Prospective Evaluation of Patients With Uterine Cervical Cancer in Brazilian Health Institutions - The EVITA I Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The primary objective of this study is to describe the socio-demographic, clinical pathological, quality of life and treatment characteristics of patients diagnosed with cervix cancer (CC) in Brazil. Other specific objectives are:
- To describe socio-demographic characteristics: age at diagnosis, education, family income, race, occupation, personal health habits - e.g.oral contraceptive use ever/never and duration; smoking never/ever/current/duration , ever drinking), sexual history, insurance coverage (private, public), institution (private, public, philanthropic), obstetric history, comorbidities, performance status, human papillomavirus vaccination or not
- To describe the screening for CC: access, type, frequency and results.
- To describe clinical pathological characteristics of CC: histology (adeno x squamous x adenosquamous x neuroendocrine x other) , International Federation of Gynecology and Obstetrics (FIGO) stage, pathological stage, exams for staging, date of diagnosis, site of metastasis.
- To describe treatment characteristics of CC: date of surgery, type of surgery; date and duration of radiotherapy, type of radiotherapy; date, type and lines of systemic therapy (chemotherapy, monoclonal antibodies),
- To describe treatment safety (grade 3-4 AEs, death due to treatment toxicity, discontinuation due to AE). In addition adverse events of special interest will be described (details on Safety section).
- To describe the outcomes: follow-up exams and date of visits, persistent disease, recurrence, progression times in metastatic disease, complications (e.g. hydronephrosis/nephrostomy/ GI perforations and both GI & genitourinary fistulae.), death due CC and death from any cause.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
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Rio de Janeiro, Brazil
- INCA
-
Sao Paulo, Brazil
- Hospital São José
-
São Paulo, Brazil
- Instituto Brasileiro De Controle Do Câncer - IBCC
-
-
Amazonas
-
Manaus, Amazonas, Brazil
- Fundação Centro de Controle do Câncer do Estado do Amazonas
-
-
Bahia
-
Salvador, Bahia, Brazil
- Clínica AMO
-
-
Ceará
-
Fortaleza, Ceará, Brazil
- CRIO
-
-
Fortaleza
-
Ceara, Fortaleza, Brazil, CE
- HU Walter Cantídeo
-
-
Maranhão
-
Sao Luis, Maranhão, Brazil
- Hospital Alderona Bello
-
-
Minas Gerais
-
Belo Horizonte, Minas Gerais, Brazil
- UFMG
-
-
Paraná
-
Curitiba, Paraná, Brazil
- Hospital Erasto Gaertner
-
-
Pernambuco
-
Recife, Pernambuco, Brazil
- IMIP
-
-
Rio Grande Do Sul
-
Passo Fundo, Rio Grande Do Sul, Brazil
- Hospital São Vicente de Paulo
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Porto Alegre, Rio Grande Do Sul, Brazil
- CPO - Hsl/Pucrs
-
-
Roraima
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Boa Vista, Roraima, Brazil
- Hospital Geral de Roraima
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-
Santa Catarina
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Florianopolis, Santa Catarina, Brazil
- CEPON
-
Itajaí, Santa Catarina, Brazil
- Centro de Novos Tratamentos Litoral - Itajaí
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Histologic confirmed invasive cervical cancer
- Diagnosis of FIGO stages
- Stage 1B to 2A high risk
- 2B-4B or recurrent disease
- Patients ≥18 years old
Exclusion Criteria:
- Non-invasive uterine carcinoma;
- Pregnancy;
- synchronous tumor or second primary tumor in the past 5 years (except thyreoid ancer or non-melanoma skin cancer).
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Characterization of cervix cancer in the Brazilian female population
Time Frame: 3 years
|
3 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Socio-demographic characteristics of the female population diagnosed with CC
Time Frame: Month 0 (beginning of the study)
|
Month 0 (beginning of the study)
|
|
|
Description of the method used to diagnose the brazillian female patients with cervix cancer
Time Frame: Month 0
|
Screening tests (Papanicolaou test) or symptoms presented by patients
|
Month 0
|
|
The clinical and pathological characteristics of cervix cancer in brazilian female patients
Time Frame: Month 0
|
Month 0
|
|
|
Type of treatment assessed in patients with CC
Time Frame: Month 0, 3, 6,12, 24 and 36
|
Radiotherapy, Chemotherapy and/or Surgery
|
Month 0, 3, 6,12, 24 and 36
|
|
Number of patients with disease survival
Time Frame: Month 3, 6, 12, 24 and 36
|
Month 3, 6, 12, 24 and 36
|
|
|
Number of patients with progression survival
Time Frame: Month 3, 6, 12, 24 and 36
|
Month 3, 6, 12, 24 and 36
|
|
|
Number of patients with overall survival
Time Frame: Month 3, 6, 12, 24 and 36
|
Month 3, 6, 12, 24 and 36
|
|
|
Number of patients with disease overall survival
Time Frame: Month 3, 6, 12, 24 and 36
|
Month 3, 6, 12, 24 and 36
|
|
|
Type and description of the indicated treatment after the diagnosis of cervix cancer in brazilian female patients
Time Frame: Month 0, 3, 6,12, 24 and 36
|
Month 0, 3, 6,12, 24 and 36
|
|
|
Duration of treatment after the diagnosis of cervix cancer
Time Frame: Month 0, 3, 6,12, 24 and 36
|
Month 0, 3, 6,12, 24 and 36
|
|
|
Description of adverse effects of the cervix cancer treatment
Time Frame: Month 0, 3, 6,12, 24 and 36
|
Month 0, 3, 6,12, 24 and 36
|
|
|
Number of adverse effects of the cervix cancer treatment
Time Frame: Month 0, 3, 6,12, 24 and 36
|
Month 0, 3, 6,12, 24 and 36
|
|
|
Type of clinical outcomes of the patients with cervix cancer in Brazil
Time Frame: Month 0, 3, 6,12, 24 and 36
|
Month 0, 3, 6,12, 24 and 36
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Gustavo Werutsky, MD, Latin American Cooperative Oncology Group
Publications and helpful links
General Publications
- Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011 Mar-Apr;61(2):69-90. doi: 10.3322/caac.20107. Epub 2011 Feb 4. Erratum In: CA Cancer J Clin. 2011 Mar-Apr;61(2):134.
- Munoz N, Franco EL, Herrero R, Andrus JK, de Quadros C, Goldie SJ, Bosch FX. Recommendations for cervical cancer prevention in Latin America and the Caribbean. Vaccine. 2008 Aug 19;26 Suppl 11:L96-L107. doi: 10.1016/j.vaccine.2008.05.062.
- Hellner K, Munger K. Human papillomaviruses as therapeutic targets in human cancer. J Clin Oncol. 2011 May 1;29(13):1785-94. doi: 10.1200/JCO.2010.28.2186. Epub 2011 Jan 10.
- Martinez-Mesa J, Werutsky G, Campani RB, Wehrmeister FC, Barrios CH. Inequalities in Pap smear screening for cervical cancer in Brazil. Prev Med. 2013 Oct;57(4):366-71. doi: 10.1016/j.ypmed.2013.06.026. Epub 2013 Jul 1.
- Zuliani AC, Esteves SC, Teixeira LC, Teixeira JC, de Souza GA, Sarian LO. Concomitant cisplatin plus radiotherapy and high-dose-rate brachytherapy versus radiotherapy alone for stage IIIB epidermoid cervical cancer: a randomized controlled trial. J Clin Oncol. 2014 Feb 20;32(6):542-7. doi: 10.1200/JCO.2013.50.1205. Epub 2014 Jan 21.
- Pearcey R, Brundage M, Drouin P, Jeffrey J, Johnston D, Lukka H, MacLean G, Souhami L, Stuart G, Tu D. Phase III trial comparing radical radiotherapy with and without cisplatin chemotherapy in patients with advanced squamous cell cancer of the cervix. J Clin Oncol. 2002 Feb 15;20(4):966-72. doi: 10.1200/JCO.2002.20.4.966.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- LACOG 0215/EVA 001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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