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Cervical Cancer TNM Staging Regional Lymph Nodes (N)Phase 3ONCOCOL01NCT03534713

Induction Chemotherapy Followed by Standard Therapy in Cervical Cancer With Aortic Lymph Node Spread

A Phase 3 study testing Carboplatin, Paclitaxel and Cisplatin in people with Cervical Cancer TNM Staging Regional Lymph Nodes (N), run by University Hospital, Toulouse at 11 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The main objective of this study is to determine whether neoadjuvant chemotherapy with Carboplatin and paclitaxel plus standard cisplatin-based chemoradiation with extended fields improves overall survival rates compared to standard therapy alone in women with cervical cancer with paraaortic lymph node involvement. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Carboplatin, Paclitaxel and Cisplatin
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
310 participants
Where
11 sitesFrance
Study dates
17 Jul 2020to Dec 2026
Phase
Phase 3
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

  • Women with histologically proven invasive carcinoma of the uterine cervix and para aortic lymphadenopathy determined by either a positive positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro- D-glucose integrated with computed tomography or if negative positron emission tomography computed tomography based on histological examination of paraaortic lymph node dissection.
  • Performance status Eastern Cooperative Oncology Group 0-2
  • Stage International Federation of Gynecology and Obstetrics IB1 to IVA at diagnosis with para-aortic lymph node involvement
  • Adenocarcinoma or squamous cell carcinoma or adenosquamous carcinoma
  • Adequate renal function (creatinine clearance ≥60 mL/min)
  • Adequate hepatic function (bilirubin <1.5 times normal and Serum Glutamooxaloacetate Transferase < 3 times normal)
  • Adequate hematopoietic function Platelet count > 100x10 9/l and Absolute neutrophil count > 1.5X10 9/l)
  • Written Informed consent for participation

Who cannot join

  • Stage Federation of Gynecology and Obstetrics IVB at diagnosis
  • Others histologies than adenocarcinoma, squamous cell carcinoma and adenosquamous carcinoma.
  • Women who receive any prior chemotherapy for her cervical cancer
  • Pregnant or lactating women
  • Prior ( within the last 5 years) malignancies other than non-melanoma skin cancer
  • Inadequate renal, hepatic or hematopoietic function (Cf previously)
  • Cardiovascular pathology New York Heart Association II or more
  • Pre-existing Peripheral neuropathy Common toxicity Criteria grade ≥ 2

Trial locations and contacts

11 sites in 1 country. Contact the study team or a site near you to ask about taking part.

11 sites in 1 country

France11 sites, 11 recruiting
  • CHU de Bordeaux

    Bordeaux, 33000

    Nicolas GIRAUD, MD, 0557623300 ext. 33, nicolas.giraud@chu-bordeaux.fr

    Recruiting
  • Centre Jean Perrin

    Clermont-Ferrand, 63011

    Laure VACHER, MD, 0473278080 ext. 33, laure.vacher@clermont.unicancer.fr

    Recruiting
  • CHI Créteil

    Créteil, 94000

    Zineb SELLAM, MD, 0157023021 ext. 33, zineb.sellam@chicreteil.fr

    Recruiting
  • Institut Paoli Calmettes

    Marseille, 13009

    Renaud SABATIER, MD, 0491223789 ext. 33, sabatierr@ipc.unicancer.fr

    Recruiting
  • CH Lyon Sud

    Pierre-Bénite, 69495

    Pierre DESCARGUES, MD, 0478862085, pierre.descargues@chu-lyon.fr

    Recruiting
  • CHU de Poitiers

    Poitiers, 86000

    Patrick BOUCHAERT, MD, 0549444549 ext. 33, patrick.bouchaert@chu-poitiers.fr

    Recruiting
  • Institut de Cancérologie de l'Ouest - Nantes

    Saint-Herblain, 44805

    Dominique BERTON, MD, 0240679705 ext. 33, dominique.berton@ico.unicancer.fr

    Recruiting
  • CHU La Réunion

    Saint-Pierre, 97448

    Malik BOUKERROU, MD, 262262359000, malik.boukerrou@chu-reunion.fr

    Recruiting
  • Clinique Pasteur

    Toulouse, 31059

    Ludivine GENRE, MD, 0562213630 ext. 33, lgenre@clinique-pasteur.fr

    Recruiting
  • University Hospital Toulouse

    Toulouse

    Stéphanie MOTTON, MD, motton.s@chu-toulouse.fr

    Recruiting
  • CHU de Tours

    Tours, 37044

    Lobna OULDAMER, MD, 0247476075 ext. 33, l.ouldamer@chu-tours.fr

    Recruiting

Other trials in France

About this study

Official title: Phase III Study Comparing Neoadjuvant Chemotherapy With Carboplatin and Paclitaxel Followed by Standard Therapy, With Standard Therapy Alone in Women With Cervical Cancer and Para Aortic Positive Lymph Node.

The main objective of this study is to determine whether neoadjuvant chemotherapy with Carboplatin and paclitaxel plus standard cisplatin-based chemoradiation with extended fields improves overall survival rates compared to standard therapy alone in women with cervical cancer with paraaortic lymph node involvement.

Women in the experimental arm will receive neoadjuvant chemotherapy with carboplatin and paclitaxel every 21 days during 3 cycles followed by standard therapy with extended field external radiation therapy and concomitant chemotherapy. Women in the control arm will receive standard therapy with extended field external radiation therapy and concomitant chemotherapy.

310 patients will be recruited during 4.5 years, with 3 years of follow up period.

Read the detailed description

The survival outcome of patients with carcinoma of the cervix and positive paraaortic lymph node is poor and the potential benefit of neoadjuvant chemotherapy before extended field chemoradiotherapy has never been assessed.

Paraaortic nodal spread in cervical cancer is a blind spot in the management of cervical cancer. It is necessary to evaluate additional treatment.

While the presence of paraaortic nodal metastases often indicates occult systemic disease, the investigators continue to treat them as a loco-regional disease.

Using neoadjuvant chemotherapy, improvement of overall survival rates is expected in women with cervical cancer and para-aortic positive lymphadenopathy without increasing the incidence of further toxicity.

The propose is to determine whether neoadjuvant chemotherapy with Carboplatin and paclitaxel plus standard cisplatin-based chemoradiation with extended fields improves overall survival rates compared to standard therapy alone in women with cervical cancer with paraaortic lymph node involvement.

Secondary objectives will be to compare progression free survival, acute and long term toxicities, patterns of disease recurrence and patient quality of life between arms This is a phase III, multicenter, randomized, open label study, recruiting 310 patients during 4.5 years, with 3 years of follow up period.

Two groups will be compared : neoadjuvant chemotherapy with Carboplatin and paclitaxel plus standard cisplatin-based chemoradiation with extended fields, versus standard therapy alone.

Randomization will be stratified according to International federation of gynecology and obstetrics stages at diagnosis (IB1, IB2, IIA versus IIB-IVA), the size of positive para aortic lymphadenopathy and the number of node involved and will be balanced by blocks.

Women in the experimental arm will receive neoadjuvant chemotherapy with carboplatin and paclitaxel followed by standard therapy with extended field external radiation therapy and concomitant chemotherapy then intracavitary brachytherapy, alone or prior to surgery, depending on response to treatment according to the current guidelines.

Women in the control arm will receive standard therapy with extended field external radiation therapy and concomitant chemotherapy then brachytherapy, alone or prior to surgery, depending on response to treatment according to the current guidelines.

Follow up will be the same between arms. But in experimental arm, during treatment phase, a clinical examination and biological assessment will be performed before each cycle of neoadjuvant chemotherapy. Therefore, at the end of neoadjuvant treatment, just before standard treatment magnetic resonance imaging and positron emission tomography-computed tomography will be performed.

Then, all Participants will be followed every 4 months until 2 years after randomization and every 6 months during the third year according to current follow-up guideline for cervical cancer. Disease response and disease progression will be assessed using clinical examination. Quality of life will be estimated at baseline, at the end of neoadjuvant chemotherapy, before intracavitary brachytherapy and at each follow-up visit until 3 years after randomization.

Being tested
Carboplatin, Paclitaxel, Cisplatin, Radiotherapy
Keywords
Neoadjuvant chemotherapy, Cervical Cancer, Paraaortic Lymph Node Involvement, Carboplatin, Paclitaxel
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.

  • CarboplatinDrug

    Also called Carbo

    carboplatin aera Under curve 5 on day 1, every 21 days during 3 cycles

  • PaclitaxelDrug

    Also called Taxol

    paclitaxel 175 mg/m² on day 1, every 21 days during 3 cycles

  • CisplatinDrug

    Also called Platinol

    Cisplatin 40mg/m² given once a week during 5 weeks

  • RadiotherapyRadiation

    Also called radiation therapy

    45 gray to the pelvis and para aortic area over 5 weeks + intracavitary brachytherapy alone or prior to surgery, depending on response to treatment according to the current guidelines

Study groups in NCT03534713
Study groupRoleWhat they receive
Neoadjuvant chemotherapy+standard therapyExperimentalneoadjuvant chemotherapy with carboplatin aera Under curve 5 and paclitaxel 175 mg/m² every 21 days during 3 cycles followed by standard therapy with extended field external radiotherapy and concomitant chemotherapy (Cisplatin 40mg/m2 weekly)
Receives: Drug: Carboplatin; Drug: Paclitaxel; Drug: Cisplatin; Radiation: Radiotherapy
standard therapy aloneActive comparatorstandard therapy with extended field external radiotherapy and concomitant chemotherapy (Cisplatin 40mg/m2 weekly)
Receives: Drug: Cisplatin; Radiation: Radiotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall survival

    time between random assignment and death resulting from any cause

    Measured: 3 years

Secondary outcomes (4)
  1. progression free survival

    time from randomization to first documentation of disease progression or death due to any cause.

    Measured: fron date of randomization until the date of first documented progression or date of death from any cause, assessed up to 3 years

  2. adverse events

    classified using the Common Terminology Criteria for Adverse Events and coded using Medical Dictionary for Regulatory Activities dictionary Pattern of disease recurrence will include locoregional recurrence and distant metastasis

    Measured: 3 years

  3. quality of life questionnaire C30 and CX24

    assessed using the European Organization for Research and Treatment Quality of Life Questionnaire C30 and CX24, all subscales responses will be converted to 0 to 100 scales according to European Organization for Research and Treatment guidelines

    Measured: 3 years

  4. patterns of first relapse

    location of relapse or metastasis by magnetic resonance imaging

    Measured: 3 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 May 2018
  2. Study start17 Jul 2020
  3. Primary completionSep 2026 (estimated)
  4. Study completionDec 2026 (estimated)

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
310 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03534713
Sponsor's protocol ID
RC31/17/0213
Acronym
ONCOCOL01
Status last verified
Sep 2023
First submitted
16 Apr 2018
Last updated
21 Sep 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Grigsby PW, Heydon K, Mutch DG, Kim RY, Eifel P. Long-term follow-up of RTOG 92-10: cervical cancer with positive para-aortic lymph nodes. Int J Radiat Oncol Biol Phys. 2001 Nov 15;51(4):982-7. doi: 10.1016/s0360-3016(01)01723-0.

    PubMed 11704321
  • Varia MA, Bundy BN, Deppe G, Mannel R, Averette HE, Rose PG, Connelly P. Cervical carcinoma metastatic to para-aortic nodes: extended field radiation therapy with concomitant 5-fluorouracil and cisplatin chemotherapy: a Gynecologic Oncology Group study. Int J Radiat Oncol Biol Phys. 1998 Dec 1;42(5):1015-23. doi: 10.1016/s0360-3016(98)00267-3.

    PubMed 9869224
  • Chantalat E, Vidal F, Leguevaque P, Lepage B, Mathevet P, Deslandres M, Motton S. Cervical cancer with paraaortic involvement: do patients truly benefit from tailored chemoradiation therapy? A retrospective study on 8 French centers. Eur J Obstet Gynecol Reprod Biol. 2015 Oct;193:118-22. doi: 10.1016/j.ejogrb.2015.07.017. Epub 2015 Aug 5.

    PubMed 26295788
  • Duenas-Gonzalez A, Zarba JJ, Patel F, Alcedo JC, Beslija S, Casanova L, Pattaranutaporn P, Hameed S, Blair JM, Barraclough H, Orlando M. Phase III, open-label, randomized study comparing concurrent gemcitabine plus cisplatin and radiation followed by adjuvant gemcitabine and cisplatin versus concurrent cisplatin and radiation in patients with stage IIB to IVA carcinoma of the cervix. J Clin Oncol. 2011 May 1;29(13):1678-85. doi: 10.1200/JCO.2009.25.9663. Epub 2011 Mar 28.

    PubMed 21444871
  • Singh RB, Chander S, Mohanti BK, Pathy S, Kumar S, Bhatla N, Thulkar S, Vishnubhatla S, Kumar L. Neoadjuvant chemotherapy with weekly paclitaxel and carboplatin followed by chemoradiation in locally advanced cervical carcinoma: a pilot study. Gynecol Oncol. 2013 Apr;129(1):124-8. doi: 10.1016/j.ygyno.2013.01.011. Epub 2013 Jan 24.

    PubMed 23353129

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Carboplatin, Paclitaxel and Cisplatin in people with Cervical Cancer TNM Staging Regional Lymph Nodes (N), run by University Hospital, Toulouse at 11 sites in France.

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 8 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 21 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in France. 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.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Contact Stéphanie MOTTON, MD (+335 61 32 37 08 ext. 33, motton.stephanie@iuct-oncopole.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall survival (time frame: 3 years). 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 NCT03534713, which also lists 5 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 21 Sep 2023.

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