Treatment Outcome and Quality of Life in Patients With Pediatric Extra-Cranial Germ Cell Tumors Previously Treated on Clinical Trial CCLG-GC-1979-01 or CCLG-GC-1989-01
Cross-Sectional Evaluation of Outcome Following Extra-Cranial Germ Cell Tumors Treated According to UKCCSG GC 7901 (GC I) and GC 8901 (GC II) Protocols
RATIONALE: Treatment for pediatric extracranial germ cell tumors may cause side effects and secondary cancers later in life. A study that evaluates patients after receiving combination chemotherapy or surgery may help doctors understand the side effects and secondary cancers that occur later in life.
PURPOSE: This study is looking at treatment outcome and quality of life in patients with pediatric extracranial germ cell tumors previously treated on clinical trial CCLG-GC-1979-01 or CCLG-GC-1989-01.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
OBJECTIVES:
- Determine the late effects of treatment and the quality-of-life of patients with germ cell tumors (GCT) previously treated on clinical trial CCLG-GC-1979-01 or CCLG-GC-1989-01.
- Evaluate the late effects of carboplatin, etoposide, and bleomycin in patients treated on clinical trial CCLG-GC-1989-01.
- Determine the toxicity of bleomycin and a combination of either cisplatin and vinblastine, etoposide and cisplatin, or carboplatin and etoposide in patients treated on clinical trial CCLG-GC-1979-01.
- Evaluate tumor-associated/surgical morbidity (bladder, bowel, and lower limb function) in patients with malignant sacrococcygeal tumors treated in these clinical trials.
- Evaluate tumor-associated/surgical morbidity (sexual function/fertility) in patients with malignant gonadal or pelvic GCTs.
- Evaluate tumor-associated/surgical morbidity (respiratory function) in patients with thoracic GCTs.
- Develop a methodology and recommendations for the prospective late evaluation of patients treated on future extracranial GCT clinical trials and those included in this study.
- Inform clinicians about the late effects of treatment of malignant GCTs and advise them on what long-term care these patients require.
OUTLINE: This is a cohort, multicenter study.
Patients complete questionnaires about ototoxicity, bladder and bowel dysfunction, and sexual function and fertility as appropriate. They also complete a health-related quality-of-life questionnaire over 20 minutes.
Treating physicians complete a lower-limb and neurologic dysfunction questionnaire. Data from myelodysplasia, second malignancy, ototoxicity, nephrotoxicity, and pulmonary toxicity assessments are collected from the patient's treating physician.
PROJECTED ACCRUAL: A total of 60 patients will be accrued for this study.
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Locations
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-
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Dublin, Ireland, 12
- Recruiting
- Our Lady's Hospital for Sick Children Crumlin
-
Contact:
- Contact Person
- Phone Number: 353-1-409-6653
-
-
-
-
England
-
Bristol, England, United Kingdom, BS2 8AE
- Recruiting
- Institute of Child Health at University of Bristol
-
Contact:
- Contact Person
- Phone Number: 44-117-342-8811
-
Cambridge, England, United Kingdom, CB2 2QQ
- Recruiting
- Addenbrooke's Hospital
-
Contact:
- Contact Person
- Phone Number: 44-1223-256-298
-
Leeds, England, United Kingdom, LS9 7TF
- Recruiting
- Leeds Cancer Centre at St. James's University Hospital
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London, England, United Kingdom, WC1N 3JH
- Recruiting
- Great Ormond Street Hospital for Children
-
Contact:
- Gill Levitt, MD
- Phone Number: 44-20-7405-9200 ext. 0073
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Newcastle-Upon-Tyne, England, United Kingdom, NE1 4LP
- Recruiting
- Sir James Spence Institute of Child Health at Royal Victoria Infirmary
-
Sheffield, England, United Kingdom, S10 2TH
- Recruiting
- Children's Hospital - Sheffield
-
Southampton, England, United Kingdom, SO16 6YD
- Recruiting
- Southampton General Hospital
-
Sutton, England, United Kingdom, SM2 5PT
- Recruiting
- Royal Marsden - Surrey
-
-
Scotland
-
Aberdeen, Scotland, United Kingdom, AB25 2ZG
- Recruiting
- Royal Aberdeen Children's Hospital
-
Edinburgh, Scotland, United Kingdom, EH9 1LF
- Recruiting
- Royal Hospital for Sick Children
-
Glasgow, Scotland, United Kingdom, G3 8SJ
- Recruiting
- Royal Hospital for Sick Children
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Wales
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Cardiff, Wales, United Kingdom, CF14 4XW
- Recruiting
- Childrens Hospital for Wales
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
DISEASE CHARACTERISTICS:
Previously enrolled in 1 of the following United Kingdom Children's Cancer Study Group (UKCCSG) clinical trials for treatment of extracranial germ cell tumors:
- CCLG-GC-1989-01
CCLG-GC-1979-01
- Received bleomycin or cisplatin therapy
- At least 5 years since completion of therapy in these clinical trials
Attending or in contact with a UKCCSG center
- Patients treated for sacrococcygeal teratomas and discharged from follow-up are eligible
- No recurrent or progressive disease
PATIENT CHARACTERISTICS:
- No patient deemed unsuitable for this study by the treating clinician
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
Study Plan
How is the study designed?
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
|---|
|
Ototoxicity as measured by audiogram and Health Utilities Index in patients previously treated with cisplatin or carboplatin
|
|
Nephrotoxicity as measured by serum magnesium, calcium, and creatinine and glomerular filtration rate in patients previously treated with cisplatin or carboplatin
|
|
Myelodysplasia and second malignancies in patients previously treated with etoposide
|
|
Pulmonary toxicity as measured by lung function test and respiratory symptom questionnaire in patients previously treated with bleomycin
|
|
Bladder and bowel dysfunction, sexual function, and fertility as measured by patient-completed questionnaires and lower limb and neurological dysfunction as measured by clinician-completed questionnaires in patients with pelvic or sacrococcygeal tumors
|
|
Quality of life (QOL) as measured by pediatric cancer quality-of-life inventory or Short Form 36 questionnaires
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Adam Glaser, MD, Leeds Cancer Centre at St. James's University Hospital
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
- infertility
- neurotoxicity
- long-term effects secondary to cancer therapy in children
- sexual dysfunction
- urinary complications
- gastrointestinal complications
- pulmonary complications
- childhood teratoma
- childhood malignant testicular germ cell tumor
- childhood malignant ovarian germ cell tumor
- childhood extragonadal germ cell tumor
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CCLG-GC-2006-06
- CDR0000531140 (Registry Identifier: PDQ (Physician Data Query))
- EU-20642
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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