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A Phase II Study of Iressa in Patients With Chemo Refractory Germ Cell Tumors Expressing EGFR

A Phase II Study of ZD1839 (Iressa)in Chemotherapy Refractory Germ Cell Tumors Expressing Epidermal Growth Factor Receptor (EGFR)

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00198159
Acronym
IUCRO-0021
Enrollment
21
Registered
2005-09-20
Start date
2002-09-30
Completion date
2006-03-31
Last updated
2014-09-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Refractory Germ Cell Tumors Expressing EGRF

Keywords

Refractory Germ Cell Tumors, Germ Cell Tumors

Brief summary

This study will evaluate the use of ZD1839 in the treatment of subjects with refractory germ cell tumors. Subjects will take ZD1839 for one year in the absence of excessive toxicity or decision to withdraw.

Detailed description

The primary objective is to determine the response rate of ZD1839 in patients with refractory germ cell tumors expressing EGFR. The secondary objectives are to determine the duration of response, time to progression and overall survival in patients with refractory germ cell tumors expressing EGFR and treated with ZD1839; to evaluate the tolerability of ZD1839 in patients with refractory germ cell tumors and to correlate tumor response to degree of EGFR expression by immunohistochemistry.

Interventions

DRUGZD1839 Iressa

Sponsors

AstraZeneca
CollaboratorINDUSTRY
Indiana University School of Medicine
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologic or serologic proof of metastatic germ cell neoplasm(gonadal or extragonadal primary) with disease not amenable to cure with either surgery or chemotherapy. Patients w/ seminoma and non-seminoma are eligible, as are women w/ ovarian germ cell tumors. * Evidence of recurrent or metastatic carcinoma * Must have received initial cisplatin combination therapy & demonstrated progression following the administration of at least one salvage regimen for advanced germ cell neoplasms. * Patients are eligible after first line platinum bsed chemotherapy if their disease has relapsed and they have primary mediastinal non seminomatous germ cell tumor, late relapse or progressed w/in 4 wks of last platinum dose. * immunohistochemical documentation of EGFR expression documented. * adequate organ function: ANC \>/=150,plt \>100K, total bili \</= upper limit of normal(ULN). Pts w/ liver mets up to 3x ULN.Transaminases up to 1.5 x ULN if alk phos is \</=ULN or alk phos may be up to 4x ULN if transaminases are \</= ULN. Pts w/ liver mets may have alk phos up to 5x ULN. Serum crt \</= 2.0. * ECOG performance status 0-2.

Exclusion criteria

* Must be 3 weeks post major surgery, radiotherapy, or chemotherapy and hae recovered from all toxicity. * Active unresolved infection and/or are receiving concurrent treatment with parenteral antibiotics are ineligible. * Patients requiring steroids for symptomatic brain metastasis are not eligible. * Pregnant or lactating patients are not eligible. * Class III/IV heart disease

Design outcomes

Primary

MeasureTime frame
To determine the response rate of ZD1839

Secondary

MeasureTime frame
To determine duration of response, time to progression and overall survival

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026