Darbepoetin Alfa in Patients With "Poor Prognosis" Germ Cell Tumor Treated With High-Dose Chemotherapy (HD-VIP)
Phase 2
Completed
- Conditions
- Dysgerminoma
- Registration Number
- NCT00204633
- Lead Sponsor
- University Hospital Tuebingen
- Brief Summary
The aim is to determine the frequency of RBC transfusion in patients with metastatic "poor prognosis" germ cell tumor during high-dose chemotherapy (HD-VIP, level 6) with or without Darbepoetin alfa
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Male
- Target Recruitment
- 108
Inclusion Criteria
- Poor prognosis" according IGCCCG-criteria:
- Primary mediastinal tumor
- Gonadal/retroperitoneal germ cell tumor with visceral metastases except of lung
- Poor marker: AFP > 10.000 ng/ml or beta-HCG > 10.000 ng/ml (50.000 IU/l) andd LDH >10 x upper normal limit
- No previous chemotherapy
- Age > 18 years
- Performance-Status: WHO =< 2
- Written informed consent
- Ability to give informed consent
Exclusion Criteria
- Hemolysis
- Hematological disease with insufficient erythropoiesis
- Patients without sufficient treatment of sideropenia, folate deficiency or vitamin B12 deficiency
- Uncontrolled arterial hypertension
- Treatment with rh-Erythropoetin during trial
- Creatinin clearance < 50 ml/min
- Insufficient bone marrow function (WBC count < 3.000/ml or platelets < 100.000/µl)
- Other major symptomatic or uncontrolled illnesses not allowing to complete treatment protocol with the exception of symptoms caused by the primary disease
- Second malignancy, except of completely resected basal cell carcinoma of the skin
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method frequency of transfusions (reduction from 90% to 65%)
- Secondary Outcome Measures
Name Time Method proportion of patients with no transfusions developing of hemoglobin levels objective remission rate progression-free- and overall-survival (pfs, os) quality of life
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms of Darbepoetin Alfa influence RBC transfusion frequency in NCT00204633 germ cell tumor trial?
How does Darbepoetin Alfa compare to standard erythropoiesis-stimulating agents in metastatic germ cell tumor treatment?
Which biomarkers correlate with Darbepoetin Alfa response in poor prognosis germ cell tumor patients undergoing HD-VIP?
What adverse events were observed in NCT00204633 and how do they compare to other ESA therapies in oncology?
Are there combination therapies with Darbepoetin Alfa that improve outcomes for metastatic dysgerminoma patients post-HDCT?
Trial Locations
- Locations (1)
Medical Center II, University of Tuebingen
🇩🇪Tuebingen, Germany
Medical Center II, University of Tuebingen🇩🇪Tuebingen, Germany