Chemotherapy Plus Reduced Radiotherapy in Intracranial Germinoma
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the outcome of intracranial germinoma treated with chemotherapy plus reduced radiotherapy.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
Treatment outcome of intracranial germinoma is excellent with radiotherapy/chemotherapy. However, late sequelae are unavoidable especially with craniospinal irradiation, and various efforts have been done to reduce the dose and extent of radiotherapy. In this study, chemotherapy and further reduced dose of radiotherapy will be used to minimize the late sequelae in the patients with intracranial germinoma.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Intracranial germinoma Four cycles of chemotherapy with carboplatin, etoposide, (+ bleomycin) and cyclophosphamide, etoposide, (+ bleomycin) regimen Reduced dose of radiotherapy Without seeding: 18 Gy to ventricle + 12.6 Gy to primary site With seeding: craniospinal irradiation 18 Gy + 12.6 Gy to primary site |
Drug: Carboplatin
Drug: Etoposide
Drug: Cyclophosphamide
Drug: Bleomycin
Radiation: Reduced dose of radiotherapy
|
Outcome Measures
Primary Outcome Measures
- Rate of late sequelae [Up to 5 years]
Secondary Outcome Measures
- Rate of event free survival [Up to 5 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients with pathologically proven intracranial germinoma
Exclusion Criteria:
-
Elevated serum/cerebrospinal fluid alpha-feto protein
-
Patients with organ dysfunction as follows (creatinine elevation, ejection fraction, liver function test > CTCAE grade 2)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Samsung Medical Center | Seoul | Korea, Republic of |
Sponsors and Collaborators
- Samsung Medical Center
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2012-10-101