Trial of Paclitaxel, Gemcitabine and Cisplatin in Patients With Relapsing Germ Cell Cancer
Study Details
Study Description
Brief Summary
Study Objectives:
Primary objective
- The primary objective of this study is to investigate the combination of cisplatin/gemcitabine/paclitaxel, with respect to complete remission in patients with germ cell tumours previously treated with BEP.
Secondary Objectives
-
Overall survival
-
Progression free survival
-
Response rates (RECIST)
-
Duration of response
-
To investigate the safety of paclitaxel, gemcitabine and cisplatin in patients previously treated with BEP
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
not relevant
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Other: GCT cisplatin Paclitaxel gemcitabine |
Drug: Paclitaxel
Paclitaxel 175 mg/m2 day 1 (3 hour infusion)
Repeat at 21-day intervals for 4 cycles if toxicity is acceptable. If necessary more than 4 cycles can be administered.
Other Names:
Drug: Cisplatin
cisplatin 50 mg/m2 day 1 and 2
Repeat at 21-day intervals for 4 cycles if toxicity is acceptable. If necessary more than 4 cycles can be administered.
Drug: Gemcitabine
gemcitabine 1000mg/m2 days 1 and 8 (in a 30 minute infusion)
Repeat at 21-day intervals for 4 cycles if toxicity is acceptable. If necessary more than 4 cycles can be administered
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Primary objective · The primary objective of this study is to investigate the combination of cisplatin/gemcitabine/paclitaxel, with respect to complete remission in patients with germ cell tumours previously treated with BEP. · · [December 2010]
Secondary Outcome Measures
- Secondary Objectives · Overall survival [5 years]
- Secondary Objectives · Progression free survival [5 years]
- Secondary Objectives · Response rates (RECIST) [5 years]
- Secondary Objectives · Duration of response [5 years]
- Secondary Objectives · To investigate the safety of paclitaxel, gemcitabine and cisplatin in patients previously treated with BEP [5 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Histologically confirmed germ cell tumor (seminoma or non-seminoma) with measurable metastatic disease either by radiography (at a site which has previously not been irradiated) or elevation of alpha fetoprotein (AFP) and/or elevation of beta-human chorionic gonadotropin (beta-HCG);
-
Patient previously treated with standard BEP (3 or 4 cycles) with relapse 1 months or more after favorable response on previous chemotherapy (CR or PR)
-
Male
-
Age greater than or equal to 18 years;
-
Performance status 0,1,2 or 3
-
WBC > 3000 mill/l, ANC > 1500 mill/l, platelet count > 100.000 mill/l; serum bilirubin < 1.5 x the upper limit of normal;
-
Adequate renal function (Glomerular Filtration Rate (GFR) >60 ml/min). GFR will be assessed by direct measurement (EDTA clearance or creatinine clearance)
-
signed informed consent;
Exclusion Criteria:
-
Uncontrolled active severe clinical infection (CTC grade 3 or 4).
-
Serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator), including expected difficulty of follow-up related to mental disorders.
-
Grade 2 or greater peripheral neuropathy according to the CTC, version 3.0.
-
Second malignancy other than basal or squamous cell skin cancer.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Department of Oncology 5073, Rigshospitalet | Copenhagen | Denmark | 2100 |
Sponsors and Collaborators
- Rigshospitalet, Denmark
Investigators
- Principal Investigator: Gedske Daugaard, MD, DMSc, Rigshospitalet, Denmark
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Relapse testis cancer 2007