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Trial Title: Moderately Hypofractionated Adaptive Radiotherapy for Cervical Cancer

NCT ID: NCT05994300

Condition: Cervical Neoplasm
Adaptive Radiotherapy
Radiotherapy; Adverse Effect

Conditions: Official terms:
Uterine Cervical Neoplasms

Conditions: Keywords:
moderately hypofractionated radiotherapy
adaptive radiotherapy
cervical cancer.

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: Moderately hypofractionated adaptive radiotherapy (ART)+ High-dose rate (HDR) Brachytherapy
Description: Experimental: 43.35Gy/17F external beam radiotherapy (EBRT) with adaptive radiotherapy (ART) + HDR-Brachytherapy Drug: Concurrent Chemotherapy Weekly cisplatin 40 mg/m2
Arm group label: Moderately Hypofractionated Adaptive Radiotherapy

Summary: External radiation given in 25 fractions or so together with weekly chemotherapy and followed by 5 or 6 fractions of brachytherapy is the standard of care for patients with locally advanced cervical cancer. We hope to develop external moderately hypofractionated radiotherapy of cervical cancer based on adaptive radiotherapy.The objective of this study is to evaluate the efficacy and treatment-related toxicity of moderately hypofractionated adaptive radiotherapy in the treatment of cervical cancer.

Detailed description: This is an investigator-initiated efficacious, single-center, open-label clinical trial study. This study hypothesizes that the use of external moderately hypofractionated radiotherapy of cervical cancer based on adaptive radiotherapy. A dose of 43.35Gy in 17 fractions is delivered to clinical target volume (CTV). Patients receive cisplatin based concurrent chemotherapy. The primary endpoint is acute toxicity.

Criteria for eligibility:
Criteria:
Inclusion Criteria: Age 18 years to 70 years FIGO Stage IB1, IB2, IB3, IIA or IIB cervical cancers FIGO stage IIIC1 cervical cancers are candidates but must meet all the following criteria:largest node is less than 1.5 cm,less than 3 pathological nodes,No nodes located in the common iliac chain Histology: squamous Candidate for definitive chemoradiotherapy to be delivered with weekly cisplatin Brachytherapy candidate Functional State Eastern Cooperative Oncology Group (ECOG)0-2 Exclusion Criteria: Patients who had chemotherapeutic, surgical and/or radiotherapy treatment FIGO stage IIIA, IIIB, IIIC2, IVA or IVB FIGO stage IIIC1 with node greater than 1.5 cm, common iliac node or greater than 2 pathological nodes Previous pelvic or abdominal radiotherapy Patient unable to undergo MR scan ECOG performance status greater than 2 Not a cisplatin candidate Other factors that contraindicate experimental therapy

Gender: Female

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Peking Union Medical College Hospital

Address:
City: Beijing
Zip: 100010
Country: China

Status: Recruiting

Contact:
Last name: Fuquan Zhang, prof

Phone: 86-10-69155485
Email: Zhangfq@pumch.cn

Start date: September 19, 2023

Completion date: December 31, 2025

Lead sponsor:
Agency: Peking Union Medical College Hospital
Agency class: Other

Source: Peking Union Medical College Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05994300

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