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Phase IIInterventional

Phase II Trial of Serum Micro RNA-371 in Detecting Active Germ Cell Tumors in Patients With Suspected Regional Disease - (MAGESTIC Trial: MiRNA in Detecting Active Germ Cell Tumors in Early Suspected and MetastaTIC Disease Trial)

Protocol: 2026P000357NCT: NCT06060873

Overview

This study evaluates the accuracy of blood-based biomarker testing to predict the presence of active testicular cancer.

Eligibility

Ages18 Years and older
SexMale
Healthy VolunteersNo
Age GroupsAdult, Older Adult

Inclusion Criteria:

  • Primary tumor excised by radical inguinal orchiectomy and pathology consistent with GCT (seminoma or NSGCT)

  • Clinical stage of patient is either:

    • Stage I pure seminoma OR stage I pure seminoma with isolated retroperitoneal relapse or Stage IIA/B pure seminoma
    • Stage I NSGCT OR stage I NSGCT with isolated retroperitoneal relapse or Stage IIA/B NSGCT
  • For subjects with retroperitoneal lymphadenopathy: no lymph node >3 cm in greatest dimension with no more than 2 nodes enlarged

  • Axial abdominal/pelvic imaging (CT or MRI) and chest imaging (x-ray, CT or MRI) within 3 months of enrollment if stage I patient

  • Axial abdominal/pelvic imaging (CT or MRI) and chest imaging (x-ray, CT or MRI) within 8 weeks of enrollment if stage II patient

  • miRNA-371 can be drawn and sent for analysis at time of consent

  • Enrollment within 1 year after orchiectomy for stage I patients

  • Enrollment at any timepoint after orchiectomy for stage II patients

  • Retroperitoneal lymphadenopathy must be within an RPLND template

  • Biopsy of lymph node is not required, though if biopsy of the retroperitoneal node(s) was obtained, pathology must be consistent with GCT

  • Serum Alpha Feto Protein (AFP) <50 ng/ml, β-Human Chorionic Gonadotropin (β-HCG) 25 mIU/ml within 42 days (6 weeks) of enrollment

  • Age ≥ 18 years

  • Ability to understand and the willingness to sign a written informed consent

Exclusion Criteria:

  • Second primary malignancy
  • Patients receiving any other investigational agent (s)
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
Location
Winship Cancer Institute
View on ClinicalTrials.gov