ClinicalTrials.gg
Status unknownNCT00589537Updated Aug 7, 2013

Magnetic Resonance Imaging and Computed Tomography in Patients With Stage I Seminoma of the Testicle

A Phase 3 interventional study of questionnaire administration and computed tomography in Testicular Germ Cell Tumor, sponsored by Medical Research Council. Status unknown at 29 sites in United Kingdom. Open to male participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2013-08-07.

Sponsored by Medical Research Council · Phase 3, Interventional, and Diagnostic

The sponsor has not verified this record recently (last verified Jul 2009), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
660
Allocation
Randomized
Ages
16 Years and older
Sex
Male
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Study summary

RATIONALE: Imaging procedures, such as MRI and CT scan, may find recurrent cancer. It is not yet known which MRI or CT scan schedule is more effective in finding recurrent cancer.

PURPOSE: This randomized phase III trial is comparing four different MRI and CT scan schedules in patients with stage I seminoma of the testicle.

Read the detailed description

OBJECTIVES:

  • To assess whether a reduced computed tomography (CT) schedule or magnetic resonance imaging (MRI) could be used as safe and effective alternatives to standard CT-based surveillance in the management of patients with stage I seminoma of the testis.

OUTLINE: This is a multicenter study. Patients are randomized to 1 of 4 surveillance arms.

  • Arm I: Patients undergo computed tomography (CT) scan of the abdomen/retroperitoneum* at 6, 12, 18, 24, 36, 48, and 60 months in the absence of disease progression.
  • Arm II: Patients undergo CT scan of the abdomen/retroperitoneum* at 6, 18, and 36 months in the absence of disease progression.
  • Arm III: Patients undergo magnetic resonance imaging (MRI) of the abdomen/retroperitoneum* at 6, 12, 18, 24, 36, 48, and 60 months in the absence of disease progression.
  • Arm IV: Patients undergo MRI of the abdomen/retroperitoneum* at 6, 18, and 36 months in the absence of disease progression.

NOTE: *Patients with a history of ipsilateral inguino-scrotal surgery also undergo imaging of the pelvis.

Patients complete questionnaires at baseline and periodically during study to assess health-related quality of life; utilization and cost of healthcare services (including the cost of CT- or MRI-based surveillance and the management of any recurrence); and acceptability of allocated scanning schedule.

Patients are followed every 3 months for 2 years, every 4 months for 1 year, and then every 6 months for 3 years.

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Conditions studied

  • Testicular Germ Cell Tumor

Keywords

  • testicular seminoma
  • stage I malignant testicular germ cell tumor
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In context

Testicular Germ Cell Tumor

85 studies on the registry are indexed under Testicular Germ Cell Tumor; 10 are open to participants now.

This study's planned enrollment of 660 is above the median of 46 across 54 interventional studies indexed under Testicular Germ Cell Tumor.

Browse Testicular Germ Cell Tumor studies →

Lead sponsor

Medical Research Council is the lead sponsor of 68 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
16 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • confirmed seminoma of the testis

    • Stage I disease, as determined by clinical examination and CT scan of the chest, abdomen, and pelvis
  • No evidence of any non-seminoma germ cell tumor elements
  • Has undergone orchidectomy within the past 8 weeks

    • Normal serum alpha-fetoprotein pre-orchidectomy and at study randomization
    • Normal serum beta human chorionic gonadotrophin at study randomization (may have been elevated pre-orchidectomy)
  • Not planning to undergo therapy

PATIENT CHARACTERISTICS:

  • Able to attend regular surveillance
  • No other within the past 10 years expect successfully treated nonmelanoma skin cancer
  • No to MRI (i.e., ferrous metal implants of any type, cardiac pacemaker or defibrillator, or history of injury by metal fragments)

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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Study design

Phase
Phase 3
Primary purpose
Diagnostic
Allocation
Randomized
Enrollment
660 participants (estimated)

Interventions

  • Otherquestionnaire administration
  • Procedurecomputed tomography
  • Proceduremagnetic resonance imaging
  • Procedurequality-of-life assessment
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What researchers measure

Primary outcomes

  1. Proportion of patients relapsing with Royal Marsden Hospital stage IIC or greater disease

Secondary outcomes

  1. Difference in mean abdominal mass size at relapse between computed tomography (CT) scan and magnetic resonance imaging (MRI)

  2. Time on surveillance before detection of relapse

  3. Prospective identification of first modality to detect relapse (patient symptom, clinical examination, tumor marker, chest x-ray, cross-sectional image)

  4. Extent of relapse according to International Germ Cell Cancer Collaborative Group classification

  5. Disease-free survival

  6. Overall survival

  7. Prospective evaluation of prognostic factors for relapse

  8. Number of false positive MRIs

  9. Resource use and costs

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Study locations

29 of 29 sites recruiting
  • Royal Bournemouth Hospital
    Bournemouth, England BH7 7DW, United Kingdom
    Recruiting
    • Tom Geldart · Contact44-1202-726-088
  • Sussex Cancer Centre at Royal Sussex County Hospital
    Brighton, England BN2 5BF, United Kingdom
    Recruiting
    • David Bloomfield, MD · Contact44-1273-696-955 ext. 7686
  • Bristol Haematology and Oncology Centre
    Bristol, England BS2 8ED, United Kingdom
    Recruiting
    • Jeremy Braybrooke, MD · Contact44-117-928-2418
  • Addenbrooke's Hospital
    Cambridge, England CB2 2QQ, United Kingdom
    Recruiting
  • Gloucestershire Oncology Centre at Cheltenham General Hospital
    Cheltenham, England GL53 7AN, United Kingdom
    Recruiting
  • Huddersfield Royal Infirmary
    Huddersfield, West Yorks, England HD3 3EA, United Kingdom
    Recruiting
  • Leeds Cancer Centre at St. James's University Hospital
    Leeds, England LS9 7TF, United Kingdom
    Recruiting
    • Contact Person · Contact44-113-206-6400
  • Leicester Royal Infirmary
    Leicester, England LE1 5WW, United Kingdom
    Recruiting
  • Lincoln County Hospital
    Lincoln, England LN2 5QY, United Kingdom
    Recruiting
    • Thiagarajan Sreenivasant · Contact44-1522-572-203
  • UCL Cancer Institute
    London, England NW3 2QG, United Kingdom
    Recruiting
    • Tim Meyer, MD, BSc, MRCP, PhD · Contact44-207-679-6731
  • Charing Cross Hospital
    London, England W6 8RF, United Kingdom
    Recruiting
    • Philip Savage, MD · Contact44-20-8846-1419
  • University College of London Hospitals
    London, England WIT 3AA, United Kingdom
    Recruiting
  • Mid Kent Oncology Centre at Maidstone Hospital
    Maidstone, England ME16 9QQ, United Kingdom
    Recruiting
    • Contact Person · Contact44-1622-729-000
  • Christie Hospital
    Manchester, England M20 4BX, United Kingdom
    Recruiting
  • James Cook University Hospital
    Middlesbrough, England TS4 3BW, United Kingdom
    Recruiting
    • Adrian Rathmell, MD · Contact44-1642-854-750
  • Northern Centre for Cancer Treatment at Newcastle General Hospital
    Newcastle-Upon-Tyne, England NE4 6BE, United Kingdom
    Recruiting
    • Rhona McMenemin · Contact44-191-256-3588
  • Northampton General Hospital
    Northampton, England NN1 5BD, United Kingdom
    Recruiting
  • Mount Vernon Cancer Centre at Mount Vernon Hospital
    Northwood, England HA6 2RN, United Kingdom
    Recruiting
  • Nottingham City Hospital
    Nottingham, England NG5 1PB, United Kingdom
    Recruiting
    • Michael Sokal · Contact44-115-969-1169 ext. 57300
  • Churchill Hospital
    Oxford, England OX3 7LJ, United Kingdom
    Recruiting
    • Andrew Protheroe, MD · Contact44-186-522-6183
  • Berkshire Cancer Centre at Royal Berkshire Hospital
    Reading, England RG1 5AN, United Kingdom
    Recruiting
    • Paul Rogers, MD · Contact44-118-987-7688
  • Cancer Research Centre at Weston Park Hospital
    Sheffield, England S1O 2SJ, United Kingdom
    Recruiting
  • Royal Marsden - Surrey
    Sutton, England SM2 5PT, United Kingdom
    Recruiting
  • Yeovil District Hospital
    Yeovil, England BA21 4AT, United Kingdom
    Recruiting
    • Chris Parker · Contact44-1935-384-345
  • Centre for Cancer Research and Cell Biology at Queen's University Belfast
    Belfast, Northern Ireland BT9 7BL, United Kingdom
    Recruiting
    • Seamus McAleer · Contact44-28-9032-9241
  • Aberdeen Royal Infirmary
    Aberdeen, Scotland AB25 2ZN, United Kingdom
    Recruiting
  • Beatson West of Scotland Cancer Centre
    Glasgow, Scotland G11 6NT, United Kingdom
    Recruiting
  • Velindre Cancer Center at Velindre Hospital
    Cardiff, Wales CF14 2TL, United Kingdom
    Recruiting
    • Jim Barber, MD · Contact44-29-2061-5888
  • Glan Clwyd Hospital
    Rhyl, Denbighshire, Wales LL 18 5UJ, United Kingdom
    Recruiting
    • Audrey Champion · Contact44-1745-534-432
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References and documents

Publications

  • Joffe JK, Cafferty FH, Murphy L, Rustin GJS, Sohaib SA, Gabe R, Stenning SP, James E, Noor D, Wade S, Schiavone F, Swift S, Dunwoodie E, Hall M, Sharma A, Braybrooke J, Shamash J, Logue J, Taylor HH, Hennig I, White J, Rudman S, Worlding J, Bloomfield D, Faust G, Glen H, Jones R, Seckl M, MacDonald G, Sreenivasan T, Kumar S, Protheroe A, Venkitaraman R, Mazhar D, Coyle V, Highley M, Geldart T, Laing R, Kaplan RS, Huddart RA; TRISST Trial Management Group and Investigators. Imaging Modality and Frequency in Surveillance of Stage I Seminoma Testicular Cancer: Results From a Randomized, Phase III, Noninferiority Trial (TRISST). J Clin Oncol. 2022 Aug 1;40(22):2468-2478. doi: 10.1200/JCO.21.01199. Epub 2022 Mar 17. PubMed 35298280 ↗
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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 ↗
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Registry details

Key details

Study ID
NCT00589537
Lead sponsor
Medical Research Council
First posted
Jan 9, 2008
Start date
Mar 2008
Primary completion
Dec 2016 (estimated)
Last update
Aug 7, 2013

Study contacts

Johnathan Joffe, MD
study chair · Huddersfield Royal Infirmary
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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