Magnetic Resonance Imaging-Based Radiation Therapy and Cisplatin in Patients With Stage I, Stage II, Stage III, or Stage IV Cervical Cancer

NCT ID: NCT01016561

Last Updated: 2021-05-05

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2016-12-31

Brief Summary

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Rationale: Computer systems that allow doctors to create a 3 dimensional (3-D) picture of the tumor may help in planning radiation therapy and may result in more tumor cells being killed. Specialized radiation therapy that delivers a high dose of radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue. Drugs, such as cisplatin, may make tumor cells more sensitive to radiation therapy.

Detailed Description

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PURPOSE: This clinical trial is studying magnetic resonance imaging-based radiation therapy and cisplatin in treating patients with stage I, stage II, stage III, or stage IV cervical cancer.Detailed DescriptionPRIMARY OBJECTIVES:

I. To evaluate the feasibility of using MRI based treatment planning for intracavitary brachytherapy treatment planning.

SECONDARY OBJECTIVES:

I. To evaluate the incidence of early toxicities, specifically genitourinary and gastrointestinal.

II. To evaluate the incidence of late toxicities, specifically genitourinary and gastrointestinal.

III. To evaluate local, regional, and distant recurrence rates. IV. To evaluate disease-free and overall survival rates. OUTLINE: Patients undergo external beam radiotherapy (3-dimensional conformal OR intensity-modulated) and 4-6 insertions of MRI-guided intracavitary brachytherapy over 8 weeks. Patients also receive cisplatin IV over 30-60 minutes for 5-6 weeks during radiotherapy.

After completion of study treatment, patients are followed at 6 weeks, every 4 months for 2 years, and then every 6 months for 3 years.

Conditions

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Cervical Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm I

Patients undergo external beam radiotherapy (3-dimensional conformal OR intensity-modulated) and 4-6 insertions of MRI-guided intracavitary brachytherapy over 8 weeks. Patients also receive cisplatin IV over 30-60 minutes for 5-6 weeks during radiotherapy.

Group Type EXPERIMENTAL

intracavitary balloon brachytherapy

Intervention Type RADIATION

external beam radiation therapy

Intervention Type RADIATION

intensity-modulated radiation therapy

Intervention Type RADIATION

radiation therapy treatment planning/simulation

Intervention Type RADIATION

3-dimensional conformal radiation therapy

Intervention Type RADIATION

Cisplatin

Intervention Type DRUG

Interventions

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intracavitary balloon brachytherapy

Intervention Type RADIATION

external beam radiation therapy

Intervention Type RADIATION

intensity-modulated radiation therapy

Intervention Type RADIATION

radiation therapy treatment planning/simulation

Intervention Type RADIATION

3-dimensional conformal radiation therapy

Intervention Type RADIATION

Cisplatin

Intervention Type DRUG

Other Intervention Names

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EBRT IMRT 3D-CRT, conformal radiation therapy

Eligibility Criteria

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Inclusion Criteria

* Subjects must have histologically confirmed squamous cell, adenosquamous or adenocarcinoma of the cervix
* Subjects must have non-metastatic FIGO Stage Ia-IVa cervical cancer
* Claustrophobic subjects must agree to be sedated during MRI procedures
* ECOG performance status of 0-2

Exclusion Criteria

* Subjects with an inability to tolerate MR imaging
* Subjects who have had prior surgery for treatment of disease other than exploratory laparotomy or biopsy
* Study subjects who have contraindication to MRI scanning such as but not limited to subjects with pacemakers, metal fragments in the eye or certain metallic implants
* Women of childbearing potential who have a positive result on screening serum pregnancy test
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Abramson Cancer Center at Penn Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Abramson Cancer Center of the Unviersity of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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UPCC 01809

Identifier Type: -

Identifier Source: org_study_id

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