Prospective Phase II Study Evaluating a Multimodal Care of Inguinal Node Metastasis in Squamous Cell Carcinoma of the Penis by Bilateral Lymphadenectomy and Chemotherapy TIP
Condition: Penile Cancer, Squamous Carcinoma
Study Type: Interventional
Clinical Trials Identifier NCT 8-digits: NCT02817958
Sponsor: UNICANCER
Phase: Phase 2
Eligibility:
- Age: minimum 18 Years maximum N/A
- Gender: Male
Inclusion Criteria:
- penile tumor histologically proven whatever the initial treatment of penile tumor: amputation or conservative surgery or brachytherapy,
- Mobile palpated lymph nodes (stage cN1 and cN2) whatever the T stage, Or If no palpated lymph nodes (cN0), patients with nodes involvement risk ≥pT1b and / or Grade 2,
- Metastatic lymph node involvement,
- Patients M0 or Mx,
- Age ≥18 ans,
- Eastern Cooperative Oncology Group (ECOG) 0-1,
- Leucocytes ≥1.5 g/L,
- Hemoglobin ≥9 g/dL,
- Platelets ≥100 000/mm³,
- Normal calcemia and kaliemia,
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤1.5 upper limit of normal (ULN) ; total bilirubin ≤1.5 ULN (3 ULN in case of Gilbert disease); alkaline phosphatase (ALP) <2 ULN,
- Creatinine clearance ≥60 mL/min (MDRD method),
- Left ventricular ejection fraction (LVEF) >50%,
- Patients having received, read the information note and signed consent,
- Reproductive age patients agreeing to use two methods of birth control (one for the patient and one for the partner) for the duration of the study and for 6 months after the last dose of treatment,
- Patients able to comply with the protocol requirements (scheduled visits, treatment plan, clinical, paraclinical, biological and other procedures of the Protocol),
- Patients undergoing a social security scheme.
Exclusion Criteria:
- Fixed inguinal lymph nodes (cN3),
- Iliac lymph nodes (cN3),
- Patients pN3,
- prior chemotherapy for squamous cell carcinoma of the penis,
- Against-indication for chemotherapy or known hypersensitivity to cisplatin, ifosfamide or paclitaxel,
- Patients treated with phenytoin,
- Patients with hearing loss >Grade 1 (CTCAE V4.03),
- Patients with cardiopulmonary disease-indicating against overhydration,
- History of cancer within 5 years prior to inclusion in the trial other than cutaneous basal cell,
- Patient received a live attenuated vaccine within 30 days prior to inclusion,
- Patients already included in another clinical trial or receiving an experimental treatment within 30 days prior to inclusion in the trial,
- Patients deprived of their liberty or under court protection including guardianship,
- Severe systemic disease or uncontrolled or any other chronic or acute illness that is incompatible with the patient's participation in the trial according to investigator,
- immunocompromised patients including with known seropositivity (HIV),
- Patients with mental impairment which prevents the understanding of the protocol or having a psychological state, family, sociological or geographical conditions that would not allow compliance with the protocol and the planned follow-up or any condition which, according to the investigator, would prevent participation patient tested. These conditions should be assessed before inclusion of patients.
View trial on ClinicalTrials.gov
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