UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004550
Receipt number R000005436
Scientific Title RANDOMIZED PHASE III CLINICAL TRIAL OF ADJUVANT RADIATION VERSUS CHEMORADIATION IN INTERMEDIATE RISK, STAGE I/IIA CERVICAL CANCER TREATED WITH INITIAL RADICAL HYSTERECTOMY AND PELVIC LYMPHADENECTOMY
Date of disclosure of the study information 2010/11/12
Last modified on 2024/09/29 18:56:12

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Basic information

Public title

RANDOMIZED PHASE III CLINICAL TRIAL OF ADJUVANT RADIATION VERSUS CHEMORADIATION IN INTERMEDIATE RISK, STAGE I/IIA CERVICAL CANCER TREATED WITH INITIAL RADICAL HYSTERECTOMY AND PELVIC LYMPHADENECTOMY

Acronym

GOG-0263

Scientific Title

RANDOMIZED PHASE III CLINICAL TRIAL OF ADJUVANT RADIATION VERSUS CHEMORADIATION IN INTERMEDIATE RISK, STAGE I/IIA CERVICAL CANCER TREATED WITH INITIAL RADICAL HYSTERECTOMY AND PELVIC LYMPHADENECTOMY

Scientific Title:Acronym

GOG-0263

Region

Japan Asia(except Japan) North America


Condition

Condition

INTERMEDIATE RISK, STAGE I/IIA CERVICAL CANCER TREATED WITH INITIAL RADICAL HYSTERECTOMY AND PELVIC LYMPHADENECTOMY

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

1)To determine if post-operative adjuvant chemo-radiation therapy (CRT) can significantly improve recurrence-free survival (RFS) when compared to radiation therapy (RT) alone in Stage I-IIA cervical cancer patients with intermediate risk factors after treatment with radical hysterectomy.
2)To determine whether post-operative adjuvant CRT can improve overall survival (OS) when compared to RT alone in Stage I-IIA cervical cancer patients with intermediate risk factors after treatment with radical hysterectomy.

Basic objectives2

Others

Basic objectives -Others

1)To assess differences (across treatment arms) in incidence and severity of therapy attributed adverse events
utilizing the active version of CTCAE.
2)To determine whether post-operative adjuvant CRT improves the health related Quality of Life (QOL) (compared to RT alone) as measured by FACT-Cx TOI and produce favorable toxicity profiles (with particular focus on treatment related genitourinary, gastrointestinal, neurological, pain and sexual adverse events)

Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

recurrence-free survival

Key secondary outcomes

overall survival, adverse events


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Other

Interventions/Control_1

radiation therapy( External pelvic standard radiation or IMRT )

Interventions/Control_2

Cisplatine 40mg/m2(max=70mg)IV over 1-2 hours weekly 6cycles with radiation therapy( External pelvic standard radiation or IMRT )

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1) Patients with Pathologically proven primary cervical cancer I-IIA with squamous cell carcinoma, adenosquamous carcinoma or adenocarcinoma initially treated with a standard radical hysterectomy with pelvic lymphadenectomy.
2) Patients with the following characteristics ( depth of stromal invasion and lymphovascular space involvement to be pathologically confirmed ) :
2-1) Patients with Positive capillary-lymphovascular space involvement and one of the following :
- Deep third penetration
- Middle third penetration, clinical tumor >=2cm
- Superficial third penetration, clinical tumor >=5cm
2-2) Patients with Negative capillary-lymphatic space involvement :
- Middle or deep third penetration, clinical tumor >= 4cm
3) Patients must have adequate :
- Hematologic function : ANC>= 1,500/mcl, platelets >= 100,000/mcl
- Renal function : creatinine<= ULN or calculated creatinine clearance>=60 mL/min
- Hepatic function : bilirubin <= 1.5 x normal, alkaline phosphate and SGOT <= 3 x normal
4) Patients with GOG performance status 0,1,2.
5) Patients should not be randomized less than 3 weeks post-surgery but will not be acceptable for randomization more than 8 weeks post-surgery.
6) Patients who have met the pre-entry requirements specified in Section 7.0.
7) Patients must have signed an approved informed consent and authorization permitting release of personal health information.

Key exclusion criteria

1) Patients with tumor in the parametria, pelvic lymph nodes or any other extra
uterine site or with positive surgical margins.

2) Patients with septicemia or severe infection.

3) Patients with intestinal obstruction or gastrointestinal bleeding.

4) Patients with postoperative fistula.

5) Patients with cervix cancer who have received any previous radiation or chemotherapy.

6) Patients whose circumstances do not permit completion of the study or the
required follow-up.

7) Patients with renal abnormalities requiring modification of radiation field
(pelvic kidney, renal transplant, etc).

8) Patients with GOG Performance Status of 3 or 4.

9) Patients with a history of other invasive malignancies, with the exception of
non-melanoma skin cancer, are excluded if there is any evidence of other malignancy being present within the last five years. Patients are also excluded if their previous cancer treatment contraindicates this protocol therapy.

Target sample size

360


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name SANG YOUNG RYU

Organization

Korea Cancer Center

Division name

Department of Gynecologic Oncology

Zip code


Address

215-4 GONGNEUNG-DONG, NOWAN-GU, SEOUL, KOREA, 139-709

TEL

82-2-970-1227

Email

ryu@kcch.re.kr


Public contact

Name of contact person

1st name
Middle name
Last name Tadao Takano, MD.

Organization

Tohoku University School of Medicine

Division name

Department of Gynecology

Zip code


Address

1-1 Seiryo-Machi, Aoba-ku

TEL

022-717-7000

Homepage URL

http://www.gog.org

Email

ttakano@med.tohoku.ac.jp


Sponsor or person

Institute

NRG Oncology

Institute

Department

Personal name



Funding Source

Organization

NRG Oncology

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization

USA


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

岩手医科大学附属病院(岩手県)、東北大学病院(宮城県)、国立がん研究センター中央病院(東京都)、近畿大学医学部附属病院(大阪府)、四国がんセンター(愛媛県)、呉医療センター・中国がんセンター(広島県)、鹿児島市立病院(鹿児島県)、新潟大学医歯学総合病院(新潟県)


Other administrative information

Date of disclosure of the study information

2010 Year 11 Month 12 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2010 Year 04 Month 12 Day

Date of IRB

2010 Year 10 Month 21 Day

Anticipated trial start date

2010 Year 12 Month 01 Day

Last follow-up date

2019 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 11 Month 12 Day

Last modified on

2024 Year 09 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005436