NCT05670938

Brief Summary

The currently developed implementation study aims to evaluate if a patient-led home-based follow-up approach is successful, improves quality of life, reduces anxiety and lessens fear of cancer recurrence during the years after treatment of certain types of testicular cancer.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
145

participants targeted

Target at P50-P75 for all trials

Timeline
55mo left

Started Nov 2022

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress43%
Nov 2022Dec 2030

Study Start

First participant enrolled

November 30, 2022

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

January 2, 2023

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 4, 2023

Completed
7.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2030

Last Updated

February 23, 2023

Status Verified

February 1, 2023

Enrollment Period

8 years

First QC Date

January 2, 2023

Last Update Submit

February 22, 2023

Conditions

Keywords

Follow-up

Outcome Measures

Primary Outcomes (1)

  • Successful implementation

    Patient-led follow-up will be considered successful if the used optional follow up rate is below 75%.

    Year 8 (after the last follow-up moment of the last included patient)

Secondary Outcomes (9)

  • Successful home-based sampling

    Year 8

  • Quality of life of testicular cancer patients

    Year 8

  • Health-related quality of life

    Year 8

  • Momentary quality of life

    Year 8

  • Anxiety

    Year 8

  • +4 more secondary outcomes

Study Arms (4)

Non-seminomatous germ cell tumours, stage I low risk

No lymphadenopathy or metastases on the postoperative scan. Three consecutive blood drawings with normal tumour markers. Patients undergoing lymph node dissection as a second curative operation after an orchiectomy, can also be included in case that the postoperative scan shows no residual disease or metastases.

Non-seminomatous germ cell tumours, stage I high risk

After completion of one cycle of Bleomycin, etoposide and platinum (BEP). Biochemical remission at completion of chemotherapy, meaning three consecutive blood drawings with normal tumour markers. No lymphadenopathy or metastases on the CT scan after completion of chemotherapy.

Seminomatous germ cell tumours (after chemotherapy) with complete remission.

Biochemical remission at completion of chemotherapy, meaning three consecutive blood drawings with normal tumour markers. No lymphadenopathy or metastases on the CT scan after completion of chemotherapy.

Non-seminomatous germ cell tumours (after chemotherapy) with complete remission.

Biochemical remission at completion of chemotherapy, meaning three consecutive blood drawings with normal tumour markers. No lymphadenopathy or metastases on the CT scan after completion of chemotherapy.

Eligibility Criteria

Age18 Years+
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients who are 18 years or older who received curative intent surgical treatment for testicular cancer, and who (will) undergo postoperative surveillance are eligible. Patients can be included up to 3 months after curative treatment.

You may qualify if:

  • Age ≥ 18 years.
  • Histologically confirmed testicular cancer without distant metastasis and treated with curative intent less than 3 months ago:
  • \. Non-seminomatous germ cell tumours, stage I low risk:
  • No lymphadenopathy or metastases on the postoperative scan.
  • Three consecutive blood drawings with normal tumour markers.
  • Patients undergoing lymph node dissection as a second curative operation after an orchiectomy, can also be included in case that the postoperative scan shows no residual disease or metastases.
  • \. Non-seminomatous germ cell tumours, stage I high risk:
  • After completion of one cycle of Bleomycin, etoposide and platinum (BEP).
  • Biochemical remission at completion of chemotherapy, meaning three consecutive blood drawings with normal tumour markers.
  • No lymphadenopathy or metastases on the CT scan after completion of chemotherapy.
  • \. Seminomatous or non-seminomatous germ cell tumours (after chemotherapy) with complete remission.
  • Biochemical remission at completion of chemotherapy, meaning three consecutive blood drawings with normal tumour markers.
  • No lymphadenopathy or metastases on the CT scan after completion of chemotherapy.
  • Scheduled or currently undergoing postoperative surveillance according to national and European guidelines.
  • Signed informed consent.

You may not qualify if:

  • Patients with aberrant levels of LDH preoperatively (LDH \>248 U/L).
  • Patients enrolled in other studies that require strict adherence to any specific follow-up practice with regular imaging - yearly or more frequent - of the abdomen and/or thorax
  • Patients with comorbidity or other malignancy that requires imaging of the abdomen and/or thorax every year or more frequent
  • Inability to complete the questionnaires due to illiteracy and/or insufficient proficiency of the Dutch language

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Erasmus Medical Center

Rotterdam, South Holland, 3015GD, Netherlands

RECRUITING

MeSH Terms

Conditions

Testicular NeoplasmsTesticular Germ Cell Tumor

Condition Hierarchy (Ancestors)

Endocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsGenital Neoplasms, MaleUrogenital NeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesMale Urogenital DiseasesEndocrine System DiseasesTesticular DiseasesGonadal Disorders

Study Officials

  • Dirk J. Grünhagen, MD, PhD

    Erasmus Medical Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Lissa Wullaert, MD

CONTACT

Kelly R. Voigt, MD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 2, 2023

First Posted

January 4, 2023

Study Start

November 30, 2022

Primary Completion (Estimated)

December 1, 2030

Study Completion (Estimated)

December 1, 2030

Last Updated

February 23, 2023

Record last verified: 2023-02

Data Sharing

IPD Sharing
Will not share

Locations