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Cervical CancerG-LACCNCT06489795

German-funded Laparoscopic Approach to Cervical Cancer

A study testing Laparoscopic or robot-assisted radical/simple hysterectomy and Abdominal radical/simple hysterectomy in people with Cervical Cancer, run by Hannover Medical School at 14 sites in Germany.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

The G-LACC trial is a prospective, interventional, multicenter, open-label, randomized and controlled non-inferiority operative trial. The main goal of this clinical trial is to evaluate the non-inferiority of minimally invasive radical hysterectomy in contrast to abdominal radical hysterectomy in patients with… 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?
Laparoscopic or robot-assisted radical/simple hysterectomy and Abdominal radical/simple hysterectomy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
756 participants
Where
14 sitesGermany
Study dates
17 Jul 2024to Jan 2034
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

  • Histologically confirmed primary adenocarcinoma, squamous cell carcinoma or adenosquamous carcinoma of the uterine cervix
  • Patients with FIGO stage IA2, IB1, or IB2 disease (<4 cm)
  • Patients undergoing radical hysterectomy according either to Type II or III (Piver Classification) or to Type B or C (Querleu and Morrow classification)
  • OR
  • Simple hysterectomy can be considered for patients with low-risk early-stage cervical cancer (SHAPE criteria: tumor < 2cm, < 10 mm depth of stromal invasion (LEEP/cone). Simple hysterectomy has to be performed as extrafascial hysterectomy and the preparation of a max. 5mm vaginal cuff is required to ensure negative margins.
  • Performance status of ECOG 0-1
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  • Patient must be suitable candidates for surgery with preoperative MRI and available for assessment of serious adverse events up to one year post-surgery
  • Patients who have signed an approved Informed Consent
  • Patients with a prior malignancy only if > 5 years previous with no evidence of disease
  • Females, aged 18 years or older

Who cannot join

  • Any histology other than an adenocarcinoma, squamous cell carcinoma, or adenosquamous carcinoma of the uterine cervix
  • Tumor size of 4 cm and greater, estimated by either magnetic resonance imaging (MRI) or clinical examination
  • FIGO stage IB3 - IV
  • Patients with a history of pelvic or abdominal radiotherapy
  • Patients with evidence of metastatic disease by conventional imaging studies, enlarged pelvic or aortic lymph nodes > 2 cm, or histologically positive lymph nodes
  • Serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator)
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  • Patients unable to withstand prolonged lithotomy and steep Trendelenburg position
  • Patient compliance and geographic proximity that do not allow adequate follow-up
  • Women who are pregnant
  • Patients with contraindications to surgery
  • Patients with secondary invasive neoplasm in the last 5 years (except non-melanoma skin cancer, breast cancer T1 N0 M0 grade 1 or 2 without any signs of recurrence or activity)

Trial locations and contacts

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

14 sites in 1 country

Germany14 sites, 14 recruiting
  • Hochtaunus-Clinics Bad Homburg, Department of Gynecology

    Bad Homburg, Hesse, 61352

    Dominik Denschlag, Prof. Dr., +49 (0) 6172 14 ext. 2580, sekretariat-frauenklinik@hochtaunus-kliniken.de

    Recruiting
  • Martin Luther Hospital Berlin, Department of Gynecology and Obstetrics

    Berlin, 14193

    Uwe A. Ulrich, Prof. Dr., +49 (0) 30 8955 ext. 3311, gynaekologie.martin-luther@jsd.de

    Recruiting
  • Vivantes Auguste-Viktoria-Hospital, Department of Gynecology

    Berlin Schöneberg, State of Berlin, 12157

    Farnaz Jakubek, +49 (0) 30 130 20 ext. 2402, gyn-ambulanz.avk@vivantes.de

    Recruiting
  • Hospital Bielefeld - Center, Department of Gynecology

    Bielefeld, North Rhine-Westphalia, 33604

    Werner Bader, Prof. Dr., +49 (0) 521 581 ext. 3271, frauenklinik@klinikumbielefeld.de

    Recruiting
  • University Medical Center Düsseldorf, Department of Gynecology and Obstetrics

    Düsseldorf, North Rhine-Westphalia, 40225

    Tanja Fehm, Prof. Dr., +49 (0) 211 81 ext. 17501, direktion.frauenklinik@med.uni-duesseldorf.de

    Recruiting
  • University Medical Center Göttingen, Department of Gynecology and Obstetrics

    Göttingen, Lower Saxony, 37075

    Julia Gallwas, Prof. Dr., +49 (0) 551 396 ext. 2501, direktion.ufk@med.uni-goettingen.de

    Recruiting
  • University Medical Center Hamburg-Eppendorf, Department of Gynecology

    Hamburg, 20246

    Jan Dieckmann, Dr., +49 (0) 40 7410 ext. 23800, frauenklinik@uke.de

    Recruiting
  • Hannover Medical School, Department of Gynecology and Obstetrics

    Hanover, Lower Saxony, 30625

    Peter Hillemanns, Prof. Dr., +49 (0) 511 532 ext. 6144, frauenklinik@mh-hannover.de

    Hermann Hertel, Prof. Dr., +49 (0) 511 532 ext. 9760, frauenklinik@mh-hannover.de

    Recruiting
  • University Hospital Schleswig-Holstein, Campus Kiel, Department of Gynecology and Obstetrics

    Kiel, Schleswig-Holstein, 24105

    Ibrahim Alkatout, Prof. Dr., +49 (0) 431 500 ext. 21407, Frauenklinik.Kiel@uksh.de

    Recruiting
  • Ludwigsburg Hospital, Department of Gynecology and Obstetrics

    Ludwigsburg, Baden-Wurttemberg, 71640

    Sebastian Berlit, Prof. Dr., +49 (0) 7141 99 ext. 67601

    Recruiting
  • Hospital Lüneburg, Department of Gynecology

    Lüneburg, Lower Saxony, 21339

    Peter Dall, Prof. Dr., +49 (0) 4131 77 ext. 2231, frauenklinik@klinikum-lueneburg.de

    Recruiting
  • University Medical Center Mainz, Department of Obstetrics and Gynecology

    Mainz, Rhineland-Palatinate, 55131

    Roxana Schwab, PD Dr., +49 (0) 6131 17 ext. 7574, uct-hotline@unimedizin-mainz.de

    Recruiting
  • University Medical Center Tübingen, Department of Gynecology

    Tübingen, Baden-Wurttemberg, 72076

    Sara Y. Brucker, Prof. Dr., +49 (0) 7071 29 ext. 80791, frauenklinik@med.uni-tuebingen.de

    Recruiting
  • Protestant Hospital Wesel, Gynecological Cancer Center

    Wesel, North Rhine-Westphalia, 46485

    Nicole Sigrist-Uhl, +49 (0) 281 106 ext. 2700, gynaekologie@evkwesel.de

    Recruiting

Other trials in Germany

About this study

Official title: A Randomized Clinical Trial Comparing Laparoscopic or Robot-assisted Radical/Simple Hysterectomy Versus Abdominal Radical/Simple Hysterectomy in Patients With Early-stage Cervical Cancer

The G-LACC trial is a prospective, interventional, multicenter, open-label, randomized and controlled non-inferiority operative trial.

The main goal of this clinical trial is to evaluate the non-inferiority of minimally invasive radical hysterectomy in contrast to abdominal radical hysterectomy in patients with early-stage cervical cancer. In the case of SHAPE criteria, surgery may also be performed as minimally invasive or abdominal simple hysterectomy. The primary criterion for assessment is disease-free survival (DFS). As secondary outcomes, overall survival (OS), disease recurrence, quality of life, intra-/postoperative complications, and serious adverse events are recorded for assessment.

Read the detailed description

Eligible patients will be randomly allocated to both treatment arms in a 1:1 ratio. Within an accrual period of 4 years, 378 patients will be included per arm (756 in total) across all sites. The Follow-up period after surgery will take a minimum of 5 years.

In the standard arm, radical hysterectomy is performed as per standard technique abdominal radical hysterectomy (Piver type 2 or 3 or Querleu \& Morrow Type B or C) with salpingectomy +/- oophorectomy. Ovaries may be removed or preserved +/- transposition. Surgery includes pelvic lymph node dissection or optional sentinel lymph node biopsy (SNB) according to current guidelines in both arms.

In the experimental arm, radical hysterectomy is performed as per standard conventional 2D/3D laparoscopic or robotic assisted technique (Querleu \& Morrow Type B or C) with salpingectomy +/- oophorectomy. Ovaries may be removed or preserved +/- transposition. The following protective measures are mandatory for the minimally invasive arm: LEEP/conization prior to randomization or vaginal closure prior to colpotomy. Transcervical manipulators are not permitted. Use of uterus manipulators/ cervical adapter (without transcervical device) is allowed only after LEEP/conization. Meticulous dissection of pelvic (sentinel) lymph nodes including use of endobags and avoiding the dissemination of cancer cells will be implemented (tumor hygiene).

Due to the positive results of the SHAPE trial published at Plante et al. NEJM 2024, in both arms simple hysterectomy can be considered for patients with low-risk early-stage cervical cancer (SHAPE criteria: tumor < 2 cm, < 10 mm depth of stromal invasion (LEEP/cone) BUT has to be determined BEFORE randomization. Simple hysterectomy has to be performed as extrafascial hysterectomy and the preparation of a max. 5 mm vaginal cuff is required to ensure negative margins. Surgery can be performed including removal of the sentinel lymph nodes following the concept of sentinel lymph node biopsy (SNB) and according to the current guidelines.

Conditions
Cervical Cancer
Being tested
Laparoscopic or robot-assisted radical/simple hysterectomy, Abdominal radical/simple hysterectomy
Keywords
cervical cancer FIGO stage IA2, cervical cancer FIGO stage IB1, cervical cancer FIGO stage IB2, laparoscopic or robot-assisted radical/simple hysterectomy, abdominal radical/simple hysterectomy, simple hysterectomy in the case of SHAPE criteria
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.

  • Laparoscopic or robot-assisted radical/simple hysterectomyProcedure or surgery

    In the experimental arm, patients with early-stage cervical cancer will be treated by using laparoscopic or robot-assisted radical, or in the case of SHAPE criteria, simple hysterectomy.

  • Abdominal radical/simple hysterectomyProcedure or surgery

    In the control arm, patients with early-stage cervical cancer will be treated by using abdominal radical, or in the case of SHAPE criteria, simple hysterectomy as standard therapy.

Study groups in NCT06489795
Study groupRoleWhat they receive
Experimental intervention: Laparoscopic or robot-assisted radical/simple hysterectomyExperimentalIn the experimental arm, patients with early-stage cervical cancer will be treated by using laparoscopic or robot-assisted radical/simple hysterectomy.
Receives: Procedure: Laparoscopic or robot-assisted radical/simple hysterectomy
Control intervention: Abdominal radical/simple hysterectomyOtherIn the control arm, abdominal radical/simple hysterectomy (ARH) will be used as standard therapy.
Receives: Procedure: Abdominal radical/simple hysterectomy

What is being measured

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

  1. Disease-free survival

    Disease-free survival (DFS) is defined as the time from randomization to disease recurrence or death from any course (whichever occurs first). The date of disease recurrence is defined as the date of biopsy.

    Measured: up to year 5

Secondary outcomes (13)
  1. Overall survival

    Overall survival (OS) is defined as the time from randomization to death from any cause.

    Measured: up to year 5

  2. Disease recurrence

    The date of recurrence of disease is defined as the date of biopsy. A suspicion of disease recurrence (clinical or by imaging) should be verified by histopathological assessment. Disease recurrence will be assessed and recorded at each follow-up visit starting 6 months post-surgery.

    Measured: up to year 5 starting 6 months post-surgery

  3. Health Related Quality of Life (HRQoL): Core questionnaire

    Health Related Quality of Life (HRQoL) will be assessed by using the validated questionnaire European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC QLQ-30)

    Measured: up to year 5

  4. Health Related Quality of Life (HRQoL): Cervical cancer questionnaire

    Health Related Quality of Life (HRQoL) will be assessed by using the validated questionnaire EORTC QLQ Cervical Cancer Module (EORTC QLQ-CX24)

    Measured: up to year 5

  5. Health Related Quality of Life (HRQoL): General health status

    Health Related Quality of Life (HRQoL) will be assessed by using the validated questionnaire EuroQoL EQ-5D-3L

    Measured: up to year 5

  6. Health Related Quality of Life (HRQoL): Sexual activity

    Health Related Quality of Life (HRQoL) will be assessed by using the validated sexual activity questionnaires (SAQ).

    Measured: up to year 5

  7. Lymphatic side effects: Investigator assessment

    Lymphatic side effects will be assessed by the investigator using Common Terminology Criteria for Adverse Events (CTCAE 3.0)

    Measured: up to year 5

  8. Lymphatic side effects: Patient assessment

    Lymphatic side effects will be assessed by the patient using the Lymphoedema Quality-of-Life (LYMQOL) questionnaire.

    Measured: up to year 5

  9. Complications and treatment-associated morbidity

    Treatment-related intraoperative complications are recorded on the day of surgery according to Rosenthal's definition.

    Treatment-related postoperative complications are recorded from the day of surgery until one year after surgery.

    Measured: up to one year after surgery

  10. Serious adverse events

    Serious adverse events (SAEs) will be captured from the day of surgery until one year post surgery. Treatment-related SAEs are documented as intra-/postoperative complications according to Outcome 5.

    Measured: up to one year after surgery

  11. Health care costs: Cost-effectiveness

    Cost-effectiveness will be determined as incremental cost-effectiveness ratios.

    Measured: up to year 5

  12. Health care costs: Direct cost assessment

    Direct costs will be assessed via internal accounting and billing systems within the hospitals.

    Measured: up to year 5

  13. Health care costs: Cost-utility analysis

    Quality-adjusted life years (QALY) calculations will be used for a cost-utility analysis.

    Measured: up to year 5

Timeline

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

  1. First posted8 Jul 2024
  2. Study start17 Jul 2024
  3. Primary completionJul 2033 (estimated)
  4. Study completionJan 2034 (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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Interventional, multicenter, open-label, randomized, controlled non-inferiority trial
Masking
None (open label)
Enrolment
756 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06489795
Sponsor's protocol ID
G-LACC
Acronym
G-LACC
Status last verified
Jan 2025
First submitted
23 Jun 2024
Last updated
3 Feb 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Laparoscopic or robot-assisted radical/simple hysterectomy and Abdominal radical/simple hysterectomy in people with Cervical Cancer, run by Hannover Medical School at 14 sites in Germany.

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 10 inclusion and 11 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 3 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Germany. 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?

Contact Peter Hillemanns, Prof. Dr. (+49 (0) 511 532 ext. 6144, frauenklinik@mh-hannover.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Disease-free survival (time frame: up to year 5). 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 3 Feb 2025.

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