- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03175848
Chemotherapy Plus Radiation Therapy in Treating Patients With Primary Stage IVB Cervical Cancer
Chemotherapy Plus Radiation Therapy in Treating Patients With Primary Stage IVB Cervical Cancer: A Prospective, Single Arm, Phase II Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Because of the apparent heterogeneity of stage IVB cervical cancer, at present there is no standard treatment.
This is a Phase II, single-center, single-arm, study of systemic chemotherapy plus lesion radiotherapy for primary stage IVB cervical cancer.
The primary objective of the study is to test the hypothesis that primary lesion radiotherapy leads to an improvement in progression-free survival time (PFS)for stage IVB cervical cancer.
For those patients under the clinical management of the recruiting investigator, the investigator will review the patient's medical records and determine if they would be a candidate for the study.
Upon confirmation of all eligibility criteria, the subject will be enrolled.Patients with beyond abdominal pelvic lymph node metastasis will first undergo 2 cycle systemic chemotherapy(TP/TC),then to evaluate the efficacy of chemotherapy, and for patients with chemotherapy effective(CR+PR+SD) followed by the primary lesion of regional radiotherapy (external irradiation plus brachytherapy),concurrent chemotherapy (TP/TC) may be given according to the patients tolerant,finally, the patient will complete a total of 6 cycles of chemotherapy(TP/TC).Distant metastasis of lymph node areas (e.g., supraclavicular, axillary, mediastinum, etc.) will be radiation after radiotherapy at the primary site according to patients tolerant.Patients with stage IVB cervical cancer with hematogenous metastasiswill first undergo 4 cycle systemic chemotherapy(TP/TC),then to evaluate the efficacy of chemotherapy, and for patients with chemotherapy effective(CR+PR+SD) followed by the primary lesion of regional radiotherapy (external irradiation plus brachytherapy),concurrent chemotherapy (TP/TC) may be given according to the patients tolerant,finally, the patient will complete a total of 6 cycles of chemotherapy(TP/TC),after the primary radiotherapy, the treatment regimen for distant metastasis will be determined by MDT discuss or consultation.Quality of life will be evaluated before and after treatment. During therapy, the patient will have a weekly physical exam, vital signs collected, evaluation for pain, and review any side effects.
Subjects will undergo a post treatment follow-up period after completion of their radiation therapy. During this follow-up period, subjects will return for a medical and history review with a complete physical examination, review of any side effects, evaluation for outcomes and toxicity, and QoL.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: HanMei Lou, M.A.
- Phone Number: Telephone: 0086-571-88122038
- Email: louhanmei@zjcc.org.cn
Study Contact Backup
- Name: ZhuoMin Yin
- Phone Number: 0086-571-88122032
- Email: yinzm@zjcc.org.cn
Study Locations
-
-
Zhejiang
-
Hangzhou, Zhejiang, China, 310022
- Recruiting
- Zhejiang Cancer Hospital
-
Contact:
- ZhuoMin Yin
- Phone Number: 0086-571-88122032
- Email: yinzm@zjcc.org.cn
-
Contact:
- HanMei Lou, M.A.
- Phone Number: 0086-571-88122038
- Email: louhanmei@zjcc.org.cn
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Biopsy-proven, invasive carcinoma of the cervix(squamous cell carcinoma, adenocarcinoma and adenosquamous carcinoma )
- KPS≥70
- FIGO stage IVB
- Age: 18-70
- ECOG (Eastern Cooperative Oncology Group) : 0-2
- The expected survival time is >6 months
- Chemotherapy and radiation have not been done before
- Normal hemodynamic indices before the recruitment (including white blood cell count>4.0×109/L, neutrophil count>1.5×109/L, platelet count >100×109/L, hemoglobin≥90g/l, normal liver/kidney function)
- Able to understand this study and have signed informed consent.
Exclusion Criteria:
- Prior hysterectomy
- Metastases lesions are confirmed by pathology or image and are excluded as the second primary neoplasm
- Patients with brain metastasis or disseminated peritoneal metastasis
- Female in pregnancy or lactating
- Hypersensitivity of chemotherapeutic drugs (paclitaxel allergy)
- History of major psychiatric disorder
- Persons with physical or mental illness, without civil capacity or with limited capacity for civil conduct
- Patient with any other disease or condition is a contraindication for chemoradiotherapy
- The researchers consider the patient not appropriate to be enrolled
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Chemotherapy,radiotherapy
Lymphatic metastasis patients undergoing 2 cycles of chemotherapy(TP/TC), blood metastasis patients receiving 4 cycles of chemotherapy, then patients with therapeutic evaluation for (CR+PR+SD) will undergo the radiotherapy (external irradiation plus brachytherapy) for primary lesion area , all patients completed total 6 cycles of chemotherapy (TP/TC), and finally will determine the of treatment plans of metastasis areas based on tolerance and discuss results by MDT.
|
Pelvic,pelvic-inguinal,or extended field radiotherapy:Therapy 45 - 50 Gy in 1.7 - 2.0 Gy daily fractions over 4.5 - 5.5 weeks for PTV Brachytherapy: Therapy 5-6 fractions of 4-6Gy prescribed to the high-risk CTV or A piont.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression-free survival time, PFS
Time Frame: 2 years
|
Progression-free survival will be evaluated
|
2 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Patients with Adverse Events as a Measure of Safety
Time Frame: 2 years
|
To quantify rates of acute hematologic, gastrointestinal, and genitourinary toxicity
|
2 years
|
Objective Response Rates, ORR
Time Frame: 2 years
|
Objective Response Rates will be evaluated
|
2 years
|
Overall survival
Time Frame: 2 years
|
Overall survival will be evaluated
|
2 years
|
Ranking Quality of Life of Patients
Time Frame: 2 years
|
To measure health-related quality of life based on the cancer-specific EORTC-QLQ-C30 questionnaire (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 and cervical cancer module(CX24).
|
2 years
|
Screening for potentially curable primary stage IVB cervical cancer
Time Frame: 2 years
|
By follow-up data,screening for potentially curable primary stage IVB cervical cancer
|
2 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: HanMei Lou, M.A., Zhejiang Cancer Hospital
- Principal Investigator: ZhuoMin Yin, Zhejiang Cancer Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ZJCH-2017-CRT
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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