Relapsed Germ Cell Tumour with poor prognosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: INCLUSION 1. Germ Cell Tumour (GCT) 2. Relapsed or progression on or following platinum-based chemotherapy (rising tumour markers or progressive disease on CT) 3. Neutrophil count > 1.0 x109/l 4. Platelets > 70 x109/l 5. Haemoglobin > 100g/l (may be transfused) 6. Calculated Creatinine clearance > 60mls/min or EDTA clearance of > 40ml/min 7. Age 16-65 years (Patient under 35 must have a raised LDH at relapse) 8. ECOG Performance status 0-3 9. FDG-PET CT scans prior to chemotherapy (within 14 days of study entry). Are the trial subjects under 18? yes Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: EXCLUSION 1 Other malignancy except basal cell carcinoma 2 Significant co-morbidity likely to make delivery of this treatment unsafe 3 Currently enrolled in any other investigational drug study 4 Unable or unwilling to give written informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: ;Primary end point(s): PRIMARY ENDPOINTS • FDG PET-CT Scan metabolic response • Toxicity • Objective response rate ;Main Objective: 1. To establish the response rates to GAMIO 2. To establish the safety and efficacy of substitution of oxaliplatin and irinotecan for cisplatin and etoposide 3. To establish the toxicity of GAMIO 4. To establish progression free survival (PFS) 5. To ascertain whether a repeat FDG PET-CT scan at 14 days (after 1 cycle of therapy but prior to cycle 2) may predict long-term, progression-free survival following GAMIO. | — |
Countries
United Kingdom