Table 2.
Model | Factor | Points | 2-year EFS |
||
---|---|---|---|---|---|
Beyer | Variables | Progressive disease before HDC | 1 | ||
Mediastinal primary tumor | 1 | ||||
Cisplatin-refractory disease (relapse within 4 weeks of completion of first-line chemotherapy) | 1 | ||||
Absolute cisplatin-refractory disease (PD as best response to prior therapy) | 2 | ||||
B-HCG > 1,000 IU/L before HDC | 2 | ||||
Stratification | Low risk | 0 | 51% | ||
Intermediate risk | 1-2 | 27% | |||
High risk | >2 | 5% | |||
Einhorn | Variables | HDC at third-line or subsequent line of treatment | 3 | ||
Refractory disease before HDC (relapse within 4 weeks of completion of first line chemotherapy) | 2 | ||||
High-risk IGCCCG stage | 2 | ||||
Stratification | Low risk | 0 | 80% | ||
Intermediate risk | 2-3 | 60% | |||
High risk | >3 | 40% | |||
International Prognostic Factors Study Group | Variables | Histology | Seminoma | −1 | |
Nonseminoma | 0 | ||||
Primary tumor site | Mediastinal | 3 | |||
Retroperitoneal | 1 | ||||
Gonadal | 0 | ||||
Response to first-line chemotherapy | CR/PRm− | 0 | |||
PRm+/SD | 1 | ||||
PD | 2 | ||||
Progression-free interval following first-line chemotherapy | >3 months | 0 | |||
≤3 months | 1 | ||||
AFP at salvage | Normal | 0 | |||
≤1,000 | 1 | ||||
>1,000 | 2 | ||||
B-HCG at salvage | ≤1,000 | 0 | |||
>1,000 | 1 | ||||
Liver/brain/bone metastases | No | 0 | |||
Yes | 1 | ||||
Stratification | Very low risk (seminoma + low risk) | −1 | 92% | ||
Low risk | 0 | 64% | |||
Intermediate risk | 1-2 | 53% | |||
High risk | 3-4 | 33% | |||
Very high risk | >4 | 22% |