Bone Marrow Sparing Image-Guided Radiation Therapy (RT) Incorporating Novel Use of GCSF and FDG-PET Imaging

NCT ID: NCT04514692

Last Updated: 2025-04-23

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

7 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-01

Study Completion Date

2023-09-27

Brief Summary

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This is a research study using Granulocyte Colony Stimulating Factor (GCSF) as a bone marrow stimulating agent for imaging to guide radiation treatment planning. G-CSF is a type of growth factor. Growth factors are proteins made in the body. G-CSF is a type of growth factor that makes the bone marrow produce white blood cells to reduce the risk of infection after some types of cancer treatment. GCSF is being given to stimulate the bone marrow to identify the active (blood cell producing regions) to better spare during pelvic radiation treatment planning.

Detailed Description

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This is a phase 1/2 study. The phase 1 is a dose finding portion of the study and phase 2 will enroll additional patients at the dose found in phase I. Patients in phase I and phase 2 will have the same treatment and follow-up.

Participants will undergo standard of care diagnostic imaging, complete blood count (CBC) with differential and chemistry labs initially. While receiving the GCSF, participants will have a CBC with differential checked a day after each dose and one day prior to first day of radiation. The treatment planning FDG PET/CT will be performed shortly after the GCSF. During chemoradiation, participants will have weekly CBC with differential checked and other labs as standard of care.

Conditions

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Cervix Cancer Endometrial Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase I -Dose finding, Cohort 1

Dosing will occur in cohorts of 3 patients with the start at dose of GCSF will be 780 mcg x 3 days

Group Type EXPERIMENTAL

GCSF

Intervention Type DRUG

Granulocyte Colony Stimulating Factor (GCSF)

Phase I -Dose finding, Cohort 2

Dosing will occur in cohorts of 3 patients, If 3 out of 3 patients achieve the target SUVmean, the GCSF dose will be 780 mcg x 2 days

Group Type EXPERIMENTAL

GCSF

Intervention Type DRUG

Granulocyte Colony Stimulating Factor (GCSF)

Phase I -Dose finding, Cohort 3

Dosing will occur in cohorts of 3 patients, If 3 out of 3 patients achieve the target SUVmean, the GCSF dose will be 780 mcg x 1 day

Group Type EXPERIMENTAL

GCSF

Intervention Type DRUG

Granulocyte Colony Stimulating Factor (GCSF)

Phase II-G-CSF

Phase 2 participants will be treated with the optimal dose of GCSF found in the phase 1 portion of the study.

Group Type EXPERIMENTAL

GCSF

Intervention Type DRUG

Granulocyte Colony Stimulating Factor (GCSF)

Interventions

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GCSF

Granulocyte Colony Stimulating Factor (GCSF)

Intervention Type DRUG

Other Intervention Names

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Filgrastim Neupogen Zarxio G-CSF

Eligibility Criteria

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Inclusion Criteria

* Gynecologic cancer patients receiving pelvic radiation and chemotherapy, specifically: 1) Stage I-IIIC1 cervix cancer, 2) stage I-III primary vaginal cancer, 3) stage IIIA-IIIC1 endometrial cancer patients status post hysterectomy and lymph node assessment, and 4) recurrent endometrial cancer patients with pelvic confined disease No required para-aortic or extended field radiation
* Age \> 18 years
* ECOG performance status 0-2
* Adequate kidney function (serum Cr \<1.5 or creatinine clearance \>50 mg/dl)
* Adequate bone marrow function (white blood cells \> 3.0 X 10\^9/L, platelets \>100 x 10\^9/L)
* Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria

* Treatment for other cancer in the past 2 years
* Previous pelvic radiation
* Medical condition that prevents receiving chemotherapy
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Elizabeth Kidd

Associate Professor of Radiation Oncology (Radiation Therapy)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elizabeth A Kidd, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford Universiy

Locations

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Stanford Cancer Institute Palo Alto

Stanford, California, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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GYN0007

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-2021-03444

Identifier Type: REGISTRY

Identifier Source: secondary_id

IRB-56842

Identifier Type: -

Identifier Source: org_study_id

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