MRI and PET Imaging in Predicting Treatment Response in Patients With Stage IB-IVA Cervical Cancer

NCT ID: NCT01992861

Last Updated: 2023-06-26

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

TERMINATED

Total Enrollment

51 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-02-14

Study Completion Date

2022-01-31

Brief Summary

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This trial studies magnetic resonance imaging (MRI) and positron emission tomography (PET) imaging in predictive treatment response in patients with stage IB-IVA cervical cancer. MRI is a procedure in which radio waves and a powerful magnet linked to a computer are used to create detailed pictures of areas inside the body. PET is a procedure in which a small amount of radioactive glucose (sugar) is injected into a vein, and a scanner is used to make detailed, computerized pictures of areas inside the body where the glucose is taken up. Comparing results of diagnostic procedures, such as MRI and PET, done before, during and after radiation and chemotherapy may help doctors predict a patient's response to treatment and help plan the best treatment.

Detailed Description

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OUTLINE:

Patients undergo radiation therapy and receive chemotherapy per standard of care. Patients undergo dynamic contrast-enhanced (DCE) MRI, diffusion-weighted (DW) MRI, and magnetic resonance (MR) spectroscopy at baseline, 2-2.5 weeks, 4-5 weeks, and 1 month following radiation therapy completion, and fludeoxyglucose F 18 (FDG) PET/computed tomography (CT) at baseline, 2-2.5 weeks, and 4-5 weeks.

After completion of study, patients are followed up at least every 3-6 months for 5 years.

Conditions

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Cervical Adenocarcinoma Cervical Adenosquamous Carcinoma Cervical Squamous Cell Carcinoma, Not Otherwise Specified Cervical Undifferentiated Carcinoma Recurrent Cervical Carcinoma Stage IB2 Cervical Cancer Stage II Cervical Cancer Stage IIA Cervical Cancer Stage IIB Cervical Cancer Stage III Cervical Cancer Stage IIIA Cervical Cancer Stage IIIB Cervical Cancer Stage IVA Cervical Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Diagnostic (DCE MRI, DW MRI, MR spectroscopy, FDG PET/CT)

Patients undergo radiation therapy and receive chemotherapy per standard of care. Patients undergo DCE MRI, DW MRI, and MR spectroscopy at baseline, 2-2.5 weeks, 4-5 weeks, and 1 month following radiation therapy completion, and FDG PET/CT at baseline, 2-2.5 weeks, and 4-5 weeks.

Computed Tomography

Intervention Type PROCEDURE

Undergo FDG PET/CT

Diffusion Weighted Imaging

Intervention Type PROCEDURE

Undergo DW MRI

Dynamic Contrast-Enhanced Magnetic Resonance Imaging

Intervention Type PROCEDURE

Undergo DCE MRI

Fludeoxyglucose F-18

Intervention Type RADIATION

Undergo FDG PET/CT

Magnetic Resonance Spectroscopic Imaging

Intervention Type PROCEDURE

Undergo MR spectroscopy

Positron Emission Tomography

Intervention Type PROCEDURE

Undergo FDG PET/CT

Interventions

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Computed Tomography

Undergo FDG PET/CT

Intervention Type PROCEDURE

Diffusion Weighted Imaging

Undergo DW MRI

Intervention Type PROCEDURE

Dynamic Contrast-Enhanced Magnetic Resonance Imaging

Undergo DCE MRI

Intervention Type PROCEDURE

Fludeoxyglucose F-18

Undergo FDG PET/CT

Intervention Type RADIATION

Magnetic Resonance Spectroscopic Imaging

Undergo MR spectroscopy

Intervention Type PROCEDURE

Positron Emission Tomography

Undergo FDG PET/CT

Intervention Type PROCEDURE

Other Intervention Names

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CAT CAT Scan Computerized Axial Tomography Computerized Tomography CT CT SCAN tomography Diffusion Weighted MRI Diffusion-Weighted Magnetic Resonance Imaging Diffusion-Weighted MR Imaging Diffusion-Weighted MRI DWI DWI MRI DWI-MRI MR Diffusion-Weighted Imaging DCE MRI DCE-MRI DYNAMIC CONTRAST ENHANCED MRI 18FDG FDG fludeoxyglucose F 18 Fludeoxyglucose F18 Fluorine-18 2-Fluoro-2-deoxy-D-Glucose Fluorodeoxyglucose F18 1H- Nuclear Magnetic Resonance Spectroscopic Imaging 1H-nuclear magnetic resonance spectroscopic imaging Magnetic Resonance Spectroscopy MRS MRS Imaging MRSI Proton Magnetic Resonance Spectroscopic Imaging Medical Imaging, Positron Emission Tomography PET PET SCAN Positron Emission Tomography Scan Positron-Emission Tomography proton magnetic resonance spectroscopic imaging

Eligibility Criteria

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Inclusion Criteria

* Patients must have histologically confirmed stage IB2-IVA epithelial carcinoma of the cervix, including squamous cell, adeno-, and undifferentiated carcinoma, and excluding small cell/neuroendocrine carcinoma, who will undergo radiation therapy for cervical cancer with curative intent
* Surgical staging with retroperitoneal staging and lymphadenectomy is permitted
* Patients who will undergo standard radiation therapy with concurrent cisplatin-based chemotherapy for cervical cancer
* Patients with no prior radiation therapy to the pelvis
* Patients with no contra-indications to magnetic resonance (MR) imaging
* Patients must have adequate renal function: glomerular filtration rate (GFR) \> 30 mL/min/1.73 m\^2; for the test-retest sub-study MRI, patients must have a GFR of \> 60 mL/min/1.73m\^2
* Ability to understand and the willingness to sign a written informed consent document

Exclusion Criteria

* Patients with small cell/neuroendocrine cervical carcinoma
* Patients who have received any prior pelvic radiation therapy in the area of the tumor that precludes the delivery of a curative dose of pelvic radiation
* Medical contraindication to MR imaging (e.g. pacemakers, metallic implants, aneurysm clips, known contrast allergy to gadolinium contrast, pregnancy, nursing mothers, weight greater than 350 pounds, GFR \< 30)
* Major medical or psychiatric illness that, in the investigator's opinion, would prevent completion of treatment, completion of the study protocol, or interfere with follow-up
* Life expectancy of less than 6 months
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

University of Washington

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Simon Lo

Role: PRINCIPAL_INVESTIGATOR

Fred Hutch/University of Washington Cancer Consortium

Locations

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University of Miami Miller School of Medicine-Sylvester Cancer Center

Miami, Florida, United States

Site Status

Loyola University Medical Center

Maywood, Illinois, United States

Site Status

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Site Status

Fred Hutch/University of Washington Cancer Consortium

Seattle, Washington, United States

Site Status

University of Toronto

Toronto, Ontario, Canada

Site Status

University of Hong Kong

Hong Kong, , Hong Kong

Site Status

Countries

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United States Canada Hong Kong

Other Identifiers

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NCI-2013-01935

Identifier Type: REGISTRY

Identifier Source: secondary_id

8118

Identifier Type: OTHER

Identifier Source: secondary_id

R01CA155454

Identifier Type: NIH

Identifier Source: secondary_id

View Link

RG3114003

Identifier Type: OTHER

Identifier Source: secondary_id

8118

Identifier Type: -

Identifier Source: org_study_id

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