- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02471027
The Clinical Research of Neoadjuvant Chemotherapy Combined Surgery for Locally Advanced Cervical Cancer
Optimization Research of Early Cervical Caner Treatment
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This study is a multicenter registered study.Selected January 1, 2009 to June 31,2016 ,accepted neoadjuvant chemotherapy combined radical surgery or radical surgery directly as treatment,ⅠB2 and ⅡA2 stage cervical cancer patients at each center to participate in research. Total number of patients is at least 1000 cases.On January 1, 2009 to May 31, 2015 ,collected the baseline data and follow-up information of hospitalized patients ,called a retrospective group.On June 1,2015 to May 31,2016,all the cases into the group take prospective way to collect baseline data (called a prospective group).Mainly collect the follow-up information.
1.The main observation indexes: the overall survival (OS) : the time from treatment for the first time (first day of neoadjuvant chemotherapy or surgery) calculation to the time of death or the time of the last follow-up still alive(about four year).
2.Secondary outcome:
- 3 year disease-free survival (DFS) : from the operation time or neoadjuvant chemotherapy time calculation for the first time to recurrence/the time or the last follow-up time of death.
- the quality of life assessment: including EQ-5D health index scale and FSFI scale.
- the economics indexes: direct and indirect costs.
- High risk factors of the relapse analysis: lymph node positive rate, cervical local tumor changes after neoadjuvant chemotherapy, pathologic complete response rate after neoadjuvant chemotherapy, tumor pathology classification, tumor stromal infiltration depth, Cut edge positive rate, Vascular infiltration clearance rate, etc.
- perioperative: operation time, intraoperative blood loss, postoperative complications, postoperative mortality, infections, etc.
- adverse reactions (prospectie cohort study only) : application WHO anti-cancer drug adverse reaction degree and RTOG/EORTC criteria to evaluate different treatment of adverse reactions.
Subject of supervision organization for clinical research institute is Peking University Clinical Research Institute.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Yu M Wu, professor
- Phone Number: 13701016571
- Email: wym597118@163.com
Study Contact Backup
- Name: Qun Zhao, Physician
- Phone Number: 18600964126
- Email: qunzhao02@126.com
Study Locations
-
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Beijing
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Beijing, Beijing, China, 100000
- Beijing Obstetrics and Gynecology Hospital, Capital Medical University
-
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age greater than equal to 18
- The initial treatment of cervical cancer,the Pathology is squamous cell carcinoma, adenocarcinoma and Adenosquamous carcinoma
- 2009 FIGO clinical staging IB2, IIA2 stage cervical cancer
- Patients acceptted the treatment of neoadjuvant chemotherapy combined cervical cancer radical surgery or cervical cancer radical surgery directly
- Inform consent form
Exclusion Criteria:
- With severe complications can not tolerate surgery, chemotherapy
- Patients with distant metastasis
- With uncontrolled seizures, central nervous system disease or a history of mental disorders, the researchers determine the clinical severity affect clinical research
- The last five years has a history of other malignant diseases
- Have received chemotherapy and radiotherapy patients
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Control
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Experimental group
2009 FIGO staging ⅠB2 or ⅡA2,the treatment is neoadjuvant chemotherapy combined with cervical cancer radical surgery .
|
There is no uniform schemer,commonly used drugs including carboplatin,cisplatin,paclitaxel,vincristine,bleomycin,fluorouracil,ifosfamide,mitomycin,gemcitabine,and so on.Methods including intravenous chemotherapy and artery intervention chemotherapy,also has not been unified.
|
control group
2009 FIGO staging ⅠB2 or ⅡA2,the treatment is cervical cancer radical surgery.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
overall survival
Time Frame: The average time is up to four year.
|
The time from treatment for the first time (first day of neoadjuvant chemotherapy or surgery) calculation to the time of death or the time of the last follow-up(In December 2019) still alive.
|
The average time is up to four year.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
3 year disease-free survival (DFS)
Time Frame: The average time is up to three year.
|
From the operation time or neoadjuvant chemotherapy time calculation for the first time to recurrence/the time of death or the last follow-up time.
|
The average time is up to three year.
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the quality of life assessment
Time Frame: Before treatment and follow-up period.The average time is up to two year.
|
Including EQ-5D health index scale and FSFI scale.
|
Before treatment and follow-up period.The average time is up to two year.
|
High risk factors of relapse analysis
Time Frame: We get the result after operation.The average time is up to one year.
|
The high risk factors of relapse contain:lymgh node positive rate, cervical local tumor changes after neoadjuvant chemotherapy, pathologic complete response rate neoadjuvant chemotherapy, tumor pathology classification, tumor stromal infiltration depth, Cut edge positive rate, Vascular tumor emboli rate, etc.
|
We get the result after operation.The average time is up to one year.
|
perioperative indexes
Time Frame: The period of preoperative, intraoperative and postoperative.The average time is up to one year.
|
The perioperative indexes contain operation time, intraoperative blood loss, postoperative complications, postoperative mortality, etc.
|
The period of preoperative, intraoperative and postoperative.The average time is up to one year.
|
Adverse reactions
Time Frame: The period of neoadjuvant chemotherapy and postoperative radiotherapy and chemotherapy.The average time is up to one year.
|
Application WHO anti-cancer drug adverse reaction degree and RTOG/EORTC criteria to evaluate different treatment of adverse reactions.
|
The period of neoadjuvant chemotherapy and postoperative radiotherapy and chemotherapy.The average time is up to one year.
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Yu M Wu, professor, Beijing obstetrics and geynecology hospital
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- D151100001915001
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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