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NCT Number: NCT03308591

Clinical Efficacy of the Neoadjuvant Chemotherapy for IB2 and IIA2 Stage Cervical Cancer Patients

In recent years, the patients with IB2 and IIA2 stage cervical cancer are still treated with radiotherapy and chemotherapy based treatment, but the radiotherapy will severely damage the function of ovary, cause endocrine dyscrasia and the sexual function of vagina. So we want to study whether neoadjuvant chemotherapy without radiotherapy will achieve the same outcome compared with traditional therapy including radiotherapy. So we randomly divide IB2 and IIA2 stage cervical cancer patients into two groups. The neoadjuvant chemotherapy group will receive two courses of chemotherapy basically composed of platinum, and then undergo surgery, after that, doctors will add more courses of chemotherapy according to the situations of the patients, including whether the patients have the adverse prognostic factors. The control group will undergo surgery directly, and then receive chemotherapy and radiotherapy at the same time. Then we will compare the outcomes of these two groups, and analyze the therapeutic effect, the impact on survival rate and the effect on improving the living quality of patient from two groups. All the outcomes will be fed back to clinical doctors and instruct them to choose better treatment for patients.

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Key information

Age range

Up to 65 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 3

Primary location

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, 430030, China

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • clinical diagnosis IB2 or IIA2 stage cervical cancer;
  • age less than or equal to 65 years old;
  • laboratory examination results: WBC ≥ 4*10^9/L, NEU ≥ 20*10^9/L, PLT ≥ 80*10^9/L, serum bilirubin ≤ 2 multiples of the upper normal limit, aminopherase ≤ 2 multiples of the upper normal limit. BUN ≤ normal limit, CR ≤ normal limit;
  • KARNOFSKY score ≥ 60;
  • No prior treatment;
  • pathological diagnosis before surgery is invasive squamous cell carcinoma of cervix;
  • well-compliance and willing to keep in touch;
  • willing to participate in this study, and sign the informed consent;

Exclusion criteria

  • participate in other drug clinical trials at the same time;
  • respiratory depression, airway obstruction and hypoxia;
  • heart diseases (cardiac function at grade II, III or above);
  • hematological diseases;
  • obvious dysfunction of liver and kidney (above 3 multiples of the upper normal limit);
  • a history of brain dysfunction;
  • unable to receive surgery and/or unsuitable for radiotherapy or chemotherapy;
  • drug abuse or a history of drug abuse;
  • unable or unwilling to sign informed consents;
  • unable or unwilling to follow the protocols;

Treatment and study plan

NACT

Drug

Platin based chemotherapy

RT+PLND

Procedure

radical hysterectomy+pelvic lymphadenectomy

Adjuvant chemotherapy

Drug

Platin based chemotherapy

Primary outcomes

  1. disease-free survival (DFS) of the neoadjuvant chemotherapy Group

    Time frame: Up to 3-year

    DFS was definite as the time from randomization to disease recurrence (including death from recurrence if it was the first manifestation of recurrence), death without recurrence.

Secondary outcomes

  1. DSF of the synchro-chemoradiotheraphy group

    Time frame: Up to 3-year

Other outcomes

  1. chemotherapy- and radiotherapy- related adverse effects respectively in two groups

    Time frame: Up to 3-year

Sponsors and collaborators

Lead sponsor

Huazhong University of Science and Technology

Other

Registry information

Official study title

Clinical Efficacy of the Neoadjuvant Chemotherapy for IB2 and IIA2 Stage Cervical Cancer Patients, A Multicenter, Prospective and Randomized Controlled Trial

Important dates

Study start
2016
Primary completion
2022
Study completion
2022
First posted
Oct 12, 2017
Registry last updated
Oct 31, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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