Main
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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register. |
Register:
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ClinicalTrials.gov |
Last refreshed on:
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3 July 2023 |
Main ID: |
NCT03937843 |
Date of registration:
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29/04/2019 |
Prospective Registration:
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Yes |
Primary sponsor: |
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Public title:
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Reduced Intensity Radio-chemotherapy for Stage IIA/B Seminoma
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Scientific title:
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Reduced Intensity Radio-chemotherapy for Stage IIA/B Seminoma. A Multicenter, Open Label Phase II Trial With Two Cohorts |
Date of first enrolment:
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July 29, 2019 |
Target sample size:
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135 |
Recruitment status: |
Active, not recruiting |
URL:
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https://clinicaltrials.gov/show/NCT03937843 |
Study type:
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Interventional |
Study design:
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Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label).
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Phase:
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Phase 2
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Countries of recruitment
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Germany
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Switzerland
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Contacts
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Name:
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Alexandros Papachristofilou, MD |
Address:
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Telephone:
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Email:
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Affiliation:
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Universitätsspital Basel |
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Key inclusion & exclusion criteria
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Inclusion Criteria:
- Written informed consent according to ICH/GCP (International Council on
Harmonization/Good Clinical Practice) regulations before registration and prior to any
trial specific procedures
- Histologically confirmed classical seminoma treated with primary inguinal orchidectomy
or partial orchidectomy
- Patients with a seminoma stage IIA or IIB, either newly diagnosed or recurrent after
primary active surveillance, adjuvant carboplatin or radiotherapy for stage I disease.
The tumor stage is pT1-4 cN1-2 cM0 according to UICC TNM 8th edition 2016. Patients
with a recurrent seminoma stage IIA or IIB are only eligible in case of progression
under active surveillance or recurrence after adjuvant carboplatin or radiotherapy for
stage I disease
- Stage IIA, in patients with equivocal lymph node enlargement, needs to be confirmed
with a repeated CT/MRI scan of the abdomen (suggested timeframe: 4 weeks after the
previous scan) in order to rule out false positive lymph node enlargement.
Patients with a prior malignancy treated with curative intention are eligible if all
treatment of that malignancy was completed at least 5 years before registration and the
patient has no evidence of disease at registration. Less than 5 years is acceptable for
malignancies with low risk of recurrence and/or no late recurrence. Patients with a germ
cell neoplasia in situ (GCNIS) or contralateral localized treated seminoma are eligible
- Diagnostic CT or MRI or FDG-PET-CT of the chest, abdomen and pelvis within 28 days
prior to registration, showing stage IIA/B disease. I.v. contrast medium has to be
administered
- Age = 18 years
- WHO performance status 0-2
- Baseline PRO questionnaires have been completed
- Adequate bone marrow function: neutrophil count = 1.0 x 109/L, platelet count = 100x
109/L
- Adequate renal function: creatinine clearance = 60 ml/min calculated according to the
CKD-EPI (Chronic Kidney Disease Epidemiology Collaboration) formula
- Patient agrees to use highly effective contraception and not to donate sperm or to
father a child during trial treatment and during 12 months thereafter. Patient has
been proposed sperm conservation.
Exclusion criteria
- Any other histological component than seminoma
- Elevated levels of Alpha-1-Fetoprotein AFP (= 2x ULN)
- Involved nodes (metastatic) in previously irradiated localizations in the abdomen or
pelvis
- Any anti-cancer therapy after primary tumor resection in patients presenting with
primary stage IIA/B seminoma
- Any serious underlying medical condition (i.e. current renal insufficiency, severe
hepatic insufficiency, severe bone marrow dysfunction, tumor bleeding, major hearing
defects) or serious co-morbidity which could impair the ability of the patient to
participate in the trial (according to investigator's judgment)
- Any treatment in a clinical trial within 28 days prior to registration
- Any concomitant drugs contraindicated for use with the trial drugs according to the
approved product information or contraindicated for use with radiotherapy
- Known hypersensitivity to trial drugs or to any component of the trial drugs
- Any other serious underlying medical, psychiatric, psychological, familial or
geographical condition, which in the judgment of the investigator may interfere with
the planned staging, treatment and follow-up, affect patient compliance or place the
patient at high risk from treatment-related complications.
Additional German specific exclusion criteria - not to be considered for Swiss patients
- Patient who is dependent on the sponsor or the investigators according to ICH/GCP
E6(R2), guideline
- Patient who has been committed to an institution by virtue of an order issued either
by the judicial or the administrative authorities according to § 40a (2) AMG.
Age minimum:
18 Years
Age maximum:
N/A
Gender:
Male
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Health Condition(s) or Problem(s) studied
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Seminoma
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Testicular Cancer
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Intervention(s)
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Drug: Etoposide
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Drug: Cisplatin
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Drug: Carboplatin
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Primary Outcome(s)
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Progression free survival (PFS) at 3 years
[Time Frame: From the date of registration until the date of progressive disease, relapse or death, whichever occurs first, assessed up to 3 years after registration]
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Secondary Outcome(s)
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Localization of progression
[Time Frame: at the date of the first occurrence of progressive disease, assessed from registration up to 20 years after registration]
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Progression free survival (PFS)
[Time Frame: From the date of registration until the date of progressive disease, relapse or death, whichever occurs first, assessed up to 20 years after registration]
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Response rate (RR)
[Time Frame: at 3 months and 3 years after registration]
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Method of detection of progression
[Time Frame: at the date of the first occurrence of progressive disease, assessed from registration up to 20 years after registration]
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Overall Survival (OS)
[Time Frame: From the date of registration until the date of death from any cause, assessed up to 20 years after registration]
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Time to distant metastasis
[Time Frame: From the date of registration until the date of first occurrence of distant metastasis, assessed up to 20 years after registration]
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Time to next treatment
[Time Frame: From the date of registration until the date of start of any new anticancer therapy for progressive seminoma, assessed up to 20 years after registration]
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Time to progression (TTP)
[Time Frame: From the date of registration until the date of progressive disease, relapse or death due to progression, whichever occurs first, assessed up to 20 years after registration]
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Seminoma-specific survival
[Time Frame: From the date of registration until the date of death due to seminoma, assessed up to 20 years after registration]
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Secondary ID(s)
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2019-000514-11
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SAKK 01/18
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Source(s) of Monetary Support
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Please refer to primary and secondary sponsors
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Results
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Results available:
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Date Posted:
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Date Completed:
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URL:
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