Neoadjuvant Chemotherapy Followed by Chemoradiation Versus Chemoradiation for Stage IIIC Cervical Cancer Patients: A Randomized Phase III Trial

NCT ID: NCT05367206

Last Updated: 2022-05-10

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-03-14

Study Completion Date

2027-03-31

Brief Summary

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Evaluate the efficacy and safety of neoadjuvant chemotherapy (NAC) with albumin-bound paclitaxel and carboplatin followed by chemoradiation therapy (CRT) for stage IIIC cervical cancer patients with carcinoma \>4 cm in greatest dimension and/or lymph node \>2cm in short axis.

Detailed Description

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in this phase III tiral , stage IIIC cervical cancer patients with carcinoma \>4 cm in greatest dimension and/or lymph node \>2cm in short axis will be randomly assigned to two circles of NAC with albumin-bound paclitaxel and carboplatin followed by standard CRT with weekly cisplatin plus pelvic radiotherapy or to standard CRT alone.

The primary end point was 3-year progression-free survival (PFS). Secondary end points were response rate, 3-year locoregional control, 3-year overall survival (OS), safety, and quality of life.

Conditions

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Cervical Cancer Neoadjuvant Chemotherapy Bulky Neoplasm

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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NAC plus RCT

two circles of NAC with albumin-bound paclitaxel and carboplatin followed by standard chemoradiation with weekly cisplatin plus pelvic radiation

Group Type EXPERIMENTAL

Albumin-Bound Paclitaxel

Intervention Type DRUG

260mg/m2 q3w \*2 circles

Carboplatin

Intervention Type DRUG

AUC 5-6 q3w \* 2 circles

RCT

standard chemoradiation with weekly cispatin plus pelvic radiation

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Albumin-Bound Paclitaxel

260mg/m2 q3w \*2 circles

Intervention Type DRUG

Carboplatin

AUC 5-6 q3w \* 2 circles

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. pathologically comfirmed : squamous cell, adenocarcinoma, or adenosquamous carcinoma of the uterine cervix;
2. FIGO (2018 International Federation of Gynecology and Obstetrics) stage IIIC with carcinoma \>4 cm in greatest dimension and/or lymph node \>2 cm in short axis at initial diagnosis.
3. age 18 to 70 years;
4. Eastern Cooperative Oncology Group performance status 0 to 2;
5. adequate organ function.

Exclusion Criteria

1\. not at initial diagnosis; 2. with other kind of tumor.

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Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Li Junyun

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sun Yat-sen University Cancer Center

Guangzhou, Guangdone, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Junyun Li, M.D.

Role: CONTACT

020-87343817 ext. 86

Facility Contacts

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Junyun Li, M.D.

Role: primary

020-87343817 ext. 86

Other Identifiers

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SunYat-sen University

Identifier Type: -

Identifier Source: org_study_id

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