Study of Nimotuzumab Combined With Concurrent Chemoradiotherapy for Locally Advanced Cervical Cancer

NCT ID: NCT03469531

Last Updated: 2018-08-13

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-20

Study Completion Date

2021-12-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this phase II trial is to determine the feasibility and efficacy of nimotuzumab combined with concurrent chemoradiotherapy for initially inoperable locally advanced cervical squamous cell carcinoma.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This phase II trial is studying how well giving nimotuzumab together with radiation therapy and cisplatin works in treating patients with previously untreated locally advanced cervical cancer. Monoclonal antibodies, such as nimotuzumab, a humanized anti-epidermal growth factor receptor (EGFR) monoclonal antibody that is approved in many countries for the treatment of EGFR-positive cancers. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Nimotuzumab also stop the growth of cervical cancer by increasing the effect of chemotherapy. Radiation therapy uses high-energy x-rays to kill tumor cells. Drugs used in chemotherapy, such as cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving nimotuzumab together with radiation therapy and cisplatin may kill more tumor cells.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Neoplasms Cervical Adenosquamous Cell Carcinoma Cervical Squamous Cell Carcinoma in Situ Stage IB Cervical Cancer Stage IIA Cervical Cancer Stage IIB Cervical Cancer Stage III Cervical Cancer Stage IVA Cervical Cancer

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

experimental group

Patients receive nimotuzumab combined with cisplatin and undergo external-beam radiation and brachytherapy as the patients in experimental group.

Group Type EXPERIMENTAL

Nimotuzumab

Intervention Type DRUG

Patients receive nimotuzumab IV over 90 minutes on days 1, 8, 15, 22, 29, 36,43.

Cisplatin

Intervention Type DRUG

Patients undergo cisplatin, 25-40 mg/m2 a week for 4 or 5weeks

external-beam radiation

Intervention Type RADIATION

Patients undergo pelvic EBRT once daily, 5 days a week, for 5 weeks for a total of 45-50.4Gy

brachytherapy

Intervention Type RADIATION

high-dose rate brachytherapy,6Gy once weekly,for a total of 24-30Gy

control group

Patients receive cisplatin and undergo external-beam radiation and brachytherapy as the patients in control group.

Group Type ACTIVE_COMPARATOR

Cisplatin

Intervention Type DRUG

Patients undergo cisplatin, 25-40 mg/m2 a week for 4 or 5weeks

external-beam radiation

Intervention Type RADIATION

Patients undergo pelvic EBRT once daily, 5 days a week, for 5 weeks for a total of 45-50.4Gy

brachytherapy

Intervention Type RADIATION

high-dose rate brachytherapy,6Gy once weekly,for a total of 24-30Gy

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Nimotuzumab

Patients receive nimotuzumab IV over 90 minutes on days 1, 8, 15, 22, 29, 36,43.

Intervention Type DRUG

Cisplatin

Patients undergo cisplatin, 25-40 mg/m2 a week for 4 or 5weeks

Intervention Type DRUG

external-beam radiation

Patients undergo pelvic EBRT once daily, 5 days a week, for 5 weeks for a total of 45-50.4Gy

Intervention Type RADIATION

brachytherapy

high-dose rate brachytherapy,6Gy once weekly,for a total of 24-30Gy

Intervention Type RADIATION

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

EGFR monoclonal antibody Cisplatin injection pelvic EBRT high-dose rate brachytherapy

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* All volunteers will sign the informed consent.
* Histologically confirmed squamous cell of the uterine cervix, EGFR(+).
* The FIGO stage (IIB-IVA) and was not available for surgical treatment.
* There is at least one tumor lesion that is measurable by RECIST.
* During the study, contraception should be ensured.
* Karnofsky performance status \>60.
* WBC \>= 3,000/mm\^3
* Absolute granulocyte count \>= 1,500/mm\^3
* Platelet count \>= 100,000/mm\^3
* INR \< 1.5
* Total bilirubin =\< 1.5 mg/dL
* Serum creatinine =\< 1.5 mg/dL
* AST and ALT =\< 2.5 times upper limit of normal (ULN)
* Serum calcium =\< 1.3 times ULN
* Hemoglobin \>= 9g/dL (transfusion allowed)

Exclusion Criteria

* Positive para-aortic lymph nodes or positive lymph nodes beyond pelvic
* Prior invasive malignancy (except nonmelanomatous skin cancer)
* Contraindication of chemotherapy;
* Rare pathological subtype;
* Cervical cancer patients underwent hysterectomy, laparoscopic surgery or systemic chemotherapy.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Zhujiang Hospital

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

junguo bu, doctor

Role: PRINCIPAL_INVESTIGATOR

Zhujiang Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Zhujiang Hospital

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

China

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

junguo bu, doctor

Role: CONTACT

+86 13729810406

jiqiang li, doctor

Role: CONTACT

+86 13631317203

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

junguo bu, MD

Role: primary

13729810406

jiqiang li, MD

Role: backup

13631317203

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2017-ZLZX-002

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.