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Trial Title: Assessment of Prognosis Using Peripheral Blood Circulating Tumor DNA in Patients With Cervical Cancer

NCT ID: NCT05602831

Condition: Locally Advanced Cervical Cancer

Conditions: Official terms:
Uterine Cervical Neoplasms

Study type: Observational

Overall status: Unknown status

Study design:

Time perspective: Prospective

Intervention:

Intervention type: Other
Intervention name: detect HPV and genetic variants
Description: Serum tumor markers and ctDNA HPV and genetic variants will be detected in peripheral blood samples. HPV and genetic variants will be also detected in baseline surgical tissues.
Arm group label: operable treatment group

Intervention type: Other
Intervention name: detect HPV and genetic variants
Description: Serum tumor markers and ctDNA HPV and genetic variants will be detected in peripheral blood samples. HPV and genetic variants will be also detected in baseline puncture tissues.
Arm group label: radical chemoradiotherapy group

Summary: This observational study is conducted to assess the value of using peripheral blood ctDNA to detect dynamic changes in HPV and genetic variants in predicting the prognosis of patients with locally advanced cervical cancer, as compared with traditional imaging and tumor markers.

Detailed description: The goal of this study is to assess the prognostic value of ctDNA HPV and gene variant clearance in peripheral blood. Two cohorts will be enrolled: operable group and radical chemoradiotherapy group. After enrollment, patients will receive standard treatment and follow-up strategy. Peripheral blood samples will be collected from 2 cohorts of patients before treatment and at different time points after starting treatment. Baseline surgical or puncture tissues will be also obtained. Peripheral blood ctDNA and baseline tissues will be tested for HPV copy number based on ddPCR and genetic variation based on next-generation sequencing (NGS). Finally, the correlation of ctDNA HPV and genetic variation clearance with patients prognosis and its value for recurrence monitoring compared to traditional tumor markers and imaging examination will be analyzed.

Criteria for eligibility:

Study pop:
Cohort A:Patients with initial diagnosis, operable locally advanced cervical cancer, FIGO stage IB2/3-IIA1/2. Cohort B:Patients with initial diagnosis, receive radical chemoradiotherapy locally advanced cervical cancer, FIGO stage IIB-IVA.

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Patients with initial diagnosis, operable locally advanced cervical cancer, FIGO stage IB2/3-IIA1/2 or initial diagnosis, receive radical chemoradiotherapy locally advanced cervical cancer, FIGO stage IIB-IVA - Not receiving systemic treatment - Pathological diagnosis: cervical squamous cell carcinoma - Aged 18-70 years - ECOG PS: 0-1 - Patients volunteer to participate in this study and sign the informed consent, with good compliance, and cooperate with the acquisition of tissue samples and blood samples Exclusion Criteria: - Patients diagnosed with other malignancies within 5 years - Patients had received previous systemic antitumor therapy - In the judgment of the investigator, the patients had other factors that might have caused the study to be discontinued

Gender: Female

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: Fudan University Shanghai Cancer Center

Address:
City: Shanghai
Zip: 200023
Country: China

Status: Recruiting

Contact:
Last name: Hao Wen, MD

Phone: +862164175590

Phone ext: 81000
Email: wenhao@shca.org.cn

Start date: August 10, 2022

Completion date: August 2024

Lead sponsor:
Agency: Fudan University
Agency class: Other

Collaborator:
Agency: Amoy Diagnostics Co., LTD
Agency class: Other

Source: Fudan University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05602831

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