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Cisplatin and Etoposide Prior to Radiation Therapy in Treating Patients With CNS Tumors

This study has been completed.
National Cancer Institute (NCI)
Information provided by:
Mayo Clinic Identifier:
First received: November 1, 1999
Last updated: March 14, 2011
Last verified: March 2011

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of cisplatin and etoposide in treating patients with CNS tumors.

Condition Intervention Phase
Brain and Central Nervous System Tumors Pediatric Germ Cell Tumor Extragonadal Germ Cell Tumor Drug: cisplatin Drug: etoposide Procedure: conventional surgery Procedure: neoadjuvant therapy Radiation: radiation therapy Phase 2

Study Type: Interventional
Study Design: Primary Purpose: Treatment
Official Title: Phase II Pre-Irradiation Chemotherapy for Central Nervous System Germ Cell Malignancies

Resource links provided by NLM:

Further study details as provided by Mayo Clinic:

Primary Outcome Measures:
  • Response rate
  • Survival
  • Endocrine and cognitive function

Study Start Date: March 1991
Study Completion Date: August 2005
Primary Completion Date: August 2005 (Final data collection date for primary outcome measure)
Detailed Description:


  • Determine the response rate of patients with newly diagnosed CNS germ cell tumors treated with cisplatin and etoposide.
  • Determine the survival of patients with CNS germ cell tumors treated with cisplatin and etoposide followed by cranial radiotherapy.
  • Determine endocrine and cognitive function in these patients before and after receiving this regimen.

OUTLINE: Patients are stratified by histology (germinoma vs nongerminoma).

Patients receive cisplatin IV over 4 hours followed by etoposide IV over 30-60 minutes on days 1-5. Treatment continues every 3 weeks for 4 courses in the absence of disease progression or unacceptable toxicity. After completion of 4 courses, patients with nongerminoma who achieve complete response (CR) and all patients with germinoma proceed to radiotherapy. After completion of 4 courses, patients with nongerminoma who achieve less than CR undergo resection of any residual cranial masses, if feasible, and then proceed to radiotherapy. Patients who experience disease progression or unacceptable toxicity during chemotherapy are restaged and proceed directly to radiotherapy.

Beginning a minimum of 3 weeks after completion of the last course of chemotherapy and after recovering from any toxic effects of chemotherapy, eligible patients undergo a regimen of craniospinal axis irradiation and/or localized cranial or spinal field irradiation based on histology, extent of disease, and response to chemotherapy. Patients with gross spinal meningeal disease after completion of chemotherapy undergo radiotherapy boost.

Patients are followed every 2 months for 1 year, every 4 months for 1 year, every 6 months for 1 year, and then annually for 2 years.

PROJECTED ACCRUAL: A total of 12-25 patients with germinoma will be accrued for this study within 3-6 years. A total of 12-25 patients with nongerminoma will be accrued for this study within 6-12 years.


Ages Eligible for Study:   3 Years and older   (Child, Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No


  • Histologically proven CNS germ cell tumor of 1 of the following subtypes:

    • CNS germinoma
    • Immature teratoma
    • Embryonal cell carcinoma
    • Yolk sac tumor
    • Endodermal sinus tumor
    • Choriocarcinoma OR
  • Pineal or suprasellar mass associated with elevated CSF alpha fetoprotein or beta-human chorionic gonadotropin allowed
  • Patients 18 years and over with localized pure germinomas ineligible
  • Evaluable CT or MRI of brain and/or spinal cord required



  • 3 and over


  • Age 18 and over:

    • WBC at least 4,000/mm^3
    • Platelet count at least 100,000/mm^3
  • Under age 18:

    • Absolute neutrophil count at least 1,000/mm^3
    • Platelet count at least 100,000/mm^3


  • Not specified


  • Creatinine no greater than 0.3 mg/dL above upper limit of normal for age


  • No uncontrolled infection
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception


Biologic therapy:

  • Not specified


  • No prior chemotherapy for CNS germ cell tumor

Endocrine therapy:

  • Concurrent corticosteroids allowed except as antiemetics


  • No prior cranial or spinal radiotherapy


  • Not specified
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00002472

United States, Arizona
Mayo Clinic Scottsdale
Scottsdale, Arizona, United States, 85259
United States, Florida
Mayo Clinic - Jacksonville
Jacksonville, Florida, United States, 32224
United States, Minnesota
Mayo Clinic Cancer Center
Rochester, Minnesota, United States, 55905
Sponsors and Collaborators
Mayo Clinic
National Cancer Institute (NCI)
Study Chair: Jan C. Buckner, MD Mayo Clinic
  More Information

Responsible Party: Jan C. Buckner , MD, Mayo Clinic Identifier: NCT00002472     History of Changes
Other Study ID Numbers: CDR0000076756
P30CA015083 ( U.S. NIH Grant/Contract )
891351 ( Other Identifier: Mayo Clinic Cancer Center )
T92-0208D ( Other Identifier: NCI protocol )
Study First Received: November 1, 1999
Last Updated: March 14, 2011

Keywords provided by Mayo Clinic:
childhood central nervous system germ cell tumor
extragonadal germ cell tumor
adult central nervous system germ cell tumor
childhood teratoma
childhood central nervous system choriocarcinoma
childhood central nervous system embryonal tumor
childhood central nervous system germinoma
childhood central nervous system mixed germ cell tumor
childhood central nervous system teratoma
childhood central nervous system yolk sac tumor

Additional relevant MeSH terms:
Neoplasms, Germ Cell and Embryonal
Nervous System Neoplasms
Central Nervous System Neoplasms
Neoplasms by Histologic Type
Neoplasms by Site
Nervous System Diseases
Etoposide phosphate
Antineoplastic Agents
Antineoplastic Agents, Phytogenic
Topoisomerase II Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action processed this record on September 21, 2017