CClinicalTrials.gg
Status unknownNCT00274950Updated Sep 17, 2013

Observation and/or Combination Chemotherapy After Surgery or Biopsy in Treating Young Patients With Extracranial Germ Cell Tumors

A Phase 3 interventional study of bleomycin sulfate and carboplatin in Childhood Germ Cell Tumor, Extragonadal Germ Cell Tumor and Ovarian Cancer, sponsored by Children's Cancer and Leukaemia Group. Status unknown at 20 sites in 2 countries. Open to participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2013-09-17.

Sponsored by Children's Cancer and Leukaemia Group · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jun 2009), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
105
Ages
Up to 17 Years
Sex
All
01

Study summary

RATIONALE: Sometimes, after surgery, the tumor may not need additional treatment until it progresses. In this case, observation may be sufficient. Drugs used in chemotherapy work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells. Giving combination chemotherapy after surgery may kill any remaining tumor cells.

PURPOSE: This phase III trial is studying how well observation and/or combination chemotherapy works after surgery or biopsy in treating young patients with extracranial germ cell tumors.

Read the detailed description

OBJECTIVES:

  • Stratify and reduce treatment for pediatric patients with extracranial germ cell tumors while maintaining event-free survival.
  • Treat newly diagnosed patients with extracranial germ cell tumors requiring chemotherapy with a carboplatin-based strategy.
  • Develop a common strategy for the treatment of patients with recurrent or progressive extracranial germ cell tumors.
  • Register all cases of mature and immature teratoma.
  • Develop a common strategy for the management of immature and mature teratoma, including follow-up strategies to permit early detection of yolk sac recurrence.

OUTLINE: This is a multicenter study.

Patients who have not had prior biopsy or surgical resection undergo biopsy (if feasible) or surgical resection. Patients with mature or immature teratoma undergo observation. These patients who relapse (i.e., tumor regrowth) may undergo further surgical resection unless tumor markers are significantly elevated. If the tumor markers are significantly elevated, these patients proceed to JEB chemotherapy according to risk group. Patients with all other malignant germ cell tumors are assigned to 1 of 3 treatment groups according to risk.

  • Low-risk group: Patients with normal tumor markers undergo observation. Patients with rising tumor markers only AND no imageable tumor proceed to treatment as in the intermediate-risk group. Patients with rising tumor markers AND/OR imageable tumor are considered to have relapsed and proceed to treatment as in the intermediate- or high-risk group.
  • Intermediate-risk group: Patients receive JEB chemotherapy comprising etoposide IV over 4 hours on days 1-3, carboplatin IV over 1 hour on day 2, and bleomycin IV over 30 minutes on day 3. Treatment repeats every 21 days for 4 courses. Patients with residual tumors after completion of chemotherapy may undergo second-look surgery.
  • High-risk group: Patients receive JEB chemotherapy as in the intermediate-risk group for 6 courses. Patients with residual tumors after completion of chemotherapy may undergo second-look surgery.
  • Relapse therapy: Patients in the intermediate- or high-risk group who relapse after completion of JEB chemotherapy receive vinblastine IV on days 1 and 2, ifosfamide IV over 1 hour on days 1-5, and cisplatin IV on days 1-5. Treatment repeats every 21 days for 6 courses.

PROJECTED ACCRUAL: A total of 105 patients will be accrued for this study.

02

Conditions studied

  • Childhood Germ Cell Tumor
  • Extragonadal Germ Cell Tumor
  • Ovarian Cancer

Keywords

  • childhood extragonadal germ cell tumor
  • childhood malignant ovarian germ cell tumor
  • childhood malignant testicular germ cell tumor
  • recurrent childhood malignant germ cell tumor
  • childhood teratoma
  • childhood extracranial germ cell tumor
03

In context

Neoplasms

9,365 studies on the registry are indexed under Neoplasms; 2,489 are open to participants now.

This study's planned enrollment of 105 is above the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Children's Cancer and Leukaemia Group is the lead sponsor of 44 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically* proven extracranial malignant germ cell tumor (GCT), including mature/immature teratoma, with or without elevated alpha-fetoprotein (AFP) or human chorionic gonadotropin (HCG) levels

    • Newly diagnosed disease
    • Patients with relapsed or progressive extracranial malignant GCT allowed if previously treated with carboplatin, etoposide, and bleomycin (JEB) chemotherapy

      • Patients relapsing following JEB are eligible for the study relapse strategy NOTE: *Patients with unequivocally raised AFP/HCG whose risk of biopsy is felt to be high can be diagnosed by clinical grounds, imaging, and markers
  • No intracranial GCTs

PATIENT CHARACTERISTICS:

  • Neutrophil count ≥ 1,000/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Bilirubin ≤ 2 times upper limit of normal (ULN)
  • ALT ≤ 3 times ULN
  • Not pregnant or nursing

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • No prior chemotherapy other than JEB
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Masking
None (open label)
Enrollment
105 participants (estimated)

Interventions

  • Biologicalbleomycin sulfate
  • Drugcarboplatin
  • Drugcisplatin
  • Drugetoposide
  • Drugifosfamide
  • Drugvinblastine sulfate
  • Procedureadjuvant therapy
  • Procedureconventional surgery
06

What researchers measure

Primary outcomes

  1. Event-free survival

  2. Continuation of treatment

  3. Development of common and follow-up strategies

  4. Registration of all cases of mature and immature teratoma

07

Study locations

20 sites
  • Our Lady's Hospital for Sick Children Crumlin
    Dublin, 12, Ireland
  • Birmingham Children's Hospital
    Birmingham, England B4 6NH, United Kingdom
  • Institute of Child Health at University of Bristol
    Bristol, England BS2 8AE, United Kingdom
  • Addenbrooke's Hospital
    Cambridge, England CB2 2QQ, United Kingdom
  • Leeds Cancer Centre at St. James's University Hospital
    Leeds, England LS9 7TF, United Kingdom
  • Leicester Royal Infirmary
    Leicester, England LE1 5WW, United Kingdom
  • Royal Liverpool Children's Hospital, Alder Hey
    Liverpool, England L12 2AP, United Kingdom
  • Royal London Hospital
    London, England E1 1BB, United Kingdom
  • Great Ormond Street Hospital for Children
    London, England WC1N 3JH, United Kingdom
  • Royal Manchester Children's Hospital
    Manchester, England M27 4HA, United Kingdom
  • Sir James Spence Institute of Child Health at Royal Victoria Infirmary
    Newcastle-Upon-Tyne, England NE1 4LP, United Kingdom
  • Queen's Medical Centre
    Nottingham, England NG7 2UH, United Kingdom
  • Children's Hospital - Sheffield
    Sheffield, England S10 2TH, United Kingdom
  • Southampton General Hospital
    Southampton, England SO16 6YD, United Kingdom
  • Royal Marsden - Surrey
    Sutton, England SM2 5PT, United Kingdom
  • Royal Belfast Hospital for Sick Children
    Belfast, Northern Ireland BT12 6BE, United Kingdom
  • Royal Aberdeen Children's Hospital
    Aberdeen, Scotland AB25 2ZG, United Kingdom
  • Royal Hospital for Sick Children
    Edinburgh, Scotland EH9 1LF, United Kingdom
  • Royal Hospital for Sick Children
    Glasgow, Scotland G3 8SJ, United Kingdom
  • Childrens Hospital for Wales
    Cardiff, Wales CF14 4XW, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 17, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00274950
Lead sponsor
Children's Cancer and Leukaemia Group
First posted
Jan 11, 2006
Start date
May 2005
Primary completion
May 2010 (estimated)
Last update
Sep 17, 2013

Study contacts

Juliet Hale, MD
principal investigator · Sir James Spence Institute of Child Health at Royal Victoria Infirmary
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jun 2009. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion