- ICH GCP
- Register voor klinische proeven in de VS.
- Klinische proef NCT06079671
Onderzoek naar Volrustomig bij vrouwen met een hoog risico op lokaal gevorderde baarmoederhalskanker (eVOLVE-Cervical) (eVOLVECervical)
Een fase III, gerandomiseerde, dubbelblinde, placebogecontroleerde, multicentrische, mondiale studie naar Volrustomig bij vrouwen met een hoog risico op lokaal gevorderde baarmoederhalskanker bij wie geen vooruitgang is geboekt na op platina gebaseerde, gelijktijdige chemoradiatietherapie (eVOLVE-cervicaal)
This is a phase III, randomized, double-blind, placebo-controlled, multi-center, global study to explore the efficacy and safety of volrustomig in women with high-risk LACC (FIGO 2018 stage IIIA to IVA cervical cancer) who have not progressed following platinum-based CCRT.
Studie Overzicht
Toestand
Interventie / Behandeling
Gedetailleerde beschrijving
Women with locally advanced cervical cancer will be randomized in a 1:1 ratio to receive treatment with Volrustomig or Placebo.
Studietype
Inschrijving (Geschat)
Fase
- Fase 3
Contacten en locaties
Studiecontact
- Naam: AstraZeneca Clinical Study Information Center
- Telefoonnummer: 1-877-240-9479
- E-mail: information.center@astrazeneca.com
Studie Locaties
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Barretos, Brazilië, 14784-400
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Belo Horizonte, Brazilië, 30130-100
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Curitiba, Brazilië, 80730-150
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Fortaleza, Brazilië, 60430-230
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Fortaleza, Brazilië, 60336-045
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Goiânia, Brazilië, 74110-060
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Ijuí, Brazilië, 98700-000
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Natal, Brazilië, 59075-740
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Porto Alegre, Brazilië, 90619-900
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Porto Alegre, Brazilië, 98850-170
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Porto Alegre, Brazilië, 90570-060
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Porto Velho, Brazilië, 76834-899
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Recife, Brazilië, 52010-075
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Rio de Janeiro, Brazilië, 20220-410
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Salvador, Brazilië, 40050 410
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São Paulo, Brazilië, 01246-000
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São Paulo, Brazilië, 1323001
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São Paulo, Brazilië, 01323-000
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Teresina, Brazilië, 64049-200
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Ontario
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Hamilton, Ontario, Canada, L8V 1C3
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London, Ontario, Canada, N6A 5W9
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Toronto, Ontario, Canada, M4N 3M5
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Toronto, Ontario, Canada, M5G 2M9
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Quebec
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Montreal, Quebec, Canada, H3G 1A4
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Montreal, Quebec, Canada, H2X 0C1
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Ste-Foy, Quebec, Canada, G1V 4G2
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Beijing, China, 100730
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Beijing, China, 100142
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Beijing, China, 100026
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Changde, China, 415000
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Changsha, China, 410008
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Changsha, China, 410013
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Chengdu, China, 610041
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Chengdu, China, 610044
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Chongqing, China, 400030
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Fuzhou, China, 350014
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Ganzhou, China, 341000
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Guangzhou, China, 510060
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Guangzhou, China, 510120
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Hangzhou, China, 310022
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Harbin, China, 150081
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Kunming, China, 650118
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Lanzhou, China, 730050
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Lanzhou, China, 730000
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Linyi, China, 276001
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Luzhou, China, 646000
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Nanchang, China, 330006
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Nanchang, China, 330029
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Shandong, China
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Shanghai, China, 200032
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Shanghai, China, 200080
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Shenyang, China, 110004
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Shenzhen, China, 518036
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Shenzhen, China, 518116
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Tianjin, China, 300060
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Wuhan, China, 430022
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Wuhan, China, 430030
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Xi'an, China, 710061
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Yibin, China, 610500
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Yinchuan, China, 750004
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Zhengzhou, China, 450008
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Zhengzhou, China, 450052
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Zhuzhou, China, 412007
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Aarhus N, Denemarken, 8200
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København Ø, Denemarken, 2100
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Odense, Denemarken, 5000
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Berlin, Duitsland, 13353
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Bonn, Duitsland, 53127
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Hamburg, Duitsland, 20246
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Leipzig, Duitsland, 04103
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Calicut, Indië, 673601
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Jaipur, Indië, 302017
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Lucknow, Indië, 226003
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Madurai, Indië, 625107
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Mohali, Indië, 160055
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Nagpur, Indië, 440001
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Nashik, Indië, 422009
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Catania, Italië, 95126
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Florence, Italië, 50141
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Lecco, Italië, 23900
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Milan, Italië, 20141
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Milan, Italië, 20159
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Milan, Italië, 20133
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Monza, Italië, 20900
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Naples, Italië, 80131
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Roma, Italië, 161
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Rome, Italië, 00168
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Turin, Italië, 10128
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Fukuoka, Japan, 812-8582
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Ginowan-shi, Japan, 901-2725
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Hidaka-shi, Japan, 350-1298
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Kagoshima, Japan, 890-8520
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Kurume-shi, Japan, 830-0011
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Kōtoku, Japan, 135-8550
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Maebashi, Japan, 371-8511
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Matsuyama, Japan, 791-0280
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Morioka, Japan, 028-3695
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Nagoya, Japan, 464-8681
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Osaka, Japan, 541-8567
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Sapporo, Japan, 003-0804
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Sapporo, Japan, 060-8638
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Shinjuku-ku, Japan, 160-8582
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Suita-shi, Japan, 565-0871
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Sunto-gun, Japan, 411-8777
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Toon-Shi, Japan, 791-0295
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Coyoacán, Mexico, 04380
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Culiacán, Mexico, 80040
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Guadalajara, Mexico, 44650
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Guadalajra, Mexico, 44260
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Mexico City, Mexico, 03240
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Monterrey, Mexico, 64460
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México, Mexico, 04700
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México, Mexico, 14080
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Oslo, Noorwegen, 424
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Trondheim, Noorwegen, 7030
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Concepción, Peru, 12125
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Lima, Peru, LIMA 29
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Lima, Peru, Lima 34
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Lima, Peru, 15036
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Lima, Peru, 15038
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Lima, Peru, 15102
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Lima, Peru, Lima39
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Bialystok, Polen, 15-027
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Gdansk, Polen, 80-214
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Gliwice, Polen, 44-101
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Krakow, Polen, 30-348
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Lodz, Polen, 90-513
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Poznan, Polen, 61-866
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Warsaw, Polen, 02-781
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Wroclaw, Polen, 53-413
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San Juan, Puerto Rico, 00927
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A Coruña, Spanje, 15009
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Barcelona, Spanje, 08036
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Barcelona, Spanje, 8035
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Córdoba, Spanje, 14004
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Girona, Spanje, 17007
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Hospitalet deLlobregat, Spanje, 08907
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Madrid, Spanje, 28034
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Madrid, Spanje, 28040
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Madrid, Spanje, 28041
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Madrid, Spanje, 28046
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Palma de Mallorca, Spanje, 07010
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Valencia, Spanje, 46010
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Valencia, Spanje, 46009
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Changhua, Taiwan, 50006
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Kaohsiung City, Taiwan, 833
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Kaohsiung City, Taiwan, 81362
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New Taipei City, Taiwan, 220
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Taichung, Taiwan, 40447
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Taichung, Taiwan, 40705
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Tainan, Taiwan, 704
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Taipei, Taiwan, 11217
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Taipei, Taiwan, 10449
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Taoyuan, Taiwan, 333
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Bangkok, Thailand, 10400
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Bangkok, Thailand, 10330
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Bangkok, Thailand, 10700
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Muang, Thailand, 50200
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Udon Thani, Thailand, 41330
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Adana, Turkije (Türkiye), 01250
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Ankara, Turkije (Türkiye), 06490
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Ankara, Turkije (Türkiye), 06100
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Cordaleo, Turkije (Türkiye), 35575
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Istanbul, Turkije (Türkiye), 32098
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Istanbul, Turkije (Türkiye), 34214
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Alabama
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Birmingham, Alabama, Verenigde Staten, 35233
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Arizona
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Phoenix, Arizona, Verenigde Staten, 85016
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Tucson, Arizona, Verenigde Staten, 85711
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Arkansas
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Little Rock, Arkansas, Verenigde Staten, 72205
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California
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La Jolla, California, Verenigde Staten, 92093
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West Hollywood, California, Verenigde Staten, 90048
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Georgia
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Atlanta, Georgia, Verenigde Staten, 30322
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Augusta, Georgia, Verenigde Staten, 30912
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Savannah, Georgia, Verenigde Staten, 31405
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Illinois
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Melrose Park, Illinois, Verenigde Staten, 60160
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Indiana
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Indianapolis, Indiana, Verenigde Staten, 46202
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Louisiana
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New Orleans, Louisiana, Verenigde Staten, 70112
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New Orleans, Louisiana, Verenigde Staten, 70121
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Shreveport, Louisiana, Verenigde Staten, 71103
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New York
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New York, New York, Verenigde Staten, 10016
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Syracuse, New York, Verenigde Staten, 13210
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Ohio
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Cleveland, Ohio, Verenigde Staten, 44195
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Columbus, Ohio, Verenigde Staten, 43210
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Oregon
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Eugene, Oregon, Verenigde Staten, 97401
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Philadelphia, Pennsylvania, Verenigde Staten, 19107
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Rhode Island
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Providence, Rhode Island, Verenigde Staten, 02905
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Texas
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Dallas, Texas, Verenigde Staten, 75390
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Fort Worth, Texas, Verenigde Staten, 76104
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Houston, Texas, Verenigde Staten, 77030
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Tyler, Texas, Verenigde Staten, 75702
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Virginia
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Charlottesville, Virginia, Verenigde Staten, 22908
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Fairfax, Virginia, Verenigde Staten, 22031
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Richmond, Virginia, Verenigde Staten, 23298
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Goyang-si, Zuid -Korea, 10408
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Gyeonggi-do, Zuid -Korea, 13605
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Seoul, Zuid -Korea, 03080
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Seoul, Zuid -Korea, 06351
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
For inclusion in the study, patients should fulfill the following criteria:
- Female.
- Aged at least 15 years at the time of screening. Note: Participants < 18 years of age: physical changes should be aligned with Tanner Stage III.
- Body weight > 35 kg.
- Histologically documented FIGO 2018 Stage IIIA to IVA cervical adenocarcinoma, cervical squamous carcinoma, or cervical adenosquamous carcinoma, with no evidence of metastatic disease.
- Initial staging procedures performed no more than 56 days prior to the first dose of CCRT.
- Provision of FFPE tumor sample to assess the PD-L1 expression.
- Must not have progressed following CCRT, participants with persistent disease after definitive CCRT must not be amenable to other available therapies with curative intent.
- WHO/ECOG performance status of 0 or 1; duration of life expectancy of ≥ 12 weeks.
- Adequate organ and bone marrow function.
- Capable of providing signed informed consent.
Exclusion Criteria:
Patients should not enter the study if any of the following exclusion criteria are fulfilled:
- Diagnosis of small cell (neuroendocrine) or mucinous adenocarcinoma of cervical cancer.
- Evidence of metastatic disease.
- Intent to administer a fertility-sparing treatment regimen.
- History of organ transplant or allogenic stem cell transplant.
- History of active primary immunodeficiency or active or prior documented autoimmune or inflammatory disorders.
- Uncontrolled intercurrent illness.
- History of another primary malignancy except for a) Malignancy treated with curative intent with no known active disease ≥2 years before the first dose of study intervention; b) Adequately treated nonmelanoma skin cancer or lentigo maligna, or carcinoma in situ without evidence of disease.
- Unresolved toxicities from previous CCRT except for irreversible toxicity that is not reasonably expected to be exacerbated.
- Prior history or presence of vesicovaginal, colovaginal, or rectovaginal fistula.
- History of anaphylaxis to any biologic therapy or vaccine.
- Current or prior use of immunosuppressive medication within 14 days before the first dose of the study intervention is excluded. The following are exceptions to this criterion: a) Intranasal, inhaled, topical steroids, or local steroid injections (eg, intraarticular injection); b) Steroids as premedication for hypersensitivity reactions (eg, CT scan premedication or chemotherapy premedication) or a single dose for palliative purpose (eg, pain control); c) Physiologic doses of oral corticosteroids, ie, not exceeding 10 mg/day of prednisone (or equivalent) in the preceding 14 days.
- Patients who have undergone a previous hysterectomy, including a supracervical hysterectomy, or will have a hysterectomy as part of their initial cervical cancer therapy.
- Any prior (besides prior CCRT) or concurrent treatment for cervical cancer.
- Major surgical procedures within 4 weeks prior to the first dose of the study intervention or still recovering from prior surgery.
- Exposure to immune mediated therapy prior to the study for any indication.
- Receipt of live attenuated vaccine within 30 days prior to the first dose of the study intervention.
- Participants with a known allergy or hypersensitivity to the study intervention, or any excipients of the study intervention.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verviervoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Placebo-vergelijker: Placebo
Placebo |
IV Infusion
Andere namen:
|
|
Experimenteel: Volrustomig
Volrustomig |
IV Infusion |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Progression-free Survival (PFS) based on the investigator assessment in all randomized participants (FAS)
Tijdsspanne: Up to approximately 7 years
|
PFS is defined as the time from date of randomization until RECIST 1.1- defined radiological progression or histopathologically confirmed progression as assessed by the Investigator or death due to any cause, whichever occurs earlier. |
Up to approximately 7 years
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Overall Survival (OS) in all randomized participants
Tijdsspanne: Up to approximately 7 years
|
OS defined as time from randomization until the date of death due to any cause. |
Up to approximately 7 years
|
|
Objective Response Rate (ORR) in all randomized participants
Tijdsspanne: Up to approximately 7 years
|
ORR is defined as the proportion of participants who have a CR or PR, as determined by Investigator per RECIST 1.1 |
Up to approximately 7 years
|
|
Duration of Response (DoR) in all randomized participants
Tijdsspanne: Up to approximately 7 years
|
DoR in participants with a CR or PR: Time from date of first detection of CR or PR until the date of RECIST 1.1-defined radiological progression or histopathologically confirmed progression. |
Up to approximately 7 years
|
|
Time to First Subsequent Therapy or death (TFST) in all randomized participants
Tijdsspanne: Up to approximately 7 years
|
TFST: The time from randomization until the start date of the first subsequent anti-cancer therapy after discontinuation of randomized treatment, or death due to any cause. |
Up to approximately 7 years
|
|
Time to second progression or death (PFS2) in all randomized participants
Tijdsspanne: Up to approximately 7 years
|
PFS2: The time from randomization to the earliest of the progression event (following the initial Investigator-assessed progression), after first subsequent therapy, or death. The date of second progression will be recorded by the Investigator in the eCRF and defined according to local standard clinical practice. |
Up to approximately 7 years
|
|
PFS by BICR in all randomized participants
Tijdsspanne: Up to approximately 7 years
|
Endpoints based on the PFS by BICR assessment according to RECIST 1.1. |
Up to approximately 7 years
|
|
The incidence of local progression, and distant disease progression as the first documented progression event in all randomized participants
Tijdsspanne: Up to approximately 7 years
|
Incidence of Local Progression, and Distant Disease Progression: Number and percentage of participants who develop local progression, distant disease recurrence. |
Up to approximately 7 years
|
|
PK of volrustomig
Tijdsspanne: Up to approximately 7 years
|
Concentration of volrustomig in serum and PK parameters as data allow. |
Up to approximately 7 years
|
|
The immunogenicity of volrustomig
Tijdsspanne: Up to approximately 7 years
|
Incidence of ADAs against volrustomig in serum. |
Up to approximately 7 years
|
|
Incidence of adverse events of volrustomig compared to placebo
Tijdsspanne: Up to approximately 7 years
|
An AE is defined as the development of any untoward medical occurrence (other than progression of the malignancy under evaluation) in a patient or clinical study participant administered a medicinal product, and which does not necessarily have a causal relationship with this treatment. |
Up to approximately 7 years
|
|
Participant-reported disease-related symptoms
Tijdsspanne: Up to approximately 7 years
|
Change from baseline as measured by the European Organization for Research and Treatment of Cancer IL318 (EORTC IL318, Symptom Experience subscale of the EORTC Quality of Life Questionnaire Symptom Specific Scale for Cervical Cancer (EORTC QLQ-CX24)). The score of scale for EORTC IL318 is from 1-4. |
Up to approximately 7 years
|
|
Participant-reported physical functioning
Tijdsspanne: Up to approximately 7 years
|
Change from baseline of physical functioning as measured by the Patient Reported Outcomes Measurement Information System - Short Form - Physical Functioning 8c (PROMIS SF-PF 8c). The score of scale for PROMIS SF-PF 8c is from 1-5. |
Up to approximately 7 years
|
|
Participant-reported global health status/Quality of Life
Tijdsspanne: Up to approximately 7 years
|
Change from baseline of Global Health Status/ Quality of Life (GHS/QoL) as measured by the European Organization for Research and Treatment of Cancer IL172 (EORTC IL172). The score of scale for EORTC IL172 is from 1-7. |
Up to approximately 7 years
|
Medewerkers en onderzoekers
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- D7984C00002
- GOG-3092 (Andere identificatie: Gynecologic Oncology Group Foundation)
- ENGOT-cx19/GEICO (Andere identificatie: European Network for Gynaecological Oncological Trial groups)
- 165663 (Register-ID: FDA-IND)
- 2023-504374-38-00 (Andere identificatie: EU CT)
- 2023 (Subsidie/contract van de Amerikaanse NIH)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD-tijdsbestek voor delen
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD-toegangscriteria voor delen
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
IPD delen Ondersteunend informatietype
- LEERPROTOCOOL
- SAP
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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