NAC Followed by RH for the Treatment of LACC

NCT ID: NCT03963882

Last Updated: 2019-06-20

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-19

Study Completion Date

2025-06-01

Brief Summary

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This cohort study is to evaluate the role of neoadjuvant chemotherapy (NAC) in the treatment of locally advanced cervical cancer (LACC). Sixty patients with LACC (FIGO 2009 stage IB2 to IIB) will be enrolled. After informed consents, they would accept the imaging evaluation of pelvic magnetic resonance imaging (MRI) and positron emission tomography (PET). After excluding cases of distant metastasis, they will accept two cycles of NAC (paclitaxel 175 mg/m2 and cisplatin 70 mg/m2, on day 1, once for three weeks). Then a second MRI is performed to evaluate the imaging response. For patients achieving objective response, radical hysterectomy (RH, via laparoscopy or laparotomy) and an evaluation of pathologic response are performed. For patients without objective imaging response, the choice of concurrent chemoradiotherapy or radical hysterectomy will be discussed. After RH, adjuvant therapy will be given according to the RH pathologic results.

The primary objectives consist of (1) the objective imaging response after NAC; (2) the objective pathologic response after RH.

The secondary objectives consist of (1) disease-free survival and overall survival after various therapy modalities; (2) severe adverse effects of NAC; (3) the effects of NAC on the surgical outcomes.

Detailed Description

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Conditions

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Neoadjuvant Chemotherapy Locally Advanced Cervical Cancer Radical Hysterectomy Objective Response Laparoscopy Laparotomy Concurrent Chemoradiotherapy Adjuvant Therapy Systematic Chemotherapy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

patients diagnosed with locally advanced cervical cancer of stage IB2 to IIB (FIGO 2009 system)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A

Patients in group A don't receive neoadjuvant chemotherapy

Group Type EXPERIMENTAL

First imaging evaluation

Intervention Type DIAGNOSTIC_TEST

First imaging evaluation consists of pelvic magnetic resonance imaging (MRI) and positron emission tomography (PET)

Radiochemotherapy

Intervention Type RADIATION

Concurrent radiochemotherapy

Group B

Patients in group B receive neoadjuvant chemotherapy and achieve imaging response

Group Type EXPERIMENTAL

Two cycles of neoadjuvant chemotherapy

Intervention Type DRUG

Two cycles of neoadjuvant chemotherapy (paclitaxel 175 mg/m2 and cisplatin 70 mg/m2, on day 1, once for three weeks).

First imaging evaluation

Intervention Type DIAGNOSTIC_TEST

First imaging evaluation consists of pelvic magnetic resonance imaging (MRI) and positron emission tomography (PET)

Second imaging evaluation

Intervention Type DIAGNOSTIC_TEST

Second imaging evaluation consists of pelvic magnetic resonance imaging

The third cycles of neoadjuvant chemotherapy

Intervention Type DRUG

The third cycles of neoadjuvant chemotherapy (paclitaxel 175 mg/m2 and cisplatin 70 mg/m2, on day 1, once for three weeks).

RH

Intervention Type PROCEDURE

Radical hysterectomy

Pathologic evaluation

Intervention Type DIAGNOSTIC_TEST

Pathologic evaluation for RH patients

Group C

Patients in group B receive neoadjuvant chemotherapy but don't achieve imaging response, and they accept concurrent chemoradiotherapy

Group Type EXPERIMENTAL

Two cycles of neoadjuvant chemotherapy

Intervention Type DRUG

Two cycles of neoadjuvant chemotherapy (paclitaxel 175 mg/m2 and cisplatin 70 mg/m2, on day 1, once for three weeks).

First imaging evaluation

Intervention Type DIAGNOSTIC_TEST

First imaging evaluation consists of pelvic magnetic resonance imaging (MRI) and positron emission tomography (PET)

Second imaging evaluation

Intervention Type DIAGNOSTIC_TEST

Second imaging evaluation consists of pelvic magnetic resonance imaging

Radiochemotherapy

Intervention Type RADIATION

Concurrent radiochemotherapy

Group D

Patients in group B receive neoadjuvant chemotherapy but don't achieve imaging response, and they accept radical hysterectomy

Group Type EXPERIMENTAL

Two cycles of neoadjuvant chemotherapy

Intervention Type DRUG

Two cycles of neoadjuvant chemotherapy (paclitaxel 175 mg/m2 and cisplatin 70 mg/m2, on day 1, once for three weeks).

First imaging evaluation

Intervention Type DIAGNOSTIC_TEST

First imaging evaluation consists of pelvic magnetic resonance imaging (MRI) and positron emission tomography (PET)

Second imaging evaluation

Intervention Type DIAGNOSTIC_TEST

Second imaging evaluation consists of pelvic magnetic resonance imaging

RH

Intervention Type PROCEDURE

Radical hysterectomy

Pathologic evaluation

Intervention Type DIAGNOSTIC_TEST

Pathologic evaluation for RH patients

Interventions

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Two cycles of neoadjuvant chemotherapy

Two cycles of neoadjuvant chemotherapy (paclitaxel 175 mg/m2 and cisplatin 70 mg/m2, on day 1, once for three weeks).

Intervention Type DRUG

First imaging evaluation

First imaging evaluation consists of pelvic magnetic resonance imaging (MRI) and positron emission tomography (PET)

Intervention Type DIAGNOSTIC_TEST

Second imaging evaluation

Second imaging evaluation consists of pelvic magnetic resonance imaging

Intervention Type DIAGNOSTIC_TEST

The third cycles of neoadjuvant chemotherapy

The third cycles of neoadjuvant chemotherapy (paclitaxel 175 mg/m2 and cisplatin 70 mg/m2, on day 1, once for three weeks).

Intervention Type DRUG

RH

Radical hysterectomy

Intervention Type PROCEDURE

Radiochemotherapy

Concurrent radiochemotherapy

Intervention Type RADIATION

Pathologic evaluation

Pathologic evaluation for RH patients

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Confirmed primary adenocarcinoma, squamous cell carcinoma or adenosquamous carcinoma of the uterine cervix
* FIGO stage IB2 to IIB
* Type II or III radical hysterectomy or trachelectomy
* Performance status of Eastern Cooperative Oncology Group (ECOG) 0-1
* Aged 18 years to 45 years
* Well cardiopulmonary, liver and kidney functions for neoadjuvant chemotherapy
* Signed an approved informed consents
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Lei Li

OTHER

Sponsor Role lead

Responsible Party

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Lei Li

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Lei Li, M.D.

Role: PRINCIPAL_INVESTIGATOR

Peking Union Medical College Hospital

Locations

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Lei Li

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Lei Li, M.D.

Role: CONTACT

+8613911988831

Lei Li, M.D.

Role: CONTACT

+8613911988831

Facility Contacts

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Lei Li, MD

Role: primary

008613911988831

Other Identifiers

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NACC

Identifier Type: -

Identifier Source: org_study_id

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