Cervical CancerSENTICOLIIINCT03386734
International Validation Study of Sentinel Node Biopsy in Early Cervical Cancer
A study testing SLN biopsy only and SLN biopsy + PLN dissection in people with Cervical Cancer, run by Centre Hospitalier Universitaire de Besancon at 106 sites in 14 countries.
Trial summary
SENTICOL III is large prospective multicenter international randomized study designed to validate the Sentinel Lymph Node (SLN) mapping technique in early cervical cancer. This "validation study" will compare the outcome of patients with negative SLN (experimental arm) vs patients with negative SLN + Pelvic Lymph Node… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Cervical Cancer
- What is being tested?
- SLN biopsy only and SLN biopsy + PLN dissection
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 989 participants
- Where
- 106 sitesin 14 countries
- Study dates
- 3 May 2018to May 2029
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- I 1. Patient must be ≥ 18 years old, I 2. With squamous or adenocarcinoma or adenosquamous carcinoma of the cervix (proven by biopsy or cone biopsy), I 3. Stage Ia1 with lymphovascular emboli, Ia2, Ib1 IIa1, Ib2 (clinical stage) of the 2018 FIGO classification (see appendix 1), I 4. Maximum diameter ≤ 40 mm by clinical examination and/or magnetic resonance imaging (MRI), I 5. No suspicious node on pelvic MRI with an exploration up to the left renal vein (according to RECIST 1.1), I 6. ECOG performance status 0-2 (see appendix 2), I 7. Signed informed consent and ability to comply with follow-up, I 8. French subjects: in France, a subject will be eligible for inclusion in this study only if either affiliated to, or a beneficiary of, a social security category.
Who cannot join
- E 1. Pregnancy, E 2. Previous pelvic or abdominal cancer, E 3. Previous chemotherapy and/or radiation therapy for the cervical cancer (previous brachytherapy is accepted), E 4. Proven allergy to blue dye, isotope or indocyanine green (ICG) E 5. Other malignancy within the last 5 years except for treated cancer free of disease and treatment, E 6. Patients with synchronous cancer
Trial locations and contacts
106 sites in 14 countries.
106 sites in 14 countries
France45 sites
CHU d'Amiens
Amiens
CHU de Besançon
Besançon, 25000
Institut Bergonié
Bordeaux, 33000
Clinique Tivoli-Ducos
Bordeaux
Center de Lutte Contre le Cancer François Baclesse
Caen, 14000
CHU de Caen
Caen
Hôpital Antoine Béclère
Clamart, 92140
Centre de Lutte Contre le Cancer Jean Perrin
Clermont-Ferrand, 63000
CHU de Clermont-Ferrand - Hôpital d'Estaing
Clermont-Ferrand
CHI de Créteil
Créteil, 94000
CHU de Dijon Bourgogne
Dijon, 21000
Centre Georges François Leclerc
Dijon, 21079
Hôpital Bicêtre
Le Kremlin-Bicêtre, 94270
Centre Oscar Lambret
Lille
CHRU de Lille - Hôpital Jeanne de Flandre
Lille
CHU de Limoges
Limoges, 87000
Groupement Hospitalier Est - Hôpital Femme Mère Enfant
Lyon
Hôpital de la Conception
Marseille
Hôpital Saint-Joseph
Marseille
Institut Paoli Calmettes
Marseille
Institut de Cancérologie de Montpellier Val d'Aurelle
Montpellier, 34000
CH de Mulhouse - Hôpital du Hasenrain
Mulhouse
Institut de Cancérologie de l'Ouest - Centre René Gauducheau
Nantes
Centre de Lutte Contre le Cancer Antoine Lacassagne
Nice, 06000
Grand Hôpital de l'Est Francilien
Paris, Marne-le-Vallée, 77420
Institut Curie - site de Paris
Paris, 75005
Groupe Hospitalier Diaconesses Croix Saint Simon
Paris, 75020
Centre Hospitalier Bichat - Claude Bernard
Paris
Groupe Hospitalier la Pitié Salpêtrière
Paris
Hôpital Européen Georges Pompidou
Paris
Hôpital Lariboisière
Paris
Hôpital Tenon
Paris
CH Lyon Sud
Pierre-Bénite
Hôpital de Poissy-Saint-Germain-en-Laye
Poissy
CHU de Poitiers - Hôpital de la Milétrie
Poitiers
Centre Jean Godinot
Reims, 51100
CHU de Reims - Hôpital Robert Debré
Reims
CHU de Rennes - Hôpital Sud
Rennes
Clinique Mathilde
Rouen, 76100
Centre Henri Becquerel
Rouen
CHU de la Réunion
Saint-Denis, La Réunion, 97400
Hôpitaux Universitaires de Strasbourg
Strasbourg
Institut Universitaire du Cancer de Toulouse
Toulouse, 31000
Institut de Cancérologie de Lorraine
Vandœuvre-lès-Nancy, 54500
Centre de Lutte Contre le Cancer Gustave Roussy
Villejuif
Germany19 sites
Vivantes Humboldt-Klinikum
Berlin, 13509
Universitätsklinikum Carl Gustav Carus
Dresden, 01307
Universitätsklinikum Düsseldorf
Düsseldorf, 40225
Florence-Nightingale-Krankenhaus
Düsseldorf, 40489
Kliniken Essen Mitte, Evang. Huyssens-Stiftung
Essen, 45136
Frauenklinik Fürth
Fürth, 90766
Universitätsklinikum Gießen und Marburg - UKGM Giessen
Giessen, 35392
Universitätsklinikum Hamburg-Eppendorf
Hamburg, 20426
Medizinische Hochschule Hannover
Hanover, 30625
Universitätsklinikum Jena
Jena, 07747
Städtisches Klinikum Karlsruhe
Karlsruhe, 76133
Klinikum Kassel
Kassel, 34125
Universitätsklinikum Schleswig-Holstein, Campus Lübeck
Lübeck, 23538
Klinikum der Universität München
München, 81336
Universitätsklinikum Münster
Münster, 48149
UFK am Klinikum Südstradt Rostock
Rostock, 18059
Universitaätsklinikum Tübingen
Tübingen, 72076
Universitätsklinikum Ulm
Ulm, 89075
Klinikum Wolfsburg
Wolfsburg, 38440
Spain11 sites
Hospital Universitario Vall D´Hebron
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital General Universitario de Castellón
Castellon, 12004
Hospital Universitario de Donostia
Donostia / San Sebastian, 20014
Hopital Clinico Universitario de Valencia
Girona, 17007
Hospital Universitario de Girona Dr. Josep Trueta
Girona, 17007
Hospital Ramón y Cajal
Madrid, 28034
Hospital Clínico Universitario San Carlos
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28046
Hospital Alvaro Cunqueiro
Vigo, 36312
Canada8 sites
CIUSSS de l'Est-de-I'lle-de-Montreal Hopital Maisonneuve-Rosemont (CAHA)
Montreal, QC H1T 2M4
CHUM Centre Hospitalier de l'Université de Montréal
Montreal
CHU Québec (Hôtel Dieu)
Québec
Allan Blair Cancer Centre (CASA)
Regina
Saskatoon Cancer Centre.(CASS)
Saskatoon
CIUSS de l'Estrie - Centre hospitalier universitaire de Sherbrooke - CAGH
Sherbrooke, J1G 1B1
Clinical Research Unit at Vancouver Coastal Health Authority (CAVG)
Vancouver, BC V5Z 1M9
CancerCare Manitoba
Winnipeg, R3E 0V9
Brazil6 sites
Barretos Cancer Hospital
Campo Grande, 79085-039
Hospital Erasto Gaertner
Curitiba, Paraná
Brazilian National Cancer Institute
Rio de Janeiro, 3709
AC Camargo Cancer Center - Sao Paulo
São Paulo, 01525-001
Hospital Amaral Carvalho de Jaù
São Paulo
Hospital Israelita Albert Einstein
São Paulo
Czechia4 sites
University Hospital Olomouc
Olomouc, 779 00
University Hospital Ostrava
Ostrava-Poruba, 708 00
General University Hospital
Prague, 128 51
University Hospital Bulovka
Prague, 180-81
Slovakia3 sites
University Hospital Bratislava
Bratislava, 826 06
National Oncology Institute
Bratislava, 833 10
University Hospital Trencin
Trenčín, 911 01
China2 sites
Cancer Hospital of University of Chinese Academy of Science
Hangzhou, Zhejiang, 310022
The 1st Affiliated Hospital
Wenzhou, 325015
India2 sites
Basavatarakam Indo-American Cancer Hospital & Research Institute
Hyderabad, Telangana, 500034
Chittaranjan National Cancer Institute (CNCI)
Kolkata, West Bengal, 700026
Italy2 sites
Istituto Europe di Oncologia
Milan, 20141
Ospedale San Gerardo Monza
Monza, 20900
About this study
SENTICOL III is large prospective multicenter international randomized study designed to validate the Sentinel Lymph Node (SLN) mapping technique in early cervical cancer. This "validation study" will compare the outcome of patients with negative SLN (experimental arm) vs patients with negative SLN + Pelvic Lymph Node dissection (PLN)(reference arm).
There will be a "quality assurance" program which will be developed in participating centers with detailed requirements in terms of surgeons' qualifications, pathology qualification, SLN ultrastaging, standardization of the procedure, etc. as well as respect of the "safety algorithm".
- Conditions
- Cervical Cancer
- Being tested
- SLN biopsy only, SLN biopsy + PLN dissection
- 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.
SLN biopsy onlyProcedure or surgery
In experimental arm, SLN dissection only. A full lymphadenectomy will not be performed. The radical hysterectomy or trachelectomy will be done.
SLN biopsy + PLN dissectionProcedure or surgery
In active comparator arm, SLN dissection + full lymphadenectomy will be performed.
| Study group | Role | What they receive |
|---|---|---|
| SLN biopsy only | Experimental | Sentinel lymph node (SLN) biopsy only. A full lymphadenectomy will not be performed. The radical hysterectomy or trachelectomy will be done. Receives: Procedure: SLN biopsy only |
| SLN biopsy + PLN dissection | Active comparator | SLN biopsy + full pelvic lymph node dissection (PLN) will be performed. The radical hysterectomy or trachelectomy will be done. Receives: Procedure: SLN biopsy + PLN dissection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease Free Survival (DFS)
Composite outcome: the time interval between randomization and recurrence (local/distant) or second cancer or death (all causes), whichever occurs first.
This time interval will be analysed concomitantly with HR-QoL scores as a composite outcome.
Measured: Year 3
Health-related quality of life (HR-QoL)
Composite outcome: significant deterioration will specifically be assessed through 3 targeted dimensions (pain score, global health score and physical functioning scores) in EORTC QLQ-C30 and QLQ-CX24 questionnaires.
These scores will be analysed concomitantly with DFS as a composite outcome.
Measured: Year 3
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Dec 2017
- Study start3 May 2018
- Primary completionMay 2027 (estimated)
- Study completionMay 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Cervical CancerStudies of the same condition, open and under way.
- More trials run by Centre Hospitalier Universitaire de BesanconThe 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 989 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Besancon
- Sponsor type
- University, hospital or other
- Collaborators
- ARCAGY/ GINECO GROUP, European Network of Gynaecological Oncological Trial Groups (ENGOT)
- Responsible party
- Sponsor
- Investigators
- Fabrice Lecuru, MD PhD, Principal investigator, Institut Curie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03386734
- Sponsor's protocol ID
- N/2016/72
- Other IDs
- ENGOT-Cx4, GINECO-CE106
- Acronym
- SENTICOLIII
- Status last verified
- Jul 2024
- First submitted
- 15 Dec 2017
- Last updated
- 8 Jul 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Boisen M, Guido R. Emerging Treatment Options for Cervical Dysplasia and Early Cervical Cancer. Clin Obstet Gynecol. 2023 Sep 1;66(3):500-515. doi: 10.1097/GRF.0000000000000790. Epub 2023 Jul 25.
PubMed 37650664Lecuru FR, McCormack M, Hillemanns P, Anota A, Leitao M, Mathevet P, Zweemer R, Fujiwara K, Zanagnolo V, Zahl Eriksson AG, Hudson E, Ferron G, Plante M. SENTICOL III: an international validation study of sentinel node biopsy in early cervical cancer. A GINECO, ENGOT, GCIG and multicenter study. Int J Gynecol Cancer. 2019 May;29(4):829-834. doi: 10.1136/ijgc-2019-000332. Epub 2019 Mar 20.
PubMed 30898938
Study at a glance
From the registry record, last updated by the sponsor on 8 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- International Validation Study of Sentinel Node Biopsy in Early Cervical Cancer
- ClinicalTrials.gov ID
- NCT03386734
- Acronym / sponsor ID
- SENTICOLIII / N/2016/72
- Conditions
- Cervical Cancer
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 989 participants (actual)
- Lead sponsor
- Centre Hospitalier Universitaire de BesanconUniversity, hospital or other
- Collaborators
- ARCAGY/ GINECO GROUP, European Network of Gynaecological Oncological Trial Groups (ENGOT)
- Study start
- 3 May 2018 (actual)
- Primary completion
- May 2027 (estimated)
- Study completion
- May 2029 (estimated)
- First posted
- 29 Dec 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.
SENTICOL III is large prospective multicenter international randomized study designed to validate the Sentinel Lymph Node (SLN) mapping technique in early cervical cancer. This "validation study" will compare the outcome of patients with negative SLN (experimental arm) vs patients with negative SLN + Pelvic Lymph Node dissection (PLN)(reference arm).
There will be a "quality assurance" program which will be developed in participating centers with detailed requirements in terms of surgeons' qualifications, pathology qualification, SLN ultrastaging, standardization of the procedure, etc. as well as respect of the "safety algorithm".
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| SLN biopsy only | Experimental | Procedure: SLN biopsy onlySentinel lymph node (SLN) biopsy only. A full lymphadenectomy will not be performed. The radical hysterectomy or trachelectomy will be done. |
| SLN biopsy + PLN dissection | Active comparator | Procedure: SLN biopsy + PLN dissectionSLN biopsy + full pelvic lymph node dissection (PLN) will be performed. The radical hysterectomy or trachelectomy will be done. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- I 1. Patient must be ≥ 18 years old, I 2. With squamous or adenocarcinoma or adenosquamous carcinoma of the cervix (proven by biopsy or cone biopsy), I 3. Stage Ia1 with lymphovascular emboli, Ia2, Ib1 IIa1, Ib2 (clinical stage) of the 2018 FIGO classification (see appendix 1), I 4. Maximum diameter ≤ 40 mm by clinical examination and/or magnetic resonance imaging (MRI), I 5. No suspicious node on pelvic MRI with an exploration up to the left renal vein (according to RECIST 1.1), I 6. ECOG performance status 0-2 (see appendix 2), I 7. Signed informed consent and ability to comply with follow-up, I 8. French subjects: in France, a subject will be eligible for inclusion in this study only if either affiliated to, or a beneficiary of, a social security category.
Key exclusion criteria (1 listed)
- E 1. Pregnancy, E 2. Previous pelvic or abdominal cancer, E 3. Previous chemotherapy and/or radiation therapy for the cervical cancer (previous brachytherapy is accepted), E 4. Proven allergy to blue dye, isotope or indocyanine green (ICG) E 5. Other malignancy within the last 5 years except for treated cancer free of disease and treatment, E 6. Patients with synchronous cancer
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 |
|---|---|---|
| SLN biopsy onlyIn experimental arm, SLN dissection only. A full lymphadenectomy will not be performed. The radical hysterectomy or trachelectomy will be done. | Procedure or surgery | SLN biopsy only |
| SLN biopsy + PLN dissectionIn active comparator arm, SLN dissection + full lymphadenectomy will be performed. | Procedure or surgery | SLN biopsy + PLN dissection |
Primary outcome
Disease Free Survival (DFS)
Time frame: Year 3
Composite outcome: the time interval between randomization and recurrence (local/distant) or second cancer or death (all causes), whichever occurs first. This time interval will be analysed concomitantly with HR-QoL scores as a composite outcome.
Health-related quality of life (HR-QoL)
Time frame: Year 3
Composite outcome: significant deterioration will specifically be assessed through 3 targeted dimensions (pain score, global health score and physical functioning scores) in EORTC QLQ-C30 and QLQ-CX24 questionnaires. These scores will be analysed concomitantly with DFS as a composite outcome.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jul 2024.
- Derived from this study: PubMed 37650664Boisen M, Guido R. Emerging Treatment Options for Cervical Dysplasia and Early Cervical Cancer. Clin Obstet Gynecol. 2023 Sep 1;66(3):500-515. doi: 10.1097/GRF.0000000000000790. Epub 2023 Jul 25.
- Derived from this study: PubMed 30898938Lecuru FR, McCormack M, Hillemanns P, Anota A, Leitao M, Mathevet P, Zweemer R, Fujiwara K, Zanagnolo V, Zahl Eriksson AG, Hudson E, Ferron G, Plante M. SENTICOL III: an international validation study of sentinel node biopsy in early cervical cancer. A GINECO, ENGOT, GCIG and multicenter study. Int J Gynecol Cancer. 2019 May;29(4):829-834. doi: 10.1136/ijgc-2019-000332. Epub 2019 Mar 20.
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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.
Fabrice Lecuru, MD PhD principal investigator
Institut Curie
106 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing SLN biopsy only and SLN biopsy + PLN dissection in people with Cervical Cancer, run by Centre Hospitalier Universitaire de Besancon at 106 sites in 14 countries.
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 1 inclusion and 1 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: under way, not looking for participants, as of the sponsor's last update on 8 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 106 sites in France, Germany, Spain, Canada, Brazil and 9 more countries. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease Free Survival (DFS) (time frame: Year 3). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03386734, which also lists 2 linked publications.
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 8 Jul 2024.