Feasibility of Pet-scan at Day 1 of Brachytherapy for Patients With Cervical Cancer (TEP-Curie)
Feasibility of PET-scan Carried Out at Day 1 of Brachytherapy for Patients With Locally Advanced Cervical Cancer Treated Initially by Concomitant Radio-chemotherapy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study will proceed as follow:
- Initial check-up before the brachytherapy, including a clinical exam, collect of disease history and other informations that can be required for a good execution of the trial, and a usual patient care (chemotherapy with concomitant radiotherapy, biopsy, RMI, PET-scan and paraaortic lymphadenectomy).
- additional PET-scan exam at day 1 of the brachytherapy (with collect of informations on toxicity, clinical morphology data and biomorphological data of RMI and PET-scan, and dosimetric study of the brachytherapy)
- 4 months after the brachytherapy, additional PET-scan monitoring metabolic volumes and standardized metabolic fixation parameters
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Lille, France, 59020
- Centre Oscar Lambret
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient suffering from a cervical cancer:
- squamous-cell carcinoma or adenocarcinoma histologically proven
- classified from FIGO 2009 IB2 to IVA stage
- Age ≥ 18 years old
- Examination by PET-scan and pelvic RMI realized at diagnosis
- Examination by negative PET-scan remotely closed and at lymph node level
- Surgical lymphadenectomy negative at paraaortic level
- Treatment by external radiotherapy (doses between 45 Gy and 50.4 Gy in 1.8 Gy/fractions) and concomitant chemotherapy (at least 4 cures per weeks using platinum salt) done
- Scheduled curative treatment by brachytherapy driven by RMI
- Affiliation to the National Social Security System
- With informed and signed consent before any procedure specific to the study
Exclusion Criteria:
- Performance status of WHO score > 2
- Other histology than squamous cell carcinoma or adenocarcinoma
- Metastatic patient or paraaortic node positive
- Adjuvant radiochemotherapy after the first surgery
- Dementia or psychiatric history
- Kidney failure
- Diabet
- Chronic inflammatory bowel disease
- Pelvic and/or vesicoureteral surgery history
- Pelvic irradiation history
- Other active neoplasia or < 5 years old, except for basocellular carcinoma that can be locally treated
- Contraindication to one of the following procedure : RMI, PET-scan, general anesthesia
- Radiosensitive disease (Fragile X syndrome, Huntington's chorea, Xeroderma Pigmentosum, connective tissue disease) or signs of radiosensitivity.
- Treatment with palliative intent
- Pregnant or breastfeeding women
- Patient Under guardianship or tutorship
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: Study Procedure
Brachytherapy. PET-scan.
|
Before it starts, a consultation will be done to collect patient's informations and disease history, a clinical exam will be done and an evaluation of radio-chemotherapy toxicity will be realized. The brachytherapy include a pulsating flow treatment driven by RMI and CT-scan The patient will undergo 2 PET-scan during the clinical trial:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility of "TEP-Curie" (Brachytherapy driven by PET-scan) in terms of realized exams
Time Frame: 4 months
|
Concerning this outcome, the success in terms of feasibility will be the possibility of realizing the TEP-Curie exam
|
4 months
|
|
Feasibility of "TEP-Curie" (Brachytherapy driven by PET-scan) regarding the possibility to define HR-CTV target volume (High-Risk Clinical Target Volume)
Time Frame: 4 months
|
Concerning this outcome, the success in terms of feasibility will be the possibility of defining a HR-CTV target volume for at least one of the 3 proposed approaches using the PET
|
4 months
|
|
Feasibility of "TEP-Curie" (Brachytherapy driven by PET-scan) regarding the dicom medical image transfer
Time Frame: 4 months
|
Concerning this outcome, the success in terms of feasibility will be the possibility of transfering image in a Dicom format
|
4 months
|
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Feasibility of "TEP-Curie" (Brachytherapy driven by PET-scan) regarding the contouring possibility
Time Frame: 4 months
|
Using the possibility of defining the contouring for at least one of the 3 alternative treatment plans
|
4 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Impact of the "TEP-Curie" (Brachytherapy driven by PET-scan) on target volume definition
Time Frame: 4 months
|
Comparison of the target volume obtained with TEP-curie to the target volume defined by the RMI alone
|
4 months
|
|
Assessment of the HR-CTV coverage
Time Frame: 4 months
|
Comparison of the HR-CTV obtained with TEP-curie to the HR-CTV obtained by the RMI alone
|
4 months
|
|
Assessment of the dose received by the neighboring target organs
Time Frame: 4 months
|
Comparison of the dose obtained with TEP-curie to the dose obtained by the RMI alone
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4 months
|
|
Time needed to design the different alternative treatment plans
Time Frame: 4 months
|
4 months
|
|
|
Toxicity linked to the standard treatment driven by RMI only
Time Frame: 4 months
|
Graded according to the NCI CTCAE v4.
scale
|
4 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Abel CORDOBA, MD, Centre oscar Lambret de Lille
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 (Actual)
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
- 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
- Investigative Techniques
- Therapeutics
- Chemistry Techniques, Analytical
- Spectrum Analysis
- Radiotherapy
- Magnetic Resonance Spectroscopy
- Brachytherapy
Other Study ID Numbers
Other Study ID Numbers
- TEP-Curie-1702
- 2017-A01888-45 (Other Identifier: ANSM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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