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OncoMatch/Clinical Trials/NCT06932458

A Clinical Trial of Primary Retroperitoneal Lymph Node Dissection in Patients With Testicular Seminoma With Limited Retroperitoneal Metastases

Is NCT06932458 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies non-drug interventions for testicular cancer.

Phase 2RecruitingWestern University, CanadaNCT06932458Data as of May 2026

Testicular cancer represents 1% of adult neoplasms and is the most common solid malignancy in young men. At diagnosis, approximately 90% of cases are germ cell tumours (GCT), categorised as either seminoma (55-60%) or non-seminoma types (40-45%). For many years, the management of patients with CS IIA/B seminoma and retroperitoneal lymph node involvement ≤ 3 cm are eligible for treatment with either radiotherapy or chemotherapy Despite high cure rates for CS II seminoma (approximately 90%) with chemotherapy or radiotherapy, concerns persist regarding short and long-term treatment-related toxicities (such as increased risks of cardiovascular disease and secondary malignancies As such, an alternative strategy which has been explored in this study is the role of RPLND for the management of these patients

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Extracted eligibility criteria

Cancer type

Testicular Germ Cell Tumor

Biomarker criteria

Required: AFP within normal limits (within normal limits)

Serum tumour markers (alpha-fetoprotein (AFP), human chorionic gonadotropin (HCG), and lactate dehydrogenase (LDH)) must all be within normal limits within 2 weeks of planned RPLND

Required: HCG within normal limits (within normal limits)

Serum tumour markers (alpha-fetoprotein (AFP), human chorionic gonadotropin (HCG), and lactate dehydrogenase (LDH)) must all be within normal limits within 2 weeks of planned RPLND

Required: LDH within normal limits (within normal limits)

Serum tumour markers (alpha-fetoprotein (AFP), human chorionic gonadotropin (HCG), and lactate dehydrogenase (LDH)) must all be within normal limits within 2 weeks of planned RPLND

Excluded: AFP >20

AFP >20 at any time point, pre- or post-orchiectomy

Disease stage

Required: Stage CS I, CS II (CS)

Initial CS I presentation with subsequent retroperitoneal relapse on surveillance, or de novo CS II at presentation

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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