Is there a substitution for etoposide you would recommend for testicular cancer patients who need multiple cycles of BEP?

If it is good risk disease can use our old regimen of cisplatin + vinblastine + bleomycin (PVB) as it was equivalent to BEP therapeutically in the good risk patient population. For intermediate or advanced disease, VeIP or TIP.

You can consider the VeIP regimen as it uses vinblastine, ifosfamide, Mesna, and Cisplatin.