Uterine Cervical NeoplasmsPhase 3NCT04723875
Postoperative Adjuvant Chemotherapy in Early-stage Cervical Cancer That Not Meet Criteria of Adjuvant Therapeutic According to NCCN Guideline
A Phase 3 study testing Paclitaxel or docetaxel + Cisplatin or carboplatin in people with Uterine Cervical Neoplasms and Cervical Cancer, run by Huazhong University of Science and Technology at 3 sites in China.
Trial summary
This is a prospective, phase 3 randomized controlled clinical trial. Cervical cancer patients who undergo radical surgery but do not meet criteria of adjuvant therapy according to NCCN guideline are enrolled to receive adjuvant chemotherapy. The primary endpoint was disease-free survival (DFS) rate at 3 year. Read more about this study
- Who is it for?
- Ages 18 to 70 years, women only
- Conditions the study is for
- Uterine Cervical Neoplasms, Cervical Cancer
- What is being tested?
- Paclitaxel or docetaxel + Cisplatin or carboplatin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 306 participants
- Where
- 3 sitesChina
- Study dates
- 28 Jan 2021to 31 Jan 2026
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with 2018 FIGO staged IB1, IB2, IIA1 cervical cancer.
- The initial treatment was radical hysterectomy + pelvic lymphadenectomy by laparotomy or laparoscopy with cervical cancer foci sealed before dissection of the vagina and without uterine manipulator.
- Postoperative pathological diagnosis was cervical squamous cell carcinoma, cervical adenosquamous cell carcinoma or cervical adenocarcinoma.
- Assessment of risk factors not meeting Sedlis criteria (NCCN guideline),but having one of following factors :(1)Deep stromal infiltration(≥2/3 layer);(2)histopathological differentiation grade G2 ~ G3;(3)Lymph-vascular space invasion ;(4)Adenocarcinoma or adenosquamous cell carcinoma;(5)Tumor size ≥2cm.
- Age:18-70 years old.
- WBC≥3.5*10^9/L, NEU≥1.5*10^9/L, Platelet≥80×10^9 /L; AST and ALT ≤1.5 times normal upper limit; Total bilirubin ≤1.5 times the upper limit of normal value; serum creatinine and blood urea nitrogen ≤the upper limit of normal value.
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- Eastern Cooperative Oncology Group score 0-1.
- Well-compliance and willing to keep in touch.
- Willing to participate in this study, and sign the informed consent.
Who cannot join
- Postoperative pathology has high-risk factors(lymph node metastasis, parametrial infiltration or positive surgical margin)or meets Sedlis criteria.
- Participate in other clinical trials at the same time.
- Comorbidity including but not limited to: heart diseases (grade III-IV cardiac insufficiency (NYHA standard); central nervous system diseases or nonfunctional behavior; hematological system diseases; liver or kidney malformation or history of surgery.
- Persons without disposing capacity.
- Drug and/or alcohol abuse.
- Unable or unwilling to sign informed consents.
- Not eligible for the study judged by researchers.
Trial locations and contacts
3 sites in 1 country.
China3 sites
Women's Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310022
Qilu Hospital, Shandong University, 107 West Wenhua Road
Ji'nan, Shandong, 250012
Tongji Hospital
Wuhan, Hubei, 430000
About this study
Official title: Postoperative Adjuvant Chemotherapy in Early-stage Cervical Cancer That Not Meet Criteria of Adjuvant Therapeutic According to NCCN Guideline: A Prospective Multicenter Randomized Controlled Clinical Trial
This is a prospective, phase 3 randomized controlled clinical trial. Cervical cancer patients who undergo radical surgery but do not meet criteria of adjuvant therapy according to NCCN guideline are enrolled to receive adjuvant chemotherapy. The primary endpoint was disease-free survival (DFS) rate at 3 year. The secondary endpoints were 5-year DFS, overall survival (OS) and safety.
- Conditions
- Uterine Cervical Neoplasms, Cervical Cancer
- Being tested
- Paclitaxel or docetaxel + Cisplatin or carboplatin
- Medical subject headings
- Uterine Cervical Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Paclitaxel or docetaxel + Cisplatin or carboplatinDrug
Paclitaxel 135-175mg/m2 over 3 hours or docetaxel 70-75 mg/m2, 30min + Cisplatin 75-80mg/m2 or carboplatin AUC = 5, repeat per 21 days.
| Study group | Role | What they receive |
|---|---|---|
| Adjuvant chemotherapy group | Experimental | Participant will receive 3 cycles of adjuvant chemotherapy if having any of the following factors;participant will receive 6 cycles of adjuvant chemotherapy if having ≥2 of the following factors.
Risk factors: (1) Deep cervical invasion(≥ 2/3);(2)Differentiation grade 2-3;(3)Lymphatic vascular space infiltration;(4)Adenocarcinoma or adenosquamous carcinoma;(5)Tumor size ≥ 2cm Receives: Drug: Paclitaxel or docetaxel + Cisplatin or carboplatin |
| Control group | No intervention | The participants receive no intervention. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-free survival (DFS)
DFS is defined as the time interval between the date of random assignment and the date of the first documented evidence of relapse at any site or death related to cancer (including toxicity), whichever occurred first.
Measured: 3 year
Secondary outcomes (3)
Overall survival (OS)
OS is defined as the time from the date of randomization until death of any cause.
Measured: 3 year
5-year DFS/OS
DFS is defined as the time interval between the date of random assignment and the date of the first documented evidence of relapse at any site or death related to cancer (including toxicity), whichever occurred first. OS is defined as the time from the date of randomization until death of any cause.
Measured: 5 years
Incidence of Toxicity
The toxicity induced by chemotherapy during observation time will be estimated on the basis of the National Cancer Institute Common Toxicity Criteria Version 5.0.
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jan 2021
- Study start28 Jan 2021
- Primary completion31 Jan 2026 (estimated)
- Study completion31 Jan 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Uterine Cervical NeoplasmsStudies of the same condition, open and under way.
- More trials run by Huazhong University of Science and TechnologyThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 306 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Huazhong University of Science and Technology
- Sponsor type
- University, hospital or other
- Collaborators
- Women's Hospital School Of Medicine Zhejiang University, Qilu Hospital of Shandong University, Obstetrics & Gynecology Hospital of Fudan University, First Affiliated Hospital of Chongqing Medical University, Hunan Cancer Hospital, The Third Xiangya Hospital of Central South University
- Responsible party
- Principal investigator, Ding Ma, Huazhong University of Science and Technology
- Investigators
- Ding Ma, M.D., PhD, Study chair, Tongji Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04723875
- Sponsor's protocol ID
- 2020-S113
- Status last verified
- Oct 2024
- First submitted
- 21 Jan 2021
- Last updated
- 1 Nov 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 1 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Postoperative Adjuvant Chemotherapy in Early-stage Cervical Cancer That Not Meet Criteria of Adjuvant Therapeutic According to NCCN Guideline: A Prospective Multicenter Randomized Controlled Clinical Trial
- ClinicalTrials.gov ID
- NCT04723875
- Acronym / sponsor ID
- 2020-S113
- Conditions
- Uterine Cervical Neoplasms, Cervical Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 306 participants (estimated)
- Lead sponsor
- Huazhong University of Science and TechnologyUniversity, hospital or other
- Collaborators
- Women's Hospital School Of Medicine Zhejiang University, Qilu Hospital of Shandong University, Obstetrics & Gynecology Hospital of Fudan University, First Affiliated Hospital of Chongqing Medical University, Hunan Cancer Hospital, The Third Xiangya Hospital of Central South University
- Study start
- 28 Jan 2021 (actual)
- Primary completion
- 31 Jan 2026 (estimated)
- Study completion
- 31 Jan 2026 (estimated)
- First posted
- 26 Jan 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective, phase 3 randomized controlled clinical trial. Cervical cancer patients who undergo radical surgery but do not meet criteria of adjuvant therapy according to NCCN guideline are enrolled to receive adjuvant chemotherapy. The primary endpoint was disease-free survival (DFS) rate at 3 year. The secondary endpoints were 5-year DFS, overall survival (OS) and safety.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Adjuvant chemotherapy group | Experimental | Drug: Paclitaxel or docetaxel + Cisplatin or carboplatinParticipant will receive 3 cycles of adjuvant chemotherapy if having any of the following factors;participant will receive 6 cycles of adjuvant chemotherapy if having ≥2 of the following factors. Risk factors: (1) Deep cervical invasion(≥ 2/3);(2)Differentiation grade 2-3;(3)Lymphatic vascular space infiltration;(4)Adenocarcinoma or adenosquamous carcinoma;(5)Tumor size ≥ 2cm |
| Control group | No intervention | –The participants receive no intervention. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Patients with 2018 FIGO staged IB1, IB2, IIA1 cervical cancer.
- The initial treatment was radical hysterectomy + pelvic lymphadenectomy by laparotomy or laparoscopy with cervical cancer foci sealed before dissection of the vagina and without uterine manipulator.
- Postoperative pathological diagnosis was cervical squamous cell carcinoma, cervical adenosquamous cell carcinoma or cervical adenocarcinoma.
- Assessment of risk factors not meeting Sedlis criteria (NCCN guideline),but having one of following factors :(1)Deep stromal infiltration(≥2/3 layer);(2)histopathological differentiation grade G2 ~ G3;(3)Lymph-vascular space invasion ;(4)Adenocarcinoma or adenosquamous cell carcinoma;(5)Tumor size ≥2cm.
- Age:18-70 years old.
Key exclusion criteria (7 listed)
- Postoperative pathology has high-risk factors(lymph node metastasis, parametrial infiltration or positive surgical margin)or meets Sedlis criteria.
- Participate in other clinical trials at the same time.
- Comorbidity including but not limited to: heart diseases (grade III-IV cardiac insufficiency (NYHA standard); central nervous system diseases or nonfunctional behavior; hematological system diseases; liver or kidney malformation or history of surgery.
- Persons without disposing capacity.
- Drug and/or alcohol abuse.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Paclitaxel or docetaxel + Cisplatin or carboplatinPaclitaxel 135-175mg/m2 over 3 hours or docetaxel 70-75 mg/m2, 30min + Cisplatin 75-80mg/m2 or carboplatin AUC = 5, repeat per 21 days. | Drug | Adjuvant chemotherapy group |
Primary outcome
Disease-free survival (DFS)
Time frame: 3 year
DFS is defined as the time interval between the date of random assignment and the date of the first documented evidence of relapse at any site or death related to cancer (including toxicity), whichever occurred first.
3 secondary outcomes
Overall survival (OS)
Time frame: 3 year
5-year DFS/OS
Time frame: 5 years
Incidence of Toxicity
Time frame: 2 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Nov 2024.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ding Ma, M.D., PhD study chair
Tongji Hospital
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Paclitaxel or docetaxel + Cisplatin or carboplatin in people with Uterine Cervical Neoplasms and Cervical Cancer, run by Huazhong University of Science and Technology at 3 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 1 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease-free survival (DFS) (time frame: 3 year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Nov 2024.