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OncoMatch/Clinical Trials/NCT07847190

Paclitaxel-Bleomycin/Etoposide/Cisplatin vs Bleomycin/Etoposide/Cisplatin in Poor-prognosis Non-seminomatous Germ Cell Tumors (NSGCT) and Unfavorable Tumor Marker Decline: Randomized Phase II Trial

Official title: Paclitaxel+BEP (T-BEP) vs BEP in Poor-prognosis Non-seminomatous Germ Cell Tumors (NSGCT) and Unfavorable Tumor Marker Decline: Randomized Phase II Trial

Is NCT07847190 recruiting? Yes, currently enrolling (Oct 2026). This Phase 2 trial studies multiple treatments for germ cell cancer metastatic.

Phase 2RecruitingBlokhin's Russian Cancer Research CenterNCT07847190Data as of Oct 2026Location: Russia

Treatment: Paclitaxel · Bleomycin · Etoposide · Cisplatin · G-CSF (Filgrastim) — GETUG-13 study has prospectively confirmed poor outcomes in advanced germ cell tumors (GCT) patients with unfavorable decrease of tumor markers after 1 cycle of BEP chemotherapy. There is an unmet medical need to improve outcomes in this subset of patients, however the dose-dense regimen proposed in the above-mentioned trial cannot be implemented in routine clinical practice. T-BEP regimen may have advantage over the traditional BEP regimen as first-line therapy for poor-risk GCT Treatment escalation with T-BEP regimen may be an effective and tolerable therapeutic option for advanced GCT patients with unfavorable tumor markers decline.

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Extracted eligibility criteria

Treatments studied

Chemotherapy

PaclitaxelBleomycinEtoposideCisplatin

Other

G-CSF (Filgrastim)

Cancer type

Testicular Germ Cell Tumor

Biomarker criteria

Required: CGB expression (HCG > 50,000 UI/l)

HCG > 50,000 UI/l

Required: AFP expression (AFP > 10,000 ng/ml)

AFP > 10,000 ng/ml

Required: LDHA expression (LDH > 10 times the upper normal value)

LDH > 10 times the upper normal value

Disease stage

Required: Stage POOR PROGNOSIS ACCORDING TO IGCCCG CRITERIA (other)

Disease classified as poor prognosis according to IGCCCG criteria

Demographics

Ages ≥ 16
Male only

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Lab requirements

Blood counts

absolute baseline granulocyte count ≥0.5*10^9, platelets ≥100*10^9

Kidney function

measured or calculated glomerular filtration rate > 60 ml/min

Liver function

bilirubin ≤1.5 uln

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

Frequently asked questions

Is NCT07847190 currently recruiting?

Yes, this trial is currently recruiting patients.

Can patients have received prior systemic therapy?

No. This trial requires treatment-naive patients — prior systemic therapy is an exclusion criterion.

Does this trial require CGB?

Yes, CGB expression is a required biomarker for enrollment.

Does this trial require AFP?

Yes, AFP expression is a required biomarker for enrollment.

Does this trial require LDHA?

Yes, LDHA expression is a required biomarker for enrollment.

What disease stage is eligible?

Stage POOR PROGNOSIS ACCORDING TO IGCCCG CRITERIA is required.

Is this trial open to female patients?

No. This trial enrolls male patients only.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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