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Trial Title: Clinical and Experimental Studies to Improve Radiotherapy Outcome in AIDS Cancer Patients

NCT ID: NCT00122746

Condition: Cancer of the Cervix

Conditions: Official terms:
Uterine Cervical Neoplasms
Cisplatin

Conditions: Keywords:
Cervical Cancer
AIDS
External Beam Radiotherapy
Brachytherapy
Cisplatin

Study type: Interventional

Study phase: Phase 3

Overall status: Unknown status

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: Radiotherapy alone
Description: EBRT pelvis 46 Gy 4 field box technique + ICBT LDR 1x30 Gy/A or HDR 3x8 Gy/A
Arm group label: Radiotherapy alone

Intervention type: Radiation
Intervention name: Radiotherapy with cisplatin
Description: EBRT pelvis 46 Gy 4 field box technique + ICBT LDR 1x30 Gy/A or HDR 3x8 Gy/A + weekly cisplatin 30 mg/m2 during EBRT
Arm group label: Radiotherapy plus Chemotherapy

Summary: The researchers plan: - To undertake clinical studies of radiotherapy with or without the administration of the chemotherapeutic agent cisplatin, known to be a radiosensitizer; - To perform pre-clinical studies of the radiosensitivity of human fibroblasts and cervical cancer cell lines in culture, with or without the addition of various HIV proteins or protease inhibitors, in order to determine the extent of any cellular radiosensitizing properties of these molecules; - To develop strategies for sensitizing tumour cells to radiation, specifically by down-regulating specific viral proteins that are known to be factors associated with resistance to radiotherapy.

Detailed description: Clinical study addresses the question of whether radiotherapy plus weekly cisplatin offers an advantage over the same radiotherapy given alone in AIDS patients with cervix cancer. External beam radiotherapy is used with 50 Gy in 25 daily fractions (last interim analysis, October 2005) suggested lowering the total dose down to 46 Gy in 23 daily fractions). Brachytherapy component was specified as either 30 Gy of LDR in a single fraction or 3 fractions of 8 Gy using HDR. Cisplatin was administered weekly at a dose of 30 mg/sqm.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Cancer of the cervix - AIDS Exclusion Criteria: - Unable to give informed consent

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Dept. of Atomic Energy, Tata Memorial Centre

Address:
City: Mumbai
Country: India

Status: Recruiting

Contact:
Last name: Reena Engineer, MD
Email: reena_engineer@rediffmail.com

Investigator:
Last name: Reena Engineer, MD
Email: Principal Investigator

Facility:
Name: Johannesburg Hospital

Address:
City: Johannesburg
Country: South Africa

Status: Active, not recruiting

Facility:
Name: Ocean Road Cancer Institute

Address:
City: Dar Es Salaam
Country: Tanzania

Status: Recruiting

Contact:
Last name: Twalib Ngoma, MD
Email: ngoma@uccmail.co.tz

Investigator:
Last name: Twalib Ngoma, MD
Email: Principal Investigator

Facility:
Name: Radiotherapy Centre

Address:
City: Kampala
Country: Uganda

Status: Recruiting

Contact:
Last name: Joseph Kigula, MD
Email: jbkigula@yahoo.com

Investigator:
Last name: Joseph Kigula, MD
Email: Principal Investigator

Facility:
Name: Radiotherapy Centre

Address:
City: Harare
Country: Zimbabwe

Status: Active, not recruiting

Start date: December 2004

Lead sponsor:
Agency: International Atomic Energy Agency
Agency class: Other

Source: International Atomic Energy Agency

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT00122746
http://www.iaea.org

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