according IGCCCG-criteria:
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Primary mediastinal tumor
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Gonadal/retroperitoneal germ cell tumor with visceral metastases except of lung
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Poor marker: AFP > 10.000 ng/ml or beta-HCG > 10.000 ng/ml (50.000 IU/l) andd LDH >10 x upper normal limit
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No previous chemotherapy
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Age > 18 years
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Performance-Status: WHO =< 2
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Written informed consent
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Ability to give informed consent
Exclusion Criteria:
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Hemolysis
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Hematological disease with insufficient erythropoiesis
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Patients without sufficient treatment of sideropenia, folate deficiency or vitamin B12 deficiency
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Uncontrolled arterial hypertension
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Treatment with rh-Erythropoetin during trial
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Creatinin clearance < 50 ml/min
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Insufficient bone marrow function (WBC count < 3.000/ml or platelets < 100.000/µl)
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Other major symptomatic or uncontrolled illnesses not allowing to complete treatment protocol with the exception of symptoms caused by the primary disease
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Second malignancy, except of completely resected basal cell carcinoma of the skin
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Medical Center II, University of Tuebingen | Tuebingen | Germany | 72076 |
Sponsors and Collaborators
- University Hospital Tuebingen
Investigators
- Principal Investigator: Joerg T. Hartmann, MD, South West German Cancer Center, Medical Center II, University of Tuebingen
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- jth_004