Stereotactic Pelvic Adjuvant Radiation Therapy in Cancers of the Uterus II

NCT ID: NCT04890912

Last Updated: 2021-10-25

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

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-15

Study Completion Date

2023-06-01

Brief Summary

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Adjuvant radiotherapy (RT) plays an important role in reducing the risks of local recurrence after surgery in uterine cancers. Standard adjuvant pelvic radiation treatment targets the pelvic lymph nodes, the post-operative bed, and the upper vagina and is typically treated with intensity modulated radiation therapy (IMRT) which has been shown to improve patient reported gastrointestinal (GI) and genitourinary (GU) toxicities. Although pelvic radiation has been shown to be effective at decreasing locoregional recurrences, patient quality of life and experience can be significantly impacted as pelvic RT comprises of daily radiation for 25 daily treatments, which can be a substantial burden on patients with this disease. Hypofractionated radiotherapy to a dose of 30 Gy in 5 fractions (6 Gy given every other day) for adjuvant radiation treatment in uterine cancer is hypothesized to result in similar rates of acute gastrointestinal toxicities as conventional fractionated radiation.

Detailed Description

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Conditions

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Endometrial Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conventional Fractionation Pelvic Radiation

Patients randomized to the conventional fractionation arm will be treated with intensity-modulated or volumetric arc therapy technique as per standard protocol.

Group Type ACTIVE_COMPARATOR

Conventional Fractionation

Intervention Type RADIATION

Dose prescribed is 45 Gy in 25 fractions (1.8 Gy per fraction) delivered daily over 5 weeks.

Stereotactic Hypofractionated Radiation

Patients randomized to hypofractionation will be treated the stereotactic hypofractionated technique.

Group Type EXPERIMENTAL

Hypofractionation

Intervention Type RADIATION

Dose prescribed is 30 Gy in 5 fractions (6 Gy per fraction) delivered every other day over 11 days. There will be a minimum of 36 hours and maximum of 96 hours between fractions. The entire course of treatment should be completed within no less than 10 days.

Interventions

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Conventional Fractionation

Dose prescribed is 45 Gy in 25 fractions (1.8 Gy per fraction) delivered daily over 5 weeks.

Intervention Type RADIATION

Hypofractionation

Dose prescribed is 30 Gy in 5 fractions (6 Gy per fraction) delivered every other day over 11 days. There will be a minimum of 36 hours and maximum of 96 hours between fractions. The entire course of treatment should be completed within no less than 10 days.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

1. Patient with histologically confirmed endometrial adenocarcinoma, serous or clear cell carcinoma.
2. Patient is a candidate for adjuvant pelvic radiation for uterine cancer (+/- vault brachytherapy), meeting one of the following conditions:

High grade histology (including serous and clear cell) OR Outer-half myometrial invasion and International Federation of Gynecology and Obstetrics (FIGO) grade 1-2 OR FIGO stage II - III.
3. Patients who are to receive adjuvant systemic therapy sequentially in addition to pelvic radiotherapy will be eligible.
4. Age ≥18 years.
5. Patient is willing and able to give informed consent to participate in this clinical trial.

Exclusion Criteria

1. Patient has had prior pelvic radiotherapy.
2. Patient has a contraindication to pelvic radiotherapy, such as but not limited to a connective tissue disease or inflammatory bowel disease.
3. Patient planned for concurrent chemoradiation therapy.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Princess Margaret Hospital, Canada

OTHER

Sponsor Role collaborator

Royal Victoria Hospital, Canada

OTHER

Sponsor Role collaborator

Credit Valley Hospital

OTHER

Sponsor Role collaborator

London Regional Cancer Program, Canada

OTHER

Sponsor Role collaborator

Sunnybrook Health Sciences Centre

OTHER

Sponsor Role lead

Responsible Party

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Dr. Eric Leung

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eric Leung, MD

Role: PRINCIPAL_INVESTIGATOR

Sunnybrook Health Sciences Centre

Kathy Han, MD

Role: PRINCIPAL_INVESTIGATOR

Princess Margaret Cancer Centre

Adam Gladwish, MD

Role: PRINCIPAL_INVESTIGATOR

Royal Victoria Hospital, Belfast

Locations

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Royal Victoria Hospital

Barrie, Ontario, Canada

Site Status NOT_YET_RECRUITING

London Regional Cancer Program

London, Ontario, Canada

Site Status NOT_YET_RECRUITING

Credit Valley Hospital

Mississauga, Ontario, Canada

Site Status NOT_YET_RECRUITING

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada

Site Status RECRUITING

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Site Status NOT_YET_RECRUITING

Countries

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Canada

Central Contacts

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Anika Mohan

Role: CONTACT

416-480-5000 ext. 89828

Nithla Mohanathas

Role: CONTACT

416-480-5000 ext. 85838

Facility Contacts

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Adam Gladwish, MD

Role: primary

David D'Souza, MD

Role: primary

Jasper Yuen, MD

Role: primary

Anika Mohan

Role: primary

Kathy Han, MD

Role: primary

Other Identifiers

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SPARTACUS II

Identifier Type: -

Identifier Source: org_study_id