NCT00453232

Combination Chemotherapy and Pegfilgrastim in Treating Men With Metastatic Germ Cell Tumors

Accelerated BEP Chemotherapy for Intermediate and High Risk Metastatic Germ Cell Tumor

• Status: Completed
• Phase: Phase 2
• Study type: Interventional
• Enrollment: 20 (estimated)
• Sponsor: Cambridge University Hospitals NHS Foundation Trust · Academic / Other
• Sex: Male
• Age: 18 Years – 40 Years
• Healthy volunteers: Not accepted

Summary

RATIONALE: Drugs used in chemotherapy, such as bleomycin, etoposide, and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Colony-stimulating factors, such as pegfilgrastim, may increase the number of immune cells found in bone marrow or peripheral blood and may help the immune system recover from the side effects of chemotherapy. Giving combination chemotherapy together with pegfilgrastim may kill more tumor cells. PURPOSE: This phase II trial is studying the side effects and how well giving combination chemotherapy together with pegfilgrastim works in treating men with metastatic germ cell tumors.

Detailed description

OBJECTIVES: Primary * Determine the feasibility of accelerated treatment comprising bleomycin, etoposide, cisplatin, and pegfilgrastim in men with metastatic germ cell tumors. * Determine the toxicity of this regimen (particularly with respect to renal, pulmonary, and neurological function) in these patients. Secondary * Determine the response rate in patients treated with this regimen. * Determine the progression-free survival of patients treated with this regimen. OUTLINE: This is a non-randomized, pilot study. Patients receive etoposide IV on days 1-3, cisplatin IV on days 1 and 2, and bleomycin IV over 2 hours on days 2, 6, and 10. Patients also receive pegfilgrastim subcutaneously on day 4. Treatment repeats every 14 days for up to 4 courses in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed periodically for 2 years. PROJECTED ACCRUAL: A total of 20 patients will be accrued for this study.

Conditions

• Extragonadal Germ Cell Tumor
• Teratoma
• Testicular Germ Cell Tumor

Interventions

Type	Name	Description
BIOLOGICAL	bleomycin sulfate
BIOLOGICAL	pegfilgrastim
DRUG	cisplatin
DRUG	etoposide

Timeline

• Start date: 2004-08-01
• Primary completion: 2008-12-01
• Completion: 2009-01-01
• First posted: 2007-03-28
• Last updated: 2013-08-07

Locations

7 sites across 1 country: United Kingdom