Radiation Therapy or No Further Treatment Following Surgery in Treating Patients With Cancer of the Uterus

NCT ID: NCT00002459

Last Updated: 2012-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

224 participants

Study Classification

INTERVENTIONAL

Study Start Date

1988-04-30

Brief Summary

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RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. It is not yet known whether receiving radiation therapy or no further therapy after surgery is more effective for cancer of the uterus.

PURPOSE: Randomized phase III trial to compare the effectiveness of radiation therapy with that of no further therapy in treating patients who have stage I or stage II cancer of the uterus that has been surgically removed.

Detailed Description

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OBJECTIVES: I. Compare the rates of pelvic recurrence and development of distant metastases in patients with completely resected, stage I or II, high-grade uterine sarcoma treated with adjuvant pelvic radiotherapy vs observation alone.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to center, tumor histology (leiomyosarcoma vs mixed mesodermal sarcoma vs endometrial stromal sarcoma), and surgical procedure (total abdominal hysterectomy (TAH) with or without bilateral salpingo-oophorectomy (BSO) vs TAH and BSO with pelvic and para-aortic node sampling and random biopsies). Patients are randomized to 1 of 2 treatment arms. Arm I: Beginning within 6 weeks after surgery, patients undergo pelvic radiotherapy 5 days a week for 5.6 weeks. Arm II: Patients undergo observation alone. Patients are followed every 2 months for 1 year, every 3 months for 2 years, and then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 200 patients (100 per arm) will be accrued for this study within 3 years.

Conditions

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Endometrial Cancer Sarcoma

Keywords

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stage I uterine sarcoma stage II uterine sarcoma uterine carcinosarcoma uterine leiomyosarcoma endometrial stromal sarcoma

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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radiation therapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

PATIENT CHARACTERISTICS: Age: Any age Performance status: WHO 0-2 Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Not specified Renal: Not specified Other: No other prior malignancy except basal cell skin cancer or carcinoma in situ of the cervix No serious mental disorder

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: Not specified Endocrine therapy: See Disease Characteristics Radiotherapy: No prior radiotherapy Surgery: See Disease Characteristics
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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NCIC Clinical Trials Group

NETWORK

Sponsor Role collaborator

European Organisation for Research and Treatment of Cancer - EORTC

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sergio L. Pecorelli, MD

Role: STUDY_CHAIR

Spedali Civili di Brescia

Gavin C.E. Stuart, MD

Role: STUDY_CHAIR

Tom Baker Cancer Centre - Calgary

Locations

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U.Z. Gasthuisberg

Leuven, , Belgium

Site Status

Tom Baker Cancer Center - Calgary

Calgary, Alberta, Canada

Site Status

CHUS-Hopital Fleurimont

Fleurimont, Quebec, Canada

Site Status

Centre Henri Becquerel

Rouen, , France

Site Status

Spedali Civili

Brescia, , Italy

Site Status

Istituto Nazionale per lo Studio e la Cura dei Tumori

Milan, , Italy

Site Status

Istituto Scientifico H.S. Raffaele

Milan, , Italy

Site Status

Ospedale San Gerardo

Monza, , Italy

Site Status

Universita di Padova

Padua, , Italy

Site Status

I.R.C.C.S. Policlinico San Matteo

Pavia, , Italy

Site Status

Ospedale di Circolo e Fondazione Macchi

Varese, , Italy

Site Status

Ospedale Civile

Voghera (PV), , Italy

Site Status

Vrije Universiteit Medisch Centrum

Amsterdam, , Netherlands

Site Status

Antoni van Leeuwenhoekhuis

Amsterdam, , Netherlands

Site Status

Medisch Spectrum Twente

Enschede, , Netherlands

Site Status

Atrium Medical Centre

Heerlen, , Netherlands

Site Status

Academisch Ziekenhuis Maastricht

Maastricht, , Netherlands

Site Status

University Medical Center Nijmegen

Nijmegen, , Netherlands

Site Status

University Hospital - Rotterdam Dijkzigt

Rotterdam, , Netherlands

Site Status

Rotterdam Cancer Institute

Rotterdam, , Netherlands

Site Status

Academisch Ziekenhuis Utrecht

Utrecht, , Netherlands

Site Status

Medical University of Gdansk

Gdansk, , Poland

Site Status

Instituto Valenciano De Oncologia

Valencia, , Spain

Site Status

University Hospital of Linkoping

Linköping, , Sweden

Site Status

Karolinska Hospital

Stockholm, , Sweden

Site Status

Hopital Cantonal Universitaire de Geneva

Geneva, , Switzerland

Site Status

Derbyshire Royal Infirmary

Derby, England, United Kingdom

Site Status

Beatson Oncology Centre

Glasgow, Scotland, United Kingdom

Site Status

Countries

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Belgium Canada France Italy Netherlands Poland Spain Sweden Switzerland United Kingdom

References

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Reed NS, Mangioni C, Malmstrom H, Scarfone G, Poveda A, Pecorelli S, Tateo S, Franchi M, Jobsen JJ, Coens C, Teodorovic I, Vergote I, Vermorken JB; European Organisation for Research and Treatment of Cancer Gynaecological Cancer Group. Phase III randomised study to evaluate the role of adjuvant pelvic radiotherapy in the treatment of uterine sarcomas stages I and II: an European Organisation for Research and Treatment of Cancer Gynaecological Cancer Group Study (protocol 55874). Eur J Cancer. 2008 Apr;44(6):808-18. doi: 10.1016/j.ejca.2008.01.019. Epub 2008 Apr 2.

Reference Type RESULT
PMID: 18378136 (View on PubMed)

Reed NS, Mangioni C, Malmstrom H, et al.: First results of a randomised trial comparing radiotherapy versus observation post operatively in patients with uterine sarcomas. An EORTC-GCG study. [Abstract] Int J Gynecol Cancer 13 (Suppl 1): A-PL12, 4, 2003.

Reference Type RESULT

Other Identifiers

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EORTC-55874

Identifier Type: -

Identifier Source: secondary_id

CAN-NCIC-EN4

Identifier Type: -

Identifier Source: secondary_id

EORTC-55874

Identifier Type: -

Identifier Source: org_study_id