Germ Cell TumorPhase 3GIG-TNCT05874063
Thromboprophylaxis in Good and Intermediate Prognosis Advanced Germ Cell Tumors
A Phase 3 study testing Thromboprophylaxis in people with Germ Cell Tumor, run by Gustave Roussy, Cancer Campus, Grand Paris at 26 sites in France.
Trial summary
The goal of this clinical trial is to assess the efficacy of thromboprophylaxis in preventing venous thromboembolic events (VTE) in good and intermediate prognosis patients with metastatic germ cell cancer (GCT) undergoing first-line cisplatin-based chemotherapy with risk factors for developing a thromboembolic event… Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Germ Cell Tumor
- What is being tested?
- Thromboprophylaxis
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 387 participants
- Where
- 26 sitesFrance
- Study dates
- 17 Oct 2023to Feb 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of good or intermediate prognosis of Germ Cell Tumor (according to the International Germ Cell Cancer Collaborative Group)
- Older than 18 years
- Suitable for first-line cisplatin-based chemotherapy
- No prior systemic cytotoxic therapy
- Additional criteria for patients who will be randomized (Venous Thromboembolic Event (VTE) high-risk patients): Lactate dehydrogenase higher than 1 Upper Normal Level and/or Body Surface Area higher than 1.9 and/or longer than 5 cm long axis retroperitoneal lymph nodes
- Patient should understand, sign, and date the written informed consent form prior to any protocol-specific procedures performed. Patient should be able and willing to comply with study visits and procedures as per protocol.
- Patients must be affiliated to a social security system or beneficiary of the same
Who cannot join
- Brain metastasis
- History of VTE
- Concomitant use of anticoagulants or antiaggregants
- Renal impairment defined as creatinine clearance less than 50 ml/min using Cockcroft-Gault formula
- Hypersensitivity to enoxaparin sodium, heparin or its derivatives, including other low molecular weight heparins (LMWH) or to any of the excipients
- Any major surgery (i.e. open surgery lasting more than 45 minutes from opening to closure) within 4 weeks or planned during the study treatment period
Show all 12Show fewer
- Severe uncontrolled high blood pressure (systolic blood pressure > 180 mmHg or diastolic blood pressure > 110 mmHg)
- Low baseline platelet count (< 100 X 10^9 /L) or history of heparin-induced thrombocytopenia
- Active clinically significant bleeding and conditions with a high risk of haemorrhage, including recent haemorrhagic stroke, gastrointestinal ulcer, presence of malignant neoplasm at high risk of bleeding, recent brain, spinal or ophthalmic surgery, known or suspected oesophageal varices, arteriovenous malformations, vascular aneurysms or major intraspinal or intracerebral vascular abnormalities
- Extensive metastatic disease at high risk of bleeding, e.g. prevalent choriocarcinoma
- Participation in another clinical study with an investigational product during the last 4 weeks, and while on study treatment without the approval from sponsor
- Patient under guardianship or deprived of his liberty by a judicial or administrative decision or incapable of giving its consent
Trial locations and contacts
26 sites in 1 country. Contact the study team or a site near you to ask about taking part.
26 sites in 1 country
France26 sites, 26 recruiting
- Recruiting
ICO Paul Papin
Angers, 49100
Elouen BOUGHALEM, MD
- Recruiting
CH de la Côte Basque
Bayonne, 64100
Louis FRANCOIS, MD
- Not yet recruiting
Institut Bergonié
Bordeaux, 33000
Guilhem ROUBAUD, MD
- Not yet recruiting
CHU de Brest
Brest, 29200
Benjamin AUBERGER, MD
- Recruiting
CHU de Clermont-Ferrand
Clermont-Ferrand, 63000
Sébastien BAILLY, MD
- Not yet recruiting
Groupe Hospitalier Mutualiste de Grenoble
Grenoble, 38000
Eve FAUGERAS, MD
- Recruiting
Centre Oscar Lambret
Lille, 59000
Guillaume CARBONNELLE, MD
- Recruiting
CHU de Limoges
Limoges, 87000
Tiffany DARBAS, MD
- Recruiting
Centre Léon Bérard
Lyon, 69000
Aude FLECHON, MD
- Not yet recruiting
Institut Paoli-Calmettes
Marseille, 13273
Mathilde GUERIN, MD
- Recruiting
Centre Antoine Lacassagne
Nice, 06189
Agnès DUCOULOMBIER, MD
- Recruiting
Hôpital Saint Louis
Paris, 75010
Clément DUMONT, MD
- Not yet recruiting
Hôpital Tenon
Paris, 75020
Mathieu JAMELOT, MD
- Recruiting
CHU de Poitiers
Poitiers, 86000
Sheik EMAMBUX, MD
- Recruiting
Clinique La Croix du Sud
Quint-Fonsegrives, 31130
Francesco RICCI, MD
- Not yet recruiting
Institut Godinot
Reims, 51726
Camille MAZZA, MD
- Recruiting
Centre Eugène Marquis
Rennes, 35000
Bettina BOUTRUCHE, MD
- Recruiting
CHU de St Etienne
Saint-Etienne, 42270
Pierre CORNILLON, MD
- Recruiting
Institut de Cancérologie de l'Ouest
Saint-Herblain, 44805
Emmanuelle BOMPAS, MD
- Recruiting
HIA Bégin
Saint-Mandé, 94160
Carole HELISSEY, MD
- Recruiting
ICANS
Strasbourg, 67200
Laure PIERARD, MD
- Not yet recruiting
Hôpital Foch
Suresnes, 92150
Christine ABRAHAM, MD
- Not yet recruiting
Oncopole Claudius Regaud
Toulouse, 31059
Loïc MOUREY, MD
- Recruiting
CHU Bretonneau
Tours, 37044
Mathilde CANCEL, MD
- Recruiting
Institut de Cancérologie de Lorraine
Vandœuvre-lès-Nancy, 54500
Camille SIMON, MD
- Recruiting
Gustave Roussy
Villejuif, 94800
Karim FIZAZI, MD
About this study
The goal of this clinical trial is to assess the efficacy of thromboprophylaxis in preventing venous thromboembolic events (VTE) in good and intermediate prognosis patients with metastatic germ cell cancer (GCT) undergoing first-line cisplatin-based chemotherapy with risk factors for developing a thromboembolic event .
The high-risk patients will be randomized between two treatments arm (receiving a thromboprophylaxis in the experimental arm, or no thromboprophylaxis in the control arm). The low-risk patients will be observed without any thromboprophylaxis. Patients will participate in the study for 14-17 weeks depending on the planned number of cycles of chemotherapy.
Researchers will compare an experimental arm with thromboprophylaxis and a control arm without thromboprophylaxis to detect an absolute decrease of 12% of the proportion of patients having experienced a VTE, from 21% (high risk patients, control arm) to 9% (high risk patients, experimental arm).
- Conditions
- Germ Cell Tumor
- Being tested
- Thromboprophylaxis
- Medical subject headings
- Neoplasms, Germ Cell and Embryonal
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ThromboprophylaxisDrug
Thromboprophylaxis in addition of the standard chemotherapy
| Study group | Role | What they receive |
|---|---|---|
| Experimental for high-risk patients | Experimental | Thromboprophylaxis in addition of the standard chemotherapy Receives: Drug: Thromboprophylaxis |
| Control for high-risk patients | No intervention | No thromboprophylaxis in addition of the standard chemotherapy |
| Low-risk patients | No intervention | No thromboprophylaxis in addition of the standard chemotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of patients undergoing a thromboembolic event
(composite end point: symptomatic or asymptomatic (incidental finding) venous thrombosis or pulmonary embolism or unexplained death)
Measured: from randomization up to 6 weeks after D1 of the last cycle of chemotherapy or up to the residual masses surgery, whichever occurs first.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 May 2023
- Study start17 Oct 2023
- Primary completionFeb 2028 (estimated)
- Study completionFeb 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Germ Cell TumorStudies of the same condition, open and under way.
- More trials run by Gustave Roussy, Cancer Campus, Grand ParisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 387 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Gustave Roussy, Cancer Campus, Grand Paris
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Karim FIZAZI, MD, Principal investigator, Gustave Roussy, Cancer Campus, Grand Paris
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05874063
- Sponsor's protocol ID
- 2022-502426-41-00
- Other IDs
- CSET 2022/3510
- Acronym
- GIG-T
- Status last verified
- Jun 2025
- First submitted
- 16 May 2023
- Last updated
- 15 Jun 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Jun 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Thromboprophylaxis in Good and Intermediate Prognosis Advanced Germ Cell Tumors
- ClinicalTrials.gov ID
- NCT05874063
- Acronym / sponsor ID
- GIG-T / 2022-502426-41-00
- Conditions
- Germ Cell Tumor
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 387 participants (estimated)
- Lead sponsor
- Gustave Roussy, Cancer Campus, Grand ParisUniversity, hospital or other
- Study start
- 17 Oct 2023 (actual)
- Primary completion
- Feb 2028 (estimated)
- Study completion
- Feb 2028 (estimated)
- First posted
- 24 May 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this clinical trial is to assess the efficacy of thromboprophylaxis in preventing venous thromboembolic events (VTE) in good and intermediate prognosis patients with metastatic germ cell cancer (GCT) undergoing first-line cisplatin-based chemotherapy with risk factors for developing a thromboembolic event .
The high-risk patients will be randomized between two treatments arm (receiving a thromboprophylaxis in the experimental arm, or no thromboprophylaxis in the control arm). The low-risk patients will be observed without any thromboprophylaxis. Patients will participate in the study for 14-17 weeks depending on the planned number of cycles of chemotherapy.
Researchers will compare an experimental arm with thromboprophylaxis and a control arm without thromboprophylaxis to detect an absolute decrease of 12% of the proportion of patients having experienced a VTE, from 21% (high risk patients, control arm) to 9% (high risk patients, experimental arm).
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Experimental for high-risk patients | Experimental | Drug: ThromboprophylaxisThromboprophylaxis in addition of the standard chemotherapy |
| Control for high-risk patients | No intervention | –No thromboprophylaxis in addition of the standard chemotherapy |
| Low-risk patients | No intervention | –No thromboprophylaxis in addition of the standard chemotherapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Diagnosis of good or intermediate prognosis of Germ Cell Tumor (according to the International Germ Cell Cancer Collaborative Group)
- Older than 18 years
- Suitable for first-line cisplatin-based chemotherapy
- No prior systemic cytotoxic therapy
- Additional criteria for patients who will be randomized (Venous Thromboembolic Event (VTE) high-risk patients): Lactate dehydrogenase higher than 1 Upper Normal Level and/or Body Surface Area higher than 1.9 and/or longer than 5 cm long axis retroperitoneal lymph nodes
Key exclusion criteria (12 listed)
- Brain metastasis
- History of VTE
- Concomitant use of anticoagulants or antiaggregants
- Renal impairment defined as creatinine clearance less than 50 ml/min using Cockcroft-Gault formula
- Hypersensitivity to enoxaparin sodium, heparin or its derivatives, including other low molecular weight heparins (LMWH) or to any of the excipients
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ThromboprophylaxisThromboprophylaxis in addition of the standard chemotherapy | Drug | Experimental for high-risk patients |
Primary outcome
Proportion of patients undergoing a thromboembolic event
Time frame: from randomization up to 6 weeks after D1 of the last cycle of chemotherapy or up to the residual masses surgery, whichever occurs first.
(composite end point: symptomatic or asymptomatic (incidental finding) venous thrombosis or pulmonary embolism or unexplained death)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jun 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Karim FIZAZI, MD principal investigator
Gustave Roussy, Cancer Campus, Grand Paris
26 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Thromboprophylaxis in people with Germ Cell Tumor, run by Gustave Roussy, Cancer Campus, Grand Paris at 26 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 15 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 26 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Ophélie LION (+33 (0)1 42 11 48 41, ophelie.lion@gustaveroussy.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of patients undergoing a thromboembolic event (time frame: from randomization up to 6 weeks after D1 of the last cycle of chemotherapy or up to the residual masses surgery, whichever occurs first.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jun 2025.