Can adding chemotherapy before surgery beat penile cancer?
NCT ID NCT02305654
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This phase 3 trial tests whether giving chemotherapy or chemoradiotherapy before surgery improves survival for people with penile cancer that has spread to lymph nodes in the groin. Participants are randomly assigned to receive standard surgery alone, chemotherapy followed by surgery, or chemoradiotherapy followed by surgery. After surgery, those at high risk of recurrence may be randomized again to receive additional preventive lymph node removal or not. The study aims to find the best sequence of treatments to extend life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A combination of chemotherapy drugs (paclitaxel, ifosfamide, cisplatin) and radiation therapy, given before or after surgery to remove lymph nodes in the groin.
- What this could lead to
- If it works, this could establish a new standard of care for penile cancer that has spread to the lymph nodes, potentially improving survival rates.
- What could go wrong
- The trial is large and randomized, but the treatments carry significant side effects, and the results may not apply to all patients with this rare cancer.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2017
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Written informed consent 2. Measurable disease as determined by RECIST (version 1.1) criteria; 3. Histologically-proven squamous cell carcinoma of the penis, 4. Stage: * any T, N1 (i.e. a palpable mobile unilateral inguinal lymph node), M0 or; * any T, N2 (i.e. palpable mobile multiple or bilateral inguinal lymph nodes), M0 or; * any T, N3 (i.e. fixed inguinal nodal mass or any pelvic lymphadenopathy), M0 5. Performance Status ECOG 0, 1 or 2. Exclusion Criteria: 1. Pure verrucous carcinoma of the penis, 2. Nonsquamous malignancy of the penis, 3. Squamous carcinoma of the urethra, 4. Stage M1, 5. Previous chemotherapy or chemoradiotherapy, 6. Concurrent malignancy (other than SCC or Basal Cell Carcinoma of non-penile skin) that has required surgical or non-surgical treatment in the last 3 years.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia, 30322, United States
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Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111, United States
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Grady Health System
Atlanta, Georgia, 30303, United States
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Los Angeles County-USC Medical Center
Los Angeles, California, 90033, United States
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Mayo Clinic
Rochester, Minnesota, 55905, United States
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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Norfolk and Norwich University Hospitals NHS Foundation Trust
Norwich, NR4 7UY, United Kingdom
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Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210, United States
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St George's Hospital NHS Foundation Trust
London, SW17 0QT, United Kingdom
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Swansea Bay University Health Board
Swansea, SA6 6NL, United Kingdom
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The Royal Marsden NHS Foundation Trust
London, SM2 5PT, United Kingdom
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USC / Norris Comprehensive Cancer Center
Los Angeles, California, 90033, United States
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University Hospitals of Leicester NHS Trust
Leicester, LE1 5WW, United Kingdom
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University of Chicago Comprehensive Cancer Center
Chicago, Illinois, 60637, United States
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University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104, United States
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University of Texas M.D. Anderson Cancer Center
Houston, Texas, 77030, United States
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Velindre NHS Trust
Cardiff, CF14 2TL, United Kingdom