HPV Serum Level and FDG PET CT in Patients With Cervical Cancer Treated With Radical Radiochemotherapy

NCT ID: NCT04683549

Last Updated: 2024-01-08

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-15

Study Completion Date

2024-06-30

Brief Summary

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The main purpose of the study is to describe changes in plasma HPV DNA levels in patients with locally advanced cervical cancer during radical radiochemotherapy (CRT) and to correlate changes with response to treatment. Monitoring of the response to treatment will also be assessed in FDG PET CT imaging.

Detailed Description

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Ninety-five per cent of cervical cancer cases are caused by persistent infections with carcinogenic HPVs. Locally advanced stage IB2 to IVA cervical cancers are treated with definitive chemoradiation therapy (CRT). Despite known clinical prognostic factors of poor treatment outcome such as advanced stage and positive nodal status, we still don't know predictors of relapse.

HPV status will be assessed in the neoplastic tissue and DNA from the blood serum of patients with cervical cancer will be isolated and analyzed by real-time PCR. Plasma HPV DNA would identify patients with residual disease after CRT due to persistent detectable HPV. This would earlier detect high risk patients who would benefit from adjuvant therapy.

While metabolic response in post - therapy FDG PET CT is predictive of survival, there is usually 3 months waiting period time needed to perform this imaging. This pilot study will provide preliminary estimates of the correlation between plasma HPV DNA level, PET finding and clinical outcome in polish cervical cancer patients.

Conditions

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Cervical Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Locally advanced non-operable newly diagnosed FIGO stage IB-IVA cervical cancer patients planned for definitive radiochemotherapy will be accrued to study and will have:

1. FDG PET Scan before treatment and 3 months after treatment
2. Pre- treatment DNA from the neoplastic time preserved in the form of paraffin blocks to determine HPV status
3. Blood sample to measure HPV DNA at time point baseline (before treatment), in the middle of treatment and at the end of definitive radiochemotherapy,
4. \[F-18\] - FDG PET scan before treatment and 3 months post completion of radiochemotherapy.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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One-Arm HPV serum level and FDG PET CT

HPV serum level and FDG PET CT in patients with cervical cancer treated with radical radiochemotherapy

Group Type OTHER

HPV serum level and FDG PET CT in patients with cervical cancer treated with radical radiochemotherapy

Intervention Type DIAGNOSTIC_TEST

Locally advanced non-operable newly diagnosed FIGO stage IB-IVA cervical cancer patients planned for definitive radiochemotherapy will be accrued to study and will have:

1. FDG PET Scan before treatment and 3 months after treatment
2. Pre- treatment DNA from the neoplastic time preserved in the form of paraffin blocks to determine HPV status
3. Blood sample to measure HPV DNA at time point baseline (before treatment), in the middle of treatment and at the end of definitive radiochemotherapy,
4. \[F-18\] - FDG PET scan before treatment and 3 months post completion of radiochemotherapy.

Interventions

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HPV serum level and FDG PET CT in patients with cervical cancer treated with radical radiochemotherapy

Locally advanced non-operable newly diagnosed FIGO stage IB-IVA cervical cancer patients planned for definitive radiochemotherapy will be accrued to study and will have:

1. FDG PET Scan before treatment and 3 months after treatment
2. Pre- treatment DNA from the neoplastic time preserved in the form of paraffin blocks to determine HPV status
3. Blood sample to measure HPV DNA at time point baseline (before treatment), in the middle of treatment and at the end of definitive radiochemotherapy,
4. \[F-18\] - FDG PET scan before treatment and 3 months post completion of radiochemotherapy.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

Age Limits: more than 18Y Histologically confirmed squamous cell carcinoma, FIGO stage IB-IVA planned for radical radiochemotherapy Eastern Cooperative Oncology Group (ECOG) performance status 0,1,2

Exclusion Criteria

Patients who have received any anticancer treatment for their cervical cancer. Eastern Cooperative Oncology Group (ECOG) performance status \> 2 Other cervical cancer tumor histologies (e.g. small cell, serous) Contraindications to 18FDG PET-CT Contraindication to radiochemotherapy Known pregnancy or lactating
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The Greater Poland Cancer Centre

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ewa Burchardt, PhD, MD

Role: PRINCIPAL_INVESTIGATOR

Oncological Gynecology Clinic / GPCC

Locations

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Greater Poland Cancer Centre / Oncological Gynecology Clinic

Poznan, Greater Poland Voivodeship, Poland

Site Status

Countries

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Poland

Other Identifiers

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15/06/2020/E/WCO/007

Identifier Type: -

Identifier Source: org_study_id

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