Effect of Bladder Distension on Dosimetry in Brachytherapy of Cervical Cancer (VESICOL)
Effect of Bladder Distension on Organs at Risk Doses in PDR 3D Image-guided Brachytherapy of Cervical Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Vandœuvre-lès-Nancy, France, 54500
- Institut de cancerologie de Lorraine
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age > or = 18 years old
- with a cervical cancer histologically proven (squamous cell carcinoma, adenocarcinoma and neuroendocrine cell carcinoma)
Utero-vaginal brachytherapy indications::
- Stage 1B1: brachytherapy before surgery
- Stages IB2 to IIIB: after pelvic radiotherapy (45Gy/25 fractions/5 weeks) with or without concomitant chemotherapy
- Ability to provide an informed written consent form
- Patient must be affiliated to a social security system
Exclusion Criteria:
- Age < 18 years old
- History of pelvic radiotherapy
- History of pelvic surgery
- Recent joint prothesis (<3 months)
- Pregnant woman or being breastfeeding
- Patients deprived of liberty or under supervision
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ARM 1
|
The brachytherapy applicator and a urinary catheter are set up in the operating room under general anesthesia. Then, an MRI (or a scanner if contra-indication) is performed after a bladder filling with 120cc of normal saline solution and urinary catheter clamping. Right after, a scanner is performed with urinary catheter declamping and emptied bladder. Delineation of CTVs and organs at risk (bladder, rectum, sigmoid, small bowel), and dosimetric optimisation are made on study with filled bladder. Then, organs at risk are delineated on the study with emptied bladder. The prior dosimetry is reset on this study and organs at risk doses are compared. |
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Demonstrate the non inferiority of 3D image-guided brachytherapy with emptied bladder compared to filled bladder for the dose received by the bladder
Time Frame: 1 day
|
Difference of the maximum dose received by 2 cm3 bladder (D2cc) between the two conditions: full and empty.
|
1 day
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Non-inferiority based on the dose received by the rectum
Time Frame: 1 day
|
1 day
|
|
Non-inferiority based on the dose received by the sigmoid
Time Frame: 1 day
|
1 day
|
|
Non-inferiority based on the dose received by the small bowel
Time Frame: 1 day
|
1 day
|
|
FIGO staging system
Time Frame: 1 day
|
1 day
|
|
Body Mass Index
Time Frame: 1 day
|
1 day
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: RENARD OLDRINI SOPHIE, MD, Institut de cancerologie de Lorraine
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
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 (Estimated)
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
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Uterine Diseases
- Genital Diseases, Female
- Genital Neoplasms, Female
- Uterine Cervical Diseases
- Uterine Neoplasms
- Uterine Cervical Neoplasms
- Therapeutics
- Radiotherapy
- Brachytherapy
Other Study ID Numbers
Other Study ID Numbers
- 2015-A00923-46
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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