A phase II trial of TIP (paclitaxel, ifosfamide and cisplatin) given as second-line (post-BEP) salvage chemotherapy for patients with metastatic germ cell cancer: a medical research council trial
2005

TIP Chemotherapy for Metastatic Germ Cell Cancer

Sample size: 43 publication 10 minutes Evidence: moderate

Author Information

Author(s): Mead G M, Cullen M H, Huddart R, Harper P, Rustin G J S, Cook P A, Stenning S P, Mason M

Primary Institution: Medical Research Council Clinical Trials Unit

Hypothesis

Can TIP chemotherapy effectively salvage patients with metastatic germ cell cancer who have failed initial BEP chemotherapy?

Conclusion

TIP chemotherapy can cure a substantial proportion of patients with metastatic germ cell cancer, particularly those with good prognosis.

Supporting Evidence

  • Eight patients achieved complete remission and 18 achieved partial remission.
  • The overall favorable response rate was 60%.
  • Survival at 1 year was 70%.

Takeaway

This study tested a special medicine called TIP on patients with a type of cancer that didn't get better with the first treatment. Many patients got better after using TIP.

Methodology

Patients received four courses of TIP chemotherapy at 3-weekly intervals, and their responses were assessed based on tumor marker levels and imaging.

Potential Biases

Potential biases may arise from the multi-center nature of the study and variations in treatment administration.

Limitations

The study had a small sample size and results may not be generalizable to all patients with metastatic germ cell cancer.

Participant Demographics

The study included 51 male patients aged 16-65, primarily with nonseminoma histology.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI (44–75%)

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602682

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