Effect of Bladder Distension on Dosimetry in Brachytherapy of Cervical Cancer
VESICOL
1 other identifier
interventional
22
1 country
1
Brief Summary
The purpose of this study is to compare, for each patient, dosimetry of organs at risk (bladder, rectum, sigmoid, small bowel) in two bladder distension procedures (emptied by a urinary catheter or filled with 120cc) during PDR 3D image-guided brachytherapy of cervical cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Sep 2015
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2015
CompletedFirst Submitted
Initial submission to the registry
July 4, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2016
CompletedFirst Posted
Study publicly available on registry
August 15, 2016
CompletedMarch 27, 2026
March 1, 2026
11 months
July 4, 2016
March 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Demonstrate the non inferiority of 3D image-guided brachytherapy with emptied bladder compared to filled bladder for the dose received by the bladder
Difference of the maximum dose received by 2 cm3 bladder (D2cc) between the two conditions: full and empty.
1 day
Secondary Outcomes (5)
Non-inferiority based on the dose received by the rectum
1 day
Non-inferiority based on the dose received by the sigmoid
1 day
Non-inferiority based on the dose received by the small bowel
1 day
FIGO staging system
1 day
Body Mass Index
1 day
Study Arms (1)
ARM 1
EXPERIMENTALInterventions
The brachytherapy applicator and a urinary catheter are set up in the operating room under general anesthesia. Then, an MRI (or a scanner if contra-indication) is performed after a bladder filling with 120cc of normal saline solution and urinary catheter clamping. Right after, a scanner is performed with urinary catheter declamping and emptied bladder. Delineation of CTVs and organs at risk (bladder, rectum, sigmoid, small bowel), and dosimetric optimisation are made on study with filled bladder. Then, organs at risk are delineated on the study with emptied bladder. The prior dosimetry is reset on this study and organs at risk doses are compared.
Eligibility Criteria
You may qualify if:
- Age \> or = 18 years old
- with a cervical cancer histologically proven (squamous cell carcinoma, adenocarcinoma and neuroendocrine cell carcinoma)
- Utero-vaginal brachytherapy indications::
- Stage 1B1: brachytherapy before surgery
- Stages IB2 to IIIB: after pelvic radiotherapy (45Gy/25 fractions/5 weeks) with or without concomitant chemotherapy
- Ability to provide an informed written consent form
- Patient must be affiliated to a social security system
You may not qualify if:
- Age \< 18 years old
- History of pelvic radiotherapy
- History of pelvic surgery
- Recent joint prothesis (\<3 months)
- Pregnant woman or being breastfeeding
- Patients deprived of liberty or under supervision
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Institut de Cancérologie de Lorraine
Vandœuvre-lès-Nancy, 54500, France
Related Publications (1)
Nesseler JP, Charra-Brunaud C, Salleron J, Py JF, Huertas A, Meknaci E, Courrech F, Peiffert D, Renard-Oldrini S. Effect of bladder distension on doses to organs at risk in Pulsed-Dose-Rate 3D image-guided adaptive brachytherapy for locally advanced cervical cancer. Brachytherapy. 2017 Sep-Oct;16(5):976-980. doi: 10.1016/j.brachy.2017.06.003. Epub 2017 Jul 8.
PMID: 28694116RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
RENARD OLDRINI SOPHIE, MD
Institut de Cancérologie de Lorraine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 4, 2016
First Posted
August 15, 2016
Study Start
September 1, 2015
Primary Completion
August 1, 2016
Study Completion
August 1, 2016
Last Updated
March 27, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share