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- Title
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.
- Authors
Mead, G. M.; Cullen, M. H.; Huddart, R.; Harper, P.; Rustin, G. J. S.; Cook, P. A.; Stenning, S. P.; Mason, M.; MRC Testicular Tumour Working Party
- Abstract
This phase II trial describes the use of TIP chemotherapy (paclitaxel, ifosfamide and cisplatin) as salvage for patients with metastatic germ cell cancer (GCC) who have failed initial BEP (bleomycin, etoposide and cisplatin) chemotherapy. Patients with first relapse following BEP for metastatic GCC, confirmed by biopsy or sequentially rising markers, received four courses of TIP (paclitaxel 175 mg m(-2) day 1, followed on days 1-5 by ifosfamide 1 g m(-2) intravenously (i.v.) and cisplatin 20 mg2 i.v.) at 3-weekly intervals. The primary outcome measure was response to TIP. In all, 51 patients were registered, of whom 43 were eligible for response assessment. Eight achieved complete remission (CR) and 18 a partial remission with negative markers (PR(-ve)); favourable response rate (FRR = CR + PR(-ve)) 60%, 95% CI (44-75%); survival at 1 year was 70% (56-84%) and failure-free survival 36% (22-50%). In the group of 26 patients meeting the 'good-risk' criteria described by the Memorial Hospital, the FRR was 73% (52-88%) compared with 41% (18-67%) for the 17 'poor-risk' patients. These results are inferior to those previously reported for TIP in a single-centre study when it was given more intensively, at higher dose and with growth factor support. Nonetheless, TIP as described here can cure a substantial proportion of patients.
- Subjects
DRUG therapy; CANCER cells; CANCER patients; MEDICAL research; PACLITAXEL; PEPTIDES; IMMUNOSUPPRESSIVE agents; THERAPEUTIC use of antineoplastic agents; GERM cell tumors; ETOPOSIDE; RESEARCH; INTRAVENOUS therapy; CLINICAL trials; RESEARCH methodology; IFOSFAMIDE; ANTINEOPLASTIC agents; EVALUATION research; TREATMENT effectiveness; HYDROCARBONS; COMPARATIVE studies; TESTIS tumors; CISPLATIN; BLEOMYCIN; SALVAGE therapy; DRUG resistance in cancer cells
- Publication
British Journal of Cancer, 2005, Vol 93, Issue 2, p178
- ISSN
0007-0920
- Publication type
journal article
- DOI
10.1038/sj.bjc.6602682