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临床试验/NCT02782754
NCT02782754Unknown2 期

Treatment of Intracranial Germinoma With Chemotherapy Prior to Reduced Dose and Volume of Radiotherapy

Samsung Medical Center1 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2013年1月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
入组人数
40
试验地点
1
主要终点
Rate of late sequelae

研究概览

简要总结

The purpose of this study is to evaluate the outcome of intracranial germinoma treated with chemotherapy plus reduced radiotherapy.

详细描述

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.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
3 Years 至 30 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • Patients with pathologically proven intracranial germinoma

排除标准

  • Elevated serum/cerebrospinal fluid alpha-feto protein
  • Patients with organ dysfunction as follows (creatinine elevation, ejection fraction, liver function test > CTCAE grade 2)

研究组 & 干预措施

Intracranial germinoma

Experimental
  1. Four cycles of chemotherapy with carboplatin, etoposide, (+ bleomycin) and cyclophosphamide, etoposide, (+ bleomycin) regimen
  2. 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

干预措施: Carboplatin (Drug)

Intracranial germinoma

Experimental
  1. Four cycles of chemotherapy with carboplatin, etoposide, (+ bleomycin) and cyclophosphamide, etoposide, (+ bleomycin) regimen
  2. 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

干预措施: Etoposide (Drug)

Intracranial germinoma

Experimental
  1. Four cycles of chemotherapy with carboplatin, etoposide, (+ bleomycin) and cyclophosphamide, etoposide, (+ bleomycin) regimen
  2. 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

干预措施: Cyclophosphamide (Drug)

Intracranial germinoma

Experimental
  1. Four cycles of chemotherapy with carboplatin, etoposide, (+ bleomycin) and cyclophosphamide, etoposide, (+ bleomycin) regimen
  2. 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

干预措施: Bleomycin (Drug)

Intracranial germinoma

Experimental
  1. Four cycles of chemotherapy with carboplatin, etoposide, (+ bleomycin) and cyclophosphamide, etoposide, (+ bleomycin) regimen
  2. 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

干预措施: Reduced dose of radiotherapy (Radiation)

结局指标

主要结局

Rate of late sequelae

时间窗: Up to 5 years

次要结局

  • Rate of event free survival(Up to 5 years)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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