ClinicalTrials.gg
CompletedNCT02272816Car-PETUpdated Jan 25, 2019Results posted

Carboplatin AUC-10 With Early PET Scanning in Metastatic Seminoma

A Phase 2 interventional study of Carboplatin AUC-10 in Metastatic Seminoma, sponsored by Barts & The London NHS Trust. Completed at 2 sites in United Kingdom. Open to male participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-01-25.

Sponsored by Barts & The London NHS Trust · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 8 months after the study started (first participant enrolled Feb 2012, registered Nov 2012).
Phase
Phase 2
Study type
Interventional
Enrollment
48
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
Male
01

Study summary

This study evaluated the safety, efficacy and toxicity of carboplatin area under the curve (AUC)-10 in metastatic seminoma to see if, by using fluoro-deoxyglucose (FDG) positron emission tomography-computed tomography (PET-CT) to assess metabolic response, the number of patients requiring 4 cycles can be reduced. Carboplatin AUC-10 was given every 21 days. A PET-CT scan was carried out on day 17-21 of the first cycle. If the PET - CT scan showed a complete response patients received 3 cycles of treatment. If the PET - CT scan did not show a complete response patients received 4 cycles of treatment. After treatment, patients were followed up for 2 years.

02

Conditions studied

  • Metastatic Seminoma

Browse trials for

03

In context

Seminoma

63 studies on the registry are indexed under Seminoma; 15 are open to participants now.

This study's enrollment of 48 is close to the median of 50 across 47 interventional studies indexed under Seminoma.

Browse Seminoma studies →

Lead sponsor

Barts & The London NHS Trust is the lead sponsor of 151 studies on the registry; 21 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. seminoma with International Germ Cell Consensus Classification (IGCCCG) good prognosis.
  2. (GFR) by Ethylenediaminetetraacetic acid (EDTA) clearance over 25 ml/min.
  3. (ECOG) Performance status 0-3.
  4. Normal Alpha-fetoprotein (All levels of Human chorionic gonadotropin and Lactate dehydrogenase are acceptable).
  5. Males aged ≥18 and ≤75 years.
  6. Able to give written prior to study entry.
  7. Patients must be sterile or agree to use adequate during the period of therapy.

Exclusion criteria

Exclusion Criteria:

  1. seminoma with any non-pulmonary visceral metastases.
  2. Raised Alpha-fetoprotein.
  3. Any previous chemotherapy or radiotherapy.
  4. Currently enrolled in any other drug study.
  5. Other except basal cell.
Terms in these criteria, in plain language(7)

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    Carboplatin AUC-10

    Drug: Carboplatin AUC-10

Interventions

  • DrugCarboplatin AUC-10

    Carboplatin AUC-10 according to the Calvert formula \[10 x (glomerular filtration rate (ml/min) + 25)\]mg given in 5% glucose over 1 hour every 21 days for 3 or 4 cycles.

06

What researchers measure

Primary outcomes

  1. 2 - Year Progression Free Survival

    Number of participants progression free 2 years after registration.

    Time frame: 2 years

Secondary outcomes

  1. Metabolic Response Rate

    Number of participants achieving i) complete metabolic response (CR) and ii) partial metabolic response (PR) after one cycle of treatment.

    Time frame: 21 days

  2. Overall Survival

    Survival status at 2 years after registration.

    Time frame: 2 years

07

Results

Posted Jan 25, 2019

Participant flow

Participant flow — Overall Study
MilestoneCarboplatin AUC-10
Started48
Completed47
Not completed1
Withdrew: Adverse event1

Outcome measures

Primary2 - Year Progression Free Survival

Number of participants progression free 2 years after registration.

Time frame:
2 years
Reported as:
Count of participants · Participants
2 - Year Progression Free Survival
ParticipantsCarboplatin AUC-10
2 - Year Progression Free Survival46
Statistical analysis
  • Carboplatin AUC-10 · Percentage: 95.6
SecondaryMetabolic Response Rate

Number of participants achieving i) complete metabolic response (CR) and ii) partial metabolic response (PR) after one cycle of treatment.

Time frame:
21 days
Reported as:
Count of participants · Participants
Metabolic Response Rate
ParticipantsCarboplatin AUC-10
CR21
PR26
Statistical analysis
  • Carboplatin AUC-10 · Percentage: 45.0 · 95% CI 30.2 to 59.9
SecondaryOverall Survival

Survival status at 2 years after registration.

Time frame:
2 years
Reported as:
Count of participants · Participants
Overall Survival
ParticipantsCarboplatin AUC-10
Alive48
Deceased0
Statistical analysis
  • Carboplatin AUC-10 · Percentage: 100 · 95% CI 92.6 to 100

Adverse events

Collected over Start of treatment until 30 days after last dose.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Carboplatin AUC-100/48 (0%)12/48 (25%)47/48 (97.9%)
Most frequent serious events
Showing 10 of 14
Most frequent serious events
EventCarboplatin AUC-10
Febrile neutropeniaBlood and lymphatic system disorders4/48
NauseaGastrointestinal disorders3/48
HeadacheNervous system disorders2/48
VomitingGastrointestinal disorders2/48
Deep vein thrombosisVascular disorders1/48
HypotensionVascular disorders1/48
Peripheral ischaemiaVascular disorders1/48
DyspnoeaRespiratory, thoracic and mediastinal disorders1/48
AnaemiaBlood and lymphatic system disorders1/48
Hearing impairedEar and labyrinth disorders1/48
Most frequent other events
Showing 10 of 33
Most frequent other events
EventCarboplatin AUC-10
FatigueGeneral disorders44/48
NauseaGastrointestinal disorders37/48
Neutrophil count decreasedInvestigations34/48
Platelet count decreasedInvestigations28/48
AnaemiaBlood and lymphatic system disorders27/48
Decreased appetiteMetabolism and nutrition disorders22/48
ConstipationGastrointestinal disorders17/48
StomatitisGastrointestinal disorders16/48
VomitingGastrointestinal disorders14/48
TinnitusEar and labyrinth disorders13/48

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Carboplatin AUC-10
<=18 years0
Between 18 and 65 years47
>=65 years1
Sex: Female, Male
Sex: Female, Male(Participants)Carboplatin AUC-10
Female0
Male48
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Carboplatin AUC-10
Region of Enrollment
Region of Enrollment(Participants)Carboplatin AUC-10
United Kingdom48
Primary Tumour
Primary Tumour(Participants)Carboplatin AUC-10
Testis46
Mediastinum1
Retroperitoneum1
Sites of Metastases
Sites of Metastases(Participants)Carboplatin AUC-10
Lung2
Lymph node29
Other9
Not recorded8
Eastern Cooperative Oncology Group Performance Status (ECOG PS)
Eastern Cooperative Oncology Group Performance Status (ECOG PS)(Participants)Carboplatin AUC-10
ECOG PS = 041
ECOG PS = 12
ECOG PS = 20
ECOG PS = 30
Not recorded5
Stage of Disease
Stage of Disease(Participants)Carboplatin AUC-10
2A13
2B23
2C11
N/A1

4 further baseline measures are reported on the registry.

08

Study locations

2 sites
  • Barts Health NHS Trust
    London, EC1A 7BE, United Kingdom
  • Hillingdon Hospitals NHS Foundation Trust
    London, HA6 2RN, United Kingdom
09

References and documents

Publications

  • Horwich A, Oliver RT, Wilkinson PM, Mead GM, Harland SJ, Cullen MH, Roberts JT, Fossa SD, Dearnaley DP, Lallemand E, Stenning SP; MRC Testicular Tumour Working Party. A medical research council randomized trial of single agent carboplatin versus etoposide and cisplatin for advanced metastatic seminoma. MRC Testicular Tumour Working Party. Br J Cancer. 2000 Dec;83(12):1623-9. doi: 10.1054/bjoc.2000.1498. PubMed 11104556 ↗
  • Bokemeyer C, Kollmannsberger C, Stenning S, Hartmann JT, Horwich A, Clemm C, Gerl A, Meisner C, Ruckerl CP, Schmoll HJ, Kanz L, Oliver T. Metastatic seminoma treated with either single agent carboplatin or cisplatin-based combination chemotherapy: a pooled analysis of two randomised trials. Br J Cancer. 2004 Aug 16;91(4):683-7. doi: 10.1038/sj.bjc.6602020. PubMed 15266338 ↗
  • Shamash J, McLaren B, LeVay JH, Ong J, Murray P, Asterling S, Oliver RT. Carboplatin AUC8 in combination with etoposide and bleomycin in the treatment of intermediate and poor-risk metastatic germ cell tumours: a phase II study. Cancer Chemother Pharmacol. 2001 Apr;47(4):370-2. doi: 10.1007/s002800000217. PubMed 11345655 ↗
  • Horwich A, Sleijfer DT, Fossa SD, Kaye SB, Oliver RT, Cullen MH, Mead GM, de Wit R, de Mulder PH, Dearnaley DP, Cook PA, Sylvester RJ, Stenning SP. Randomized trial of bleomycin, etoposide, and cisplatin compared with bleomycin, etoposide, and carboplatin in good-prognosis metastatic nonseminomatous germ cell cancer: a Multiinstitutional Medical Research Council/European Organization for Research and Treatment of Cancer Trial. J Clin Oncol. 1997 May;15(5):1844-52. doi: 10.1200/JCO.1997.15.5.1844. PubMed 9164194 ↗
  • Gore M, Mainwaring P, A'Hern R, MacFarlane V, Slevin M, Harper P, Osborne R, Mansi J, Blake P, Wiltshaw E, Shepherd J. Randomized trial of dose-intensity with single-agent carboplatin in patients with epithelial ovarian cancer. London Gynaecological Oncology Group. J Clin Oncol. 1998 Jul;16(7):2426-34. doi: 10.1200/JCO.1998.16.7.2426. PubMed 9667260 ↗
  • Cheson BD, Pfistner B, Juweid ME, Gascoyne RD, Specht L, Horning SJ, Coiffier B, Fisher RI, Hagenbeek A, Zucca E, Rosen ST, Stroobants S, Lister TA, Hoppe RT, Dreyling M, Tobinai K, Vose JM, Connors JM, Federico M, Diehl V; International Harmonization Project on Lymphoma. Revised response criteria for malignant lymphoma. J Clin Oncol. 2007 Feb 10;25(5):579-86. doi: 10.1200/JCO.2006.09.2403. Epub 2007 Jan 22. PubMed 17242396 ↗
  • Juweid ME, Stroobants S, Hoekstra OS, Mottaghy FM, Dietlein M, Guermazi A, Wiseman GA, Kostakoglu L, Scheidhauer K, Buck A, Naumann R, Spaepen K, Hicks RJ, Weber WA, Reske SN, Schwaiger M, Schwartz LH, Zijlstra JM, Siegel BA, Cheson BD; Imaging Subcommittee of International Harmonization Project in Lymphoma. Use of positron emission tomography for response assessment of lymphoma: consensus of the Imaging Subcommittee of International Harmonization Project in Lymphoma. J Clin Oncol. 2007 Feb 10;25(5):571-8. doi: 10.1200/JCO.2006.08.2305. Epub 2007 Jan 22. PubMed 17242397 ↗
  • A'Hern RP. Sample size tables for exact single-stage phase II designs. Stat Med. 2001 Mar 30;20(6):859-66. doi: 10.1002/sim.721. PubMed 11252008 ↗
  • Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET, Carbone PP. Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol. 1982 Dec;5(6):649-55. No abstract available. PubMed 7165009 ↗
  • Shamash J, Syed R, Sarker SJ, Sarwar N, Sharma A, Mutsvangwa K, Coetzee C, Wilson P, Rustin GJ. A phase II study of carboplatin AUC-10 guided by positron emission tomography-defined metabolic response in metastatic seminoma. Eur J Cancer. 2019 Jul;115:128-135. doi: 10.1016/j.ejca.2019.04.013. Epub 2019 May 25. PubMed 31136925 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2012 to primary completion in Oct 2017, 68 months.

Results were first posted in Jan 2019, 1 year 3 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 6, 2012
First posted
Oct 23, 2014
StartActual
Feb 13, 2012
Primary completionActual
Oct 13, 2017
CompletionActual
Oct 13, 2017
Results first posted
Jan 25, 2019
Last update
Jan 25, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02272816
Collaborators
University College London Hospitals
Responsible party
Sponsor
First posted
Oct 23, 2014
Start date
Feb 13, 2012
Primary completion
Oct 13, 2017
Completion
Oct 13, 2017
Results posted
Jan 25, 2019
Last update
Jan 25, 2019

Study contacts

Jonathan Shamash, MD FRCP
principal investigator · Barts & The London NHS Trust

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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