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Paclitaxel, Ifosfamide, and Cisplatin in Treating Patients With Metastatic Testicular Cancer

Information source: National Cancer Institute (NCI)
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Testicular Germ Cell Tumor

Intervention: cisplatin (Drug); ifosfamide (Drug); paclitaxel (Drug)

Phase: Phase 2

Status: Active, not recruiting

Sponsored by: Medical Research Council

Official(s) and/or principal investigator(s):
Malcolm D. Mason, MD, Study Chair, Affiliation: Velindre NHS Trust

Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combining paclitaxel, ifosfamide, and cisplatin in treating patients who have metastatic testicular cancer that has recurred following treatment.

Clinical Details

Official title: A Study of Paclitaxel, Cisplatin and Ifosfamide as Induction Therapy in the Treatment of Patients Relapsing After BEP Chemotherapy for Metastatic Germ Cell Tumors

Study design: Treatment

Detailed description: OBJECTIVES:

- Determine the feasibility of combining paclitaxel, ifosfamide, and cisplatin induction

in patients with metastatic nonseminomatous germ cell tumor of the testis in first relapse following first line treatment with bleomycin, etoposide, and cisplatin.

- Determine the response rates to this regimen in these patients

OUTLINE: This is a multicenter study.

Patients receive paclitaxel IV over 3 hours and ifosfamide IV and cisplatin IV daily for 5 days. Patients with stable or responding disease repeat treatment every 3 weeks for 4 courses in the absence of disease progression or unacceptable toxicity.

PROJECTED ACCRUAL: A minimum of 25 patients will be accrued for this study.

Eligibility

Minimum age: 16 Years. Maximum age: 64 Years. Gender(s): Male.

Criteria:

DISEASE CHARACTERISTICS:

- Metastatic nonseminomatous germ cell tumor of the testis

- In first relapse following first line treatment with bleomycin, etoposide, and

cisplatin

- Biopsy proven germ cell tumor OR

- Rising tumor markers (alpha fetoprotein and/or human chorionic gonadotropin)

- No brain metastases

PATIENT CHARACTERISTICS:

Age:

- 16 to 64

Performance status:

- 0-2

Life expectancy:

- Not specified

Hematopoietic:

- Not specified

Hepatic:

- Not specified

Renal:

- Glomerular filtration rate greater than 50 mL/min

Other:

- No other prior malignancy except curatively treated nonmelanomatous skin cancer or

superficial bladder cancer

PRIOR CONCURRENT THERAPY:

Biologic therapy:

- Not specified

Chemotherapy:

- See Disease Characteristics

Endocrine therapy:

- Not specified

Radiotherapy:

- Not specified

Surgery:

- Not specified

Other:

- No prior experimental drugs

Locations and Contacts

Velindre Hospital, Cardiff, Wales CF14 2TL, United Kingdom
Additional Information

Clinical trial summary from the National Cancer Institute's PDQ® database

Starting date: May 1996
Last updated: May 23, 2008

Page last updated: June 20, 2008

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