Irinotecan in patients with relapsed or cisplatin-refractory germ cell cancer: a phase II study of the German Testicular Cancer Study Group
2002

Irinotecan for Germ Cell Cancer

Sample size: 15 publication Evidence: low

Author Information

Author(s): Kollmannsberger C, Rick O, Klaproth H, Kubin T, Sayer H G, Hentrich M, Welslau M, Mayer F, Kuczyk M, Spott C, Kanz L, Bokemeyer C

Primary Institution: University of Tuebingen Medical Center, Germany

Hypothesis

Does irinotecan have antitumor activity in patients with relapsed or cisplatin-refractory germ cell cancer?

Conclusion

Irinotecan does not show any antitumor activity in patients with cisplatin-refractory germ cell cancer.

Supporting Evidence

  • All patients progressed during the first or second cycle of therapy.
  • Median overall survival for all patients was 3 months.
  • Thirteen patients (87%) have died and two patients (13%) are alive with disease.

Takeaway

The study tested a drug called irinotecan on patients with a type of cancer that didn't respond to other treatments, but it didn't work at all.

Methodology

Patients received irinotecan at a dose of 300-350 mg/m² every 3 weeks, and their responses were evaluated every 4 weeks.

Limitations

The study had a small sample size and all patients were heavily pretreated, which may limit the generalizability of the results.

Participant Demographics

Median age was 35 years, with a range of 19-53 years; most had previously failed high-dose chemotherapy.

Digital Object Identifier (DOI)

10.1038/sj.bjc.66000524

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