Status:

COMPLETED

Phase II Study of Oxaliplatine-Paclitaxel in Patients With Metastatic Germ Cell Tumor Refractory to Cisplatin

Lead Sponsor:

Sanofi

Conditions:

Neoplasms, Germ Cell and Embryonal

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

To evaluate the efficacy of the oxaliplatin-paclitaxel combination i.e. evaluation of tumor response rate using World Health Organization/Union Internationale Contre le Cancer (WHO/UICC) and Indianapo...

Eligibility Criteria

Inclusion

  • Histologically proven germ cell cancer: gonadal (including ovarian) or extragonadal, seminomatous or non seminomatous, or clinical presentation of a GCT with elevated AFP level and/or hCG level (\> or =to 100 x ULN) when a biopsy was not available
  • Metastatic GCT patients:
  • Progression disease defined as \> 10% increase in hCG and/or AFP markers (and/or documented progressive disease \[PD\]) during a platinum-based chemotherapy or less than 6 months after the last cycle (in the case of growing non seminomatous tumor, without increased markers, a histological documentation of malignant tumor was required, to exclude growing mature teratoma)
  • At least 1 prior line of chemotherapy containing CDDP + etoposide; (prior regimen with high dose chemotherapy and hematopoietic stem cell support was permitted)
  • Eastern Cooperative Oncology Group PS (ECOG PS) grade \< or =to 2
  • At least 1 bidimensionally measurable lesion by imaging (CT scan) of \> or =to 20 mm outside an irradiated area OR significantly increased tumor markers \> 2 x ULN (on \> or =to 2 consecutive tests, even in the absence of measurable lesions)
  • Age \> or =to 18
  • Adequate bone marrow reserve
  • Neutrophil count \> or =to 1500/mm3
  • Platelets \> or =to 100,000/mm3
  • Renal function:Creatinine \< 3 x ULN
  • Liver function:Transaminases \< or =to 2.5 x ULN, total bilirubin \< 1.5 x ULN (if liver metastases, transaminases \< or =to 5 x ULN)
  • Laboratory values obtained in the week preceding study entry
  • Neurosensory \< or =to grade 1 NCI CTC
  • Signed informed consent obtained prior to all study procedures

Exclusion

  • Concomitant high-dose steroids (except for antiemetic prophylaxis)
  • Pregnancy, breast-feeding or absence of contraception in sexually active patients
  • Prior treatment with oxaliplatin or taxanes
  • History of second malignancy, except for cured non melanoma skin cancer or excised in situ cervical carcinoma
  • Symptomatic cerebral and/or leptomeningeal metastasis (irradiated brain metastases not requiring corticosteroid treatment were allowed)
  • Treatment with another experimental drug or anticancer agent or participation in another clinical study within 30 days prior to study
  • Other serious illness or uncontrolled infection
  • Psychological, social or geographical situation preventing regular follow-up
  • Primary tumor in brain/central nervous system

Key Trial Info

Start Date :

December 1 2000

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2004

Estimated Enrollment :

27 Patients enrolled

Trial Details

Trial ID

NCT00611962

Start Date

December 1 2000

End Date

March 1 2004

Last Update

February 11 2008

Active Locations (1)

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Sanofi-Aventis

Lyon, France