Clinical trial • Phase II • Oncology

IFOSFAMIDE for Squamous cell carcinoma of the penis

Phase II trial of IFOSFAMIDE for Squamous cell carcinoma of the penis. 37 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Squamous cell carcinoma of the penis
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
29-03-2024
First CTIS Authorization Date
14-05-2024

Trial design

Phase II trial across 20 sites in France.

Target Sample Size
37
Trial Duration For Participant
730

Eligibility

Recruits 37 Patients deprived of their liberty or under court protection including guardianship are explicitly excluded; patients with mental impairment preventing understanding of the protocol are excluded. Consent must be obtained from the patient: "Patients having received, read the information note and signed consent". Minors are excluded (Age ≥18). No assent process for minors is described..

Pregnancy Exclusion
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,
Vulnerable Population
Patients deprived of their liberty or under court protection including guardianship are explicitly excluded; patients with mental impairment preventing understanding of the protocol are excluded. Consent must be obtained from the patient: "Patients having received, read the information note and signed consent". Minors are excluded (Age ≥18). No assent process for minors is described.

Inclusion criteria

  • {"criterion_text":"- Penile tumor histologically proven whatever the initial treatment of penile tumor: amputation or conservative surgery or brachytherapy"}
  • {"criterion_text":"- Normal calcemia and kaliemia"}
  • {"criterion_text":"- 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"}
  • {"criterion_text":"- Creatinine clearance ≥60 mL/min (MDRD method),"}
  • {"criterion_text":"- Left ventricular ejection fraction (LVEF) >50%"}
  • {"criterion_text":"- Patients having received, read the information note and signed consent"}
  • {"criterion_text":"- 15.\tReproductive 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,"}
  • {"criterion_text":"- Patients able to comply with the protocol requirements (scheduled visits, treatment plan, clinical, paraclinical, biological and other procedures of the Protocol),"}
  • {"criterion_text":"- Patients undergoing a social security scheme"}
  • {"criterion_text":"- Mobile palpated lymph nodes (stage cN1 and cN2) whatever the T stage, Patients with capsular involvement if inguinal lymph nodes are affected exclusively Or If no palpated lymph nodes (cN0), patients with nodes involvement risk ≥pT1b and / or Grade 2"}
  • {"criterion_text":"- Metastatic lymph node involvement"}
  • {"criterion_text":"- Patients M0 or Mx"}
  • {"criterion_text":"- Age ≥18 ans"}
  • {"criterion_text":"- Eastern Cooperative Oncology Group (ECOG) 0-1"}
  • {"criterion_text":"- Leucocytes ≥1.5 g/L"}
  • {"criterion_text":"- Hemoglobin ≥9 g/dL"}
  • {"criterion_text":"- Platelets ≥100 000/mm³"}

Exclusion criteria

  • {"criterion_text":"- Fixed inguinal lymph nodes"}
  • {"criterion_text":"- Patients already included in another clinical trial or receiving an experimental treatment within 30 days prior to inclusion in the trial"}
  • {"criterion_text":"- Patients deprived of their liberty or under court protection including guardianship"}
  • {"criterion_text":"- 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"}
  • {"criterion_text":"- Immunocompromised patients including with known seropositivity (HIV),"}
  • {"criterion_text":"- 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"}
  • {"criterion_text":"- Iliac lymph nodes"}
  • {"criterion_text":"- Prior chemotherapy for squamous cell carcinoma of the penis"}
  • {"criterion_text":"- Against-indication for chemotherapy or known hypersensitivity to cisplatin, ifosfamide or paclitaxel,"}
  • {"criterion_text":"- Patients treated with phenytoin"}
  • {"criterion_text":"- Patients with hearing loss >Grade 1 (CTCAE V4.03),"}
  • {"criterion_text":"- Patients with cardiopulmonary disease-indicating against overhydration"}
  • {"criterion_text":"- History of cancer within 5 years prior to inclusion in the trial other than cutaneous basal cell"}
  • {"criterion_text":"- Patient received a live attenuated vaccine within 30 days prior to inclusion"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Survival without locoregional lymph node recurrence [ Time Frame: 24 months ] checked by inguinal ultrasound","definition_or_measurement_approach":"Time Frame: 24 months; checked by inguinal ultrasound (as stated: \"checked by inguinal ultrasound\")"}

Recruitment

Planned Sample Size
37
Recruitment Window Months
134
Consent Approach
Patients must have "received, read the information note and signed consent". Participants are adults (Age ≥18). A French translation of titles/descriptions is provided in the record.

Geography

Total Number Of Sites
20
Total Number Of Participants
37

France

Earliest CTIS Part Ii Submission Date
10-04-2024
Latest Decision Or Authorization Date
14-05-2024
Processing Time Days
34
Number Of Sites
20
Number Of Participants
37

Sites

Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
Oncologie
Contact Person Name
Philippe BARTHELEMY
Site Name
Hopital Saint Louis
Department Name
Oncologie
Contact Person Name
Stéphane CULINE
Contact Person Email
stephane.culine@aphp.fr
Site Name
CHRU De Nancy
Department Name
Urologie
Contact Person Name
Pascal ESCHWEGE
Contact Person Email
p.eschwege@chru-nancy.fr
Site Name
Centre Hospitalier Universitaire De Bordeaux
Department Name
Oncologie
Contact Person Name
Amaury DASTE
Contact Person Email
amaury.daste@chu-bordeaux.fr
Site Name
Besancon University Hospital Center
Department Name
Oncologie
Contact Person Name
Tristan MAURINA
Contact Person Email
t1maurina@chu-besancon.fr
Site Name
CHU Gabriel-Montpied
Department Name
Oncologie
Contact Person Name
Laurent GUY
Contact Person Email
lguy@chu-clermontferrand.fr
Site Name
Institut De Cancerologie De L Ouest
Department Name
Oncologie
Contact Person Name
Emmanuelle BOMPAS
Site Name
Institut Paoli Calmettes
Department Name
Oncologie
Contact Person Name
Gwenaelle GRAVIS
Contact Person Email
gravisg@ipc.unicancer.fr
Site Name
Institut De Cancerologie De L Ouest
Department Name
Oncologie
Contact Person Name
Emmanuelle BOMPAS
Site Name
Centre Leon Berard
Department Name
Oncologie
Contact Person Name
Helen BOYLE
Contact Person Email
helen.boyle@lyon.unicancer.fr
Site Name
Centre Hospitalier Et Universitaire De Limoges
Department Name
Urologie
Contact Person Name
Aurelien DESCAZEAUD
Site Name
Institut Universitaire Du Cancer Toulouse-Oncopole
Department Name
Oncologie
Contact Person Name
Loïc MOUREY
Contact Person Email
mourey.loic@iuct-oncopole.fr
Site Name
CHU De Rouen
Department Name
Urologie
Contact Person Name
Christian PFISTER
Contact Person Email
christian.pfister@chu-rouen.fr
Site Name
Institut De Cancerologie De Lorraine
Department Name
Oncologie
Contact Person Name
Vincent MASSARD
Contact Person Email
v.massard@nancy.unicancer.fr
Site Name
Hospital Hotel Dieu
Department Name
Urologie
Contact Person Name
Jérôme RIGAUD
Contact Person Email
jrigaud@chu-nantes.fr
Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
Oncologie
Contact Person Name
Philippe BARTHELEMY
Site Name
Centre Francois Baclesse
Department Name
Service de recherche clinique
Contact Person Name
Florence JOLY
Contact Person Email
f.joly@baclesse.unicancer.fr
Site Name
Oncoradio Centre Oncogard
Department Name
Oncologie
Contact Person Name
Angélique CHAPELLE
Contact Person Email
a.chapelle@oncogard.com
Site Name
Centre Hospitalier Universitaire De Caen Normandie
Department Name
Urologie
Contact Person Name
Xavier TILLOU
Contact Person Email
tillou-x@chu-caen.fr
Site Name
Centre Hospitalier Lyon Sud
Department Name
Oncologie / Urologie
Contact Person Name
Sophie TARTAS
Contact Person Email
sophie.tartas@chu-lyon.fr

Sponsor

Primary sponsor

Full Name
Unicancer
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
France

Third parties

  • {"country":"","full_name":"Ligue contre le cancer","duties_or_roles":"Monetary support","organisation_type":""}

Investigational products

Investigational Product Name
IFOSFAMIDE
Active Substance
IFOSFAMIDE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Maximum Dose
2400 mg
Investigational Product Name
CISPLATIN
Active Substance
CISPLATIN
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Maximum Dose
50 mg
Investigational Product Name
PACLITAXEL
Active Substance
PACLITAXEL
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
INTRAVENOUS USE
Maximum Dose
350 mg
Investigational Product Name
METHYLPREDNISOLONE
Active Substance
METHYLPREDNISOLONE
Modality
Small molecule
Routes Of Administration
ORAL AND IV
Route
ORAL AND IV
Maximum Dose
120 mg
Investigational Product Name
RANITIDINE
Active Substance
RANITIDINE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Maximum Dose
50 mg
Investigational Product Name
MESNA
Active Substance
MESNA
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Maximum Dose
400 mg
Investigational Product Name
APREPITANT
Active Substance
APREPITANT
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Maximum Dose
125 mg
Investigational Product Name
DEXCHLORPHENIRAMINE MALEATE
Active Substance
DEXCHLORPHENIRAMINE MALEATE
Modality
Small molecule
Routes Of Administration
INTRAVENOUS INJECTION
Route
INTRAVENOUS INJECTION
Maximum Dose
5 mg/ml
Combination Treatment
Yes

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