- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT06079671
Studie av Volrustomig hos kvinnor med hög risk lokalt avancerad livmoderhalscancer (eVOLVE-Cervical) (eVOLVECervical)
En fas III, randomiserad, dubbelblind, placebokontrollerad, multicenter, global studie av volrustomig hos kvinnor med högrisk lokalt avancerad livmoderhalscancer som inte har utvecklats efter platinabaserad, samtidig kemoradiationsterapi (eVOLVE-cervikal)
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.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
Women with locally advanced cervical cancer will be randomized in a 1:1 ratio to receive treatment with Volrustomig or Placebo.
Studietyp
Inskrivning (Beräknad)
Fas
- Fas 3
Kontakter och platser
Studiekontakt
- Namn: AstraZeneca Clinical Study Information Center
- Telefonnummer: 1-877-240-9479
- E-post: information.center@astrazeneca.com
Studieorter
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Barretos, Brasilien, 14784-400
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Belo Horizonte, Brasilien, 30130-100
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Curitiba, Brasilien, 80730-150
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Fortaleza, Brasilien, 60430-230
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Fortaleza, Brasilien, 60336-045
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Goiânia, Brasilien, 74110-060
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Ijuí, Brasilien, 98700-000
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Natal, Brasilien, 59075-740
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Porto Alegre, Brasilien, 90619-900
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Porto Alegre, Brasilien, 98850-170
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Porto Alegre, Brasilien, 90570-060
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Porto Velho, Brasilien, 76834-899
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Recife, Brasilien, 52010-075
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Rio de Janeiro, Brasilien, 20220-410
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Salvador, Brasilien, 40050 410
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São Paulo, Brasilien, 01246-000
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São Paulo, Brasilien, 1323001
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São Paulo, Brasilien, 01323-000
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Teresina, Brasilien, 64049-200
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Aarhus N, Danmark, 8200
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København Ø, Danmark, 2100
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Odense, Danmark, 5000
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Alabama
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Birmingham, Alabama, Förenta staterna, 35233
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Arizona
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Phoenix, Arizona, Förenta staterna, 85016
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Tucson, Arizona, Förenta staterna, 85711
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Arkansas
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Little Rock, Arkansas, Förenta staterna, 72205
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California
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La Jolla, California, Förenta staterna, 92093
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West Hollywood, California, Förenta staterna, 90048
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Georgia
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Atlanta, Georgia, Förenta staterna, 30322
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Augusta, Georgia, Förenta staterna, 30912
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Savannah, Georgia, Förenta staterna, 31405
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Illinois
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Melrose Park, Illinois, Förenta staterna, 60160
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Indiana
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Indianapolis, Indiana, Förenta staterna, 46202
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Louisiana
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New Orleans, Louisiana, Förenta staterna, 70112
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New Orleans, Louisiana, Förenta staterna, 70121
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Shreveport, Louisiana, Förenta staterna, 71103
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New York
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New York, New York, Förenta staterna, 10016
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Syracuse, New York, Förenta staterna, 13210
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Ohio
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Cleveland, Ohio, Förenta staterna, 44195
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Columbus, Ohio, Förenta staterna, 43210
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Oregon
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Eugene, Oregon, Förenta staterna, 97401
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Pennsylvania
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Philadelphia, Pennsylvania, Förenta staterna, 19107
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Rhode Island
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Providence, Rhode Island, Förenta staterna, 02905
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Texas
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Dallas, Texas, Förenta staterna, 75390
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Fort Worth, Texas, Förenta staterna, 76104
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Houston, Texas, Förenta staterna, 77030
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Tyler, Texas, Förenta staterna, 75702
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Virginia
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Charlottesville, Virginia, Förenta staterna, 22908
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Fairfax, Virginia, Förenta staterna, 22031
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Richmond, Virginia, Förenta staterna, 23298
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Calicut, Indien, 673601
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Jaipur, Indien, 302017
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Lucknow, Indien, 226003
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Madurai, Indien, 625107
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Mohali, Indien, 160055
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Nagpur, Indien, 440001
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Nashik, Indien, 422009
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Nashik, Indien, 422011
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New Delhi, Indien, 110029
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Vadodara, Indien, 391760
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Bari, Italien, 70124
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Bologna, Italien, 40138
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Catania, Italien, 95126
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Florence, Italien, 50141
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Lecco, Italien, 23900
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Milan, Italien, 20141
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Milan, Italien, 20159
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Milan, Italien, 20133
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Monza, Italien, 20900
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Naples, Italien, 80131
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Roma, Italien, 161
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Rome, Italien, 00168
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Turin, Italien, 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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Ontario
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Hamilton, Ontario, Kanada, L8V 1C3
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London, Ontario, Kanada, N6A 5W9
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Toronto, Ontario, Kanada, M4N 3M5
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Toronto, Ontario, Kanada, M5G 2M9
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Quebec
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Montreal, Quebec, Kanada, H3G 1A4
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Montreal, Quebec, Kanada, H2X 0C1
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Ste-Foy, Quebec, Kanada, G1V 4G2
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Beijing, Kina, 100730
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Beijing, Kina, 100142
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Beijing, Kina, 100026
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Changde, Kina, 415000
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Changsha, Kina, 410008
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Changsha, Kina, 410013
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Chengdu, Kina, 610041
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Chengdu, Kina, 610044
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Chongqing, Kina, 400030
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Fuzhou, Kina, 350014
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Ganzhou, Kina, 341000
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Guangzhou, Kina, 510060
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Guangzhou, Kina, 510120
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Hangzhou, Kina, 310022
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Harbin, Kina, 150081
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Kunming, Kina, 650118
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Lanzhou, Kina, 730050
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Lanzhou, Kina, 730000
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Linyi, Kina, 276001
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Luzhou, Kina, 646000
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Nanchang, Kina, 330006
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Nanchang, Kina, 330029
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Shandong, Kina
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Shanghai, Kina, 200032
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Shanghai, Kina, 200080
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Shenyang, Kina, 110004
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Shenzhen, Kina, 518036
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Shenzhen, Kina, 518116
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Tianjin, Kina, 300060
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Wuhan, Kina, 430022
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Wuhan, Kina, 430030
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Xi'an, Kina, 710061
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Yibin, Kina, 610500
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Yinchuan, Kina, 750004
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Zhengzhou, Kina, 450008
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Zhengzhou, Kina, 450052
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Zhuzhou, Kina, 412007
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Coyoacán, Mexiko, 04380
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Culiacán, Mexiko, 80040
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Guadalajara, Mexiko, 44650
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Guadalajra, Mexiko, 44260
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Mexico City, Mexiko, 03240
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Monterrey, Mexiko, 64460
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México, Mexiko, 04700
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México, Mexiko, 14080
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Oslo, Norge, 424
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Trondheim, Norge, 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, Spanien, 15009
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Barcelona, Spanien, 08036
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Barcelona, Spanien, 8035
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Córdoba, Spanien, 14004
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Girona, Spanien, 17007
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Hospitalet deLlobregat, Spanien, 08907
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Madrid, Spanien, 28034
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Madrid, Spanien, 28040
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Madrid, Spanien, 28041
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Madrid, Spanien, 28046
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Palma de Mallorca, Spanien, 07010
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Valencia, Spanien, 46010
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Valencia, Spanien, 46009
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Daegu, Sydkorea, 42601
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Goyang-si, Sydkorea, 10408
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Gyeonggi-do, Sydkorea, 13605
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Seoul, Sydkorea, 03080
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Seoul, Sydkorea, 06351
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Seoul, Sydkorea, 5505
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Seoul, Sydkorea, 03722
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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, Turkiet (Türkiye), 01250
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Ankara, Turkiet (Türkiye), 06490
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Ankara, Turkiet (Türkiye), 06100
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Cordaleo, Turkiet (Türkiye), 35575
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Istanbul, Turkiet (Türkiye), 32098
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Istanbul, Turkiet (Türkiye), 34214
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Berlin, Tyskland, 13353
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Bonn, Tyskland, 53127
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Hamburg, Tyskland, 20246
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Leipzig, Tyskland, 04103
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Fyrdubbla
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Placebo-jämförare: Placebo
Placebo |
IV Infusion
Andra namn:
|
|
Experimentell: Volrustomig
Volrustomig |
IV Infusion |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Progression-free Survival (PFS) based on the investigator assessment in all randomized participants (FAS)
Tidsram: 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
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Overall Survival (OS) in all randomized participants
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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
|
Samarbetspartners och utredare
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- D7984C00002
- GOG-3092 (Annan identifierare: Gynecologic Oncology Group Foundation)
- ENGOT-cx19/GEICO (Annan identifierare: European Network for Gynaecological Oncological Trial groups)
- 165663 (Registeridentifierare: FDA-IND)
- 2023-504374-38-00 (Annan identifierare: EU CT)
- 2023 (U.S.S. NIH-anslag/kontrakt)
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
IPD-planbeskrivning
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.
Tidsram för IPD-delning
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.
Kriterier för IPD Sharing Access
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-delning som stöder informationstyp
- STUDY_PROTOCOL
- SAV
Läkemedels- och apparatinformation, studiedokument
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