Cervical Cancer Stage IVBNCT03175848
Chemotherapy Plus Radiation Therapy in Treating Patients With Primary Stage IVB Cervical Cancer
A study testing Chemotherapy,radiotherapy in people with Cervical Cancer Stage IVB, run by Zhejiang Cancer Hospital at 1 site in China.
Trial summary
This is a prospective, single arm, phase II trail to assess the effect of primary lesion radiotherapy in the treatment of stage IVB cervical cancer on the basis of systemic chemotherapy. Read more about this study
- Who is it for?
- Ages 18 to 70 years, women only
- Conditions the study is for
- Cervical Cancer Stage IVB
- What is being tested?
- Chemotherapy,radiotherapy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 48 participants
- Where
- 1 siteChina
- Study dates
- 5 May 2017to 31 Oct 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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
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- 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.
Who cannot join
- 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
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- 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
Trial locations and contacts
1 site in 1 country.
China1 site, 1 recruiting
- Recruiting
Zhejiang Cancer Hospital
Hangzhou, Zhejiang, 310022
HanMei Lou, M.A., 0086-571-88122038, louhanmei@zjcc.org.cn
ZhuoMin Yin, 0086-571-88122032, yinzm@zjcc.org.cn
About this study
Official title: Chemotherapy Plus Radiation Therapy in Treating Patients With Primary Stage IVB Cervical Cancer: A Prospective, Single Arm, Phase II Clinical Trial
This is a prospective, single arm, phase II trail to assess the effect of primary lesion radiotherapy in the treatment of stage IVB cervical cancer on the basis of systemic chemotherapy.
Read the 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.
- Conditions
- Cervical Cancer Stage IVB
- Being tested
- Chemotherapy,radiotherapy
- Keywords
- Cervical Cancer, Radiotherapy, Chemotherapy, stage IVB cervical cancer
- Medical subject headings
- Uterine Cervical Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Chemotherapy,radiotherapyRadiation
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.
| Study group | Role | What they receive |
|---|---|---|
| Chemotherapy,radiotherapy | Experimental | 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. Receives: Radiation: Chemotherapy,radiotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival time, PFS
Progression-free survival will be evaluated
Measured: 2 years
Secondary outcomes (5)
Number of Patients with Adverse Events as a Measure of Safety
To quantify rates of acute hematologic, gastrointestinal, and genitourinary toxicity
Measured: 2 years
Objective Response Rates, ORR
Objective Response Rates will be evaluated
Measured: 2 years
Overall survival
Overall survival will be evaluated
Measured: 2 years
Ranking Quality of Life of Patients
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).
Measured: 2 years
Screening for potentially curable primary stage IVB cervical cancer
By follow-up data,screening for potentially curable primary stage IVB cervical cancer
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2017
- Study start5 May 2017
- Primary completion31 Oct 2018 (estimated)
- Study completion31 Oct 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cervical Cancer Stage IVBStudies of the same condition, open and under way.
- More trials run by Zhejiang Cancer HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 48 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Zhejiang Cancer Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- HanMei Lou, M.A., Principal investigator, Zhejiang Cancer HospitalZhuoMin Yin, Principal investigator, Zhejiang Cancer Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03175848
- Sponsor's protocol ID
- ZJCH-2017-CRT
- Status last verified
- May 2017
- First submitted
- 28 May 2017
- Last updated
- 21 Jul 2017
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Jul 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Chemotherapy Plus Radiation Therapy in Treating Patients With Primary Stage IVB Cervical Cancer: A Prospective, Single Arm, Phase II Clinical Trial
- ClinicalTrials.gov ID
- NCT03175848
- Acronym / sponsor ID
- ZJCH-2017-CRT
- Conditions
- Cervical Cancer Stage IVB
- Keywords
- Cervical Cancer, Radiotherapy, Chemotherapy, stage IVB cervical cancer
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 48 participants (estimated)
- Lead sponsor
- Zhejiang Cancer HospitalUniversity, hospital or other
- Study start
- 5 May 2017 (actual)
- Primary completion
- 31 Oct 2018 (estimated)
- Study completion
- 31 Oct 2020 (estimated)
- First posted
- 5 Jun 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective, single arm, phase II trail to assess the effect of primary lesion radiotherapy in the treatment of stage IVB cervical cancer on the basis of systemic chemotherapy.
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 design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Chemotherapy,radiotherapy | Experimental | Radiation: Chemotherapy,radiotherapyLymphatic 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. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- 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
Key exclusion criteria (9 listed)
- 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)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Chemotherapy,radiotherapyPelvic,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. | Radiation | Chemotherapy,radiotherapy |
Primary outcome
Progression-free survival time, PFS
Time frame: 2 years
Progression-free survival will be evaluated
5 secondary outcomes
Number of Patients with Adverse Events as a Measure of Safety
Time frame: 2 years
Objective Response Rates, ORR
Time frame: 2 years
Overall survival
Time frame: 2 years
Ranking Quality of Life of Patients
Time frame: 2 years
Screening for potentially curable primary stage IVB cervical cancer
Time frame: 2 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jul 2017.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
HanMei Lou, M.A. principal investigator
Zhejiang Cancer Hospital
ZhuoMin Yin principal investigator
Zhejiang Cancer Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Chemotherapy,radiotherapy in people with Cervical Cancer Stage IVB, run by Zhejiang Cancer Hospital at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 21 Jul 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact HanMei Lou, M.A. (Telephone: 0086-571-88122038, louhanmei@zjcc.org.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival time, PFS (time frame: 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jul 2017.