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Carboplatin chemotherapy and involved node radiotherapy in stageIIA/B seminoma.

Phase 1
Conditions
Patients with seminoma stage IIA/B, after orchidectomy
Therapeutic area: Diseases [C] - Male diseases of the urinary and reproductive systems [C12]
Registration Number
EUCTR2011-005840-87-DE
Lead Sponsor
Swiss Group for Clinical Cancer Research SAKK
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
Male
Target Recruitment
120
Inclusion Criteria

Histologically confirmed classical seminoma treated with primary
inguinal orchidectomy.
Tumor stage at diagnosis or at relapse after primary active surveillance is pT1-4 cN1-2 cM0 according to UICC TNM 2009.
Multi-slice CT or MRI or FDG-PET-CT of the chest, abdomen and pelvis or a FDG-PET-CT within 4 weeks prior to patient registration, showing stage IIA/B disease. I.v. contrast medium has to be administered.
Age = 18 years.
WHO performance status 0-2.
Adequate hematological values: neutrophils = 1.0 x 109/L, platelets =
100x 109/L.
Adequate renal function (calculated creatinine clearance = 50 ml/min,
according to the formula of Cockcroft-Gault.
Patient agrees not to father a child during trial treatment and during 12
months thereafter.
Patient has been proposed sperm conservation.
Patient compliance and geographic proximity allow proper staging and
follow-up for at least 3 years.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 108
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 12

Exclusion Criteria

Previous or concurrent malignancy within 5 years with the exception of localized non-melanoma skin cancer or stage I seminoma for patients entering the trial with relapse during active surveilance.
Psychiatric disorder precluding understanding of information on trial
related topics or giving informed consent or interfering with
compliance for treatment schedule.
Mixed histology seminoma.
Elevated levels of AFP (=ULN) at any time.
Any prior abdominal/pelvic radiotherapy (RT).
Any anti-cancer therapy after primary tumor resection (active surveillance for stage I disease is not considered as a treatment).
Any treatment in a clinical trial within 30 days of trial entry.
Any serious underlying medical condition or serious co-morbidity (at the judgment of the investigator) which could impair the ability of the patient to participate in the trial.
Any contraindication for the trial drug (for example, known hypersensitivity to trial drug or to any other co-component of the trial drug, past or current renal insufficiency, severe hepatic insufficiency, severe bone marrow dysfunction, tumor bleeding, major hearing defects).
Any concomitant drugs contraindicated for use with the trial drug according to the approved product information (for example, nephrotoxic or ototoxic medicines).

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: The main objective of this trial is to test the efficacy and safety of<br>carboplatin chemotherapy and involved node radiotherapy in patients<br>with stage IIA/B seminoma.;Secondary Objective: Not applicable;Primary end point(s): PFS at 3 years;Timepoint(s) of evaluation of this end point: Q3 2021
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): AEs temporarily associated with the trial treatment<br>Late AEs<br>Incidence of secondary malignancies<br>Response rate<br>TTP<br>OS<br>Seminoma specific survival<br>PFS<br>Localization of progression<br>Method of detection of progression<br>Development of metabolic syndrome<br>Development of hypogonadism;Timepoint(s) of evaluation of this end point: Q3 2021 and Q3 2038
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