NCT02595554

Brief Summary

Neoadjuvant chemotherapy (NACT) and radical surgery (RS) may have a possible better outcome to concurrent chemoirradiation (CCRT) in stage IIB cervical cancer. We try to verify such a hypothesis in terms of survival and treatment related morbidity.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
220

participants targeted

Target at P25-P50 for phase_3

Timeline
Completed

Started Nov 2015

Longer than P75 for phase_3

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2015

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

November 2, 2015

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 3, 2015

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2020

Completed
Last Updated

February 3, 2017

Status Verified

February 1, 2017

Enrollment Period

5.1 years

First QC Date

November 2, 2015

Last Update Submit

February 2, 2017

Conditions

Keywords

Cervical cancer, Stage IIB, Neoadjuvant chemotherapy

Outcome Measures

Primary Outcomes (1)

  • Disease free survival

    5 years

Secondary Outcomes (1)

  • Overall survival

    5 years

Study Arms (2)

Concurrent chemoirradiation (CCRT)

ACTIVE COMPARATOR

Concurrent chemoirradiation

Radiation: Concurrent chemoirradiation

NACT+Surgery

EXPERIMENTAL

Neoadjuvant chemotherapy with Paclitaxel and Cisplatin (3 cycles), followed by radical surgery

Drug: PaclitaxelProcedure: Radical SurgeryDrug: Cisplatin

Interventions

External beam radiation therapy (EBRT) with concurrent weekly platinum chemotherapy followed by brachytherapy

Concurrent chemoirradiation (CCRT)

New adjuvant chemotherapy 3 cycles with Paclitaxel 150mg/m2 over 3 hours and Cisplatin

Also known as: NACT
NACT+Surgery

Radical hysterectomy (Type III or Type IV hysterectomy) plus bilateral pelvic lymph node dissection and para-aortic lymph node dissection or sampling

Also known as: NACT and surgery
NACT+Surgery

New adjuvant chemotherapy 3 cycles with Paclitaxel and Cisplatin 70mg/m2

Also known as: NACT
NACT+Surgery

Eligibility Criteria

Age18 Years - 60 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Patients with newly histologically confirmed cervical carcinoma
  • Original clinical stage must be IIB (FIGO 2009)
  • Histopathology squamous carcinoma, adenocarcinoma or adeno-squamous carcinoma
  • Age between 18-65
  • Patients must give signed informed consent

You may not qualify if:

  • The presence of uncontrolled life-threatening illness
  • Receiving other ways of anti-cancer therapy
  • Investigator consider the patients can't finish the whole study
  • With normal liver function test (ALT、AST\>2.5×ULN)
  • With normal renal function test (Creatinine\>1.5×ULN)
  • WBC\<4,000/mm3 or PLT\<100,000/mm3

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Gynecologic Oncology, Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, 510060, China

RECRUITING

Related Publications (1)

  • Tu H, Huang H, Ouyang Y, Liu Q, Xian B, Song K, Chen G, Shen Y, Liu J. Neoadjuvant chemotherapy followed by radical surgery versus concurrent chemoradiotherapy in patients with FIGO stage IIB cervical cancer: the CSEM 006 study. Int J Gynecol Cancer. 2021 Jan;31(1):129-133. doi: 10.1136/ijgc-2020-001357. Epub 2020 Jun 9.

MeSH Terms

Conditions

Uterine Cervical Neoplasms

Interventions

PaclitaxelSurgical Procedures, OperativeCisplatin

Condition Hierarchy (Ancestors)

Uterine NeoplasmsGenital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsUterine Cervical DiseasesUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Diseases

Intervention Hierarchy (Ancestors)

TaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesChlorine CompoundsInorganic ChemicalsNitrogen CompoundsPlatinum Compounds

Study Officials

  • Jihong Liu, Ph. D

    Sun Yat-sen University

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Sun Yat-sen University Cancer Center

Study Record Dates

First Submitted

November 2, 2015

First Posted

November 3, 2015

Study Start

November 1, 2015

Primary Completion

December 1, 2020

Study Completion

December 1, 2020

Last Updated

February 3, 2017

Record last verified: 2017-02

Locations