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TE23: Randomised Phase II trial of intensive induction chemotherapy (CBOP/BEP) and standard BEP chemotherapy in poor prognosis male germ cell tumours. - MRC TE23 Study

Phase 1
Conditions
Poor prognosis male germ cell tumours
MedDRA version: 9.1 Level: LLT Classification code 10043333 Term: Testicular germ cell tumour mixed stage III
MedDRA version: 9.1 Level: LLT Classification code 10015802 Term: Extragonadal primary germ cell tumour mixed stage III
Registration Number
EUCTR2004-000405-22-GB
Lead Sponsor
Medical Research Council
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
88
Inclusion Criteria

1. Germ cell tumour of any extracranial primary site. Diagnosis of GCT will be accepted on the basis of histological diagnosis or the presence of raised AFP (>1000ng/ml) or HCG (>5000iu/l) with appropriate clinical picture in a man aged <45 years
2. Poor prognosis features as defined by IGCCCG criteria. One or more of
? AFP >10 000 ng/ml
? HCG >50 000 iu/l
? LDH >10x normal limit of laboratory
? Non pulmonary visceral metastases
? Mediastinal primary site
3. Performance status 0-3
4. GFR >50mls/min. Patients with initial GFR less than 50mls/min can be entered if this is due to obstructive nephropathy and can be relieved by stenting or nephrostomy
5. No co morbid condition which will prevent protocol treatment
6. No previous chemotherapy

Are the trial subjects under 18? yes
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
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

All patients fulfilling inclusion criteria above will be eligible for this trial

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To assess the outcome of poor prognosis germ cell tumour patients treated with two different chemotherapy regimens in an open randomised phase II trial. This will be assessed by analysis of the proportion of patients achieving a complete response of a partial response.;Secondary Objective: Overall survival, progression-free survival and toxicity.;Primary end point(s): The primary outcome measure will be response rates: proportion achieving complete response (disappearance of all disease and normal tumour markers) or partial response (residual masses unresected) with negative markers (PR/MK-ve).
Secondary Outcome Measures
NameTimeMethod
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