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CompletedNCT00453232Updated Aug 7, 2013

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

A Phase 2 interventional study of bleomycin sulfate and pegfilgrastim in Extragonadal Germ Cell Tumor, Teratoma and Testicular Germ Cell Tumor, sponsored by Cambridge University Hospitals NHS Foundation Trust. Completed at 7 sites in United Kingdom. Open to male participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2013-08-07.

Sponsored by Cambridge University Hospitals NHS Foundation Trust · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years to 40 Years
Sex
Male
01

Study 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.

Read the 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.

02

Conditions studied

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

Keywords

  • stage III malignant testicular germ cell tumor
  • testicular choriocarcinoma and seminoma
  • testicular embryonal carcinoma and seminoma
  • testicular choriocarcinoma and embryonal carcinoma
  • testicular choriocarcinoma and teratoma
  • testicular choriocarcinoma
  • testicular choriocarcinoma and yolk sac tumor
  • testicular embryonal carcinoma and teratoma with seminoma
  • testicular embryonal carcinoma and teratoma
  • testicular embryonal carcinoma and yolk sac tumor with seminoma
  • testicular embryonal carcinoma and yolk sac tumor
  • testicular embryonal carcinoma
  • testicular seminoma
  • testicular yolk sac tumor
  • testicular yolk sac tumor and teratoma with seminoma
  • testicular yolk sac tumor and teratoma
  • recurrent malignant testicular germ cell tumor
  • recurrent extragonadal non-seminomatous germ cell tumor
  • recurrent extragonadal seminoma
  • stage IV extragonadal non-seminomatous germ cell tumor
  • stage IV extragonadal seminoma
  • adult teratoma
  • testicular immature teratoma
  • testicular mature teratoma
  • recurrent extragonadal 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 20 is below the median of 50 across 7,253 interventional studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Cambridge University Hospitals NHS Foundation Trust is the lead sponsor of 167 studies on the registry; 37 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Patients must fulfill all of the following criteria for 1 of the following diagnoses:

    • Nonseminoma germ cell tumor (intermediate risk)

      • Testis or retroperitoneal primary
      • Abnormal markers (alpha fetoprotein [AFP] > 1,000 and \< 10,000 ng/mL, human chorionic gonadotropin [HCG] > 5,000 and \< 50,000 IU/L, lactate dehydrogenase [LDH] > 1.5 times and \< 10 times upper limit of normal [ULN])
      • No liver, bone, brain, or other nonpulmonary visceral metastasis
      • Histologic confirmation is not required if AFP or HCG are grossly elevated
    • Nonseminoma germ cell tumor (poor prognosis) meeting 1 of the following criteria:

      • Mediastinal primary
      • Nonpulmonary visceral metastases
      • Poor markers (AFP > 10,000 ng/mL, HCG > 50,000 IU/L, LDH > 10 times ULN)
      • Histologic confirmation not required if AFP or HCG are grossly elevated
    • Seminoma (intermediate prognosis)

      • Histological confirmation is required
      • Any primary site
      • Nonpulmonary visceral metastases must be present
      • Normal AFP
      • Any HCG
      • Any LDH
    • Surveillance relapse

      • Must fulfill appropriate criteria above according to initial histology

PATIENT CHARACTERISTICS:

  • Neutrophil count ≥ 1,000/mm³
  • Platelet count ≥ 100,000/mm³
  • Must have adequate renal function (creatinine clearance ≥ 60 mL/min)
  • No prior malignancy except basal cell carcinoma

PRIOR CONCURRENT THERAPY:

  • No prior chemotherapy or radiotherapy
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Enrollment
20 participants (estimated)

Interventions

  • Biologicalbleomycin sulfate
  • Biologicalpegfilgrastim
  • Drugcisplatin
  • Drugetoposide
06

What researchers measure

Primary outcomes

  1. Toxicity

  2. Feasibility

Secondary outcomes

  1. Response rate

  2. Progression-free survival

07

Study locations

7 sites
  • Addenbrooke's Hospital
    Cambridge, England CB2 2QQ, United Kingdom
  • Leeds Cancer Centre at St. James's University Hospital
    Leeds, England LS9 7TF, United Kingdom
  • Saint Bartholomew's Hospital
    London, England EC1A 7BE, United Kingdom
  • Northern Centre for Cancer Treatment at Newcastle General Hospital
    Newcastle-Upon-Tyne, England NE4 6BE, United Kingdom
  • Churchill Hospital
    Oxford, England OX3 7LJ, United Kingdom
  • Edinburgh Cancer Centre at Western General Hospital
    Edinburgh, Scotland EH4 2XU, United Kingdom
  • Beatson West of Scotland Cancer Centre
    Glasgow, Scotland G11 6NT, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00453232
Lead sponsor
Cambridge University Hospitals NHS Foundation Trust
First posted
Mar 28, 2007
Start date
Aug 2004
Primary completion
Dec 2008
Completion
Jan 2009
Last update
Aug 7, 2013

Study contacts

Michael Williams, MD
study chair · Cambridge University Hospitals NHS Foundation Trust
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2007. You cannot join it, but the record below documents what was studied.

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