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临床试验/EUCTR2010-023081-52-GB
EUCTR2010-023081-52-GB进行中(未招募)1 期

A phase II Trial of postoperative chemotherapy or no further treatment for patients with node-negative stage I-II intermediate or high risk endometrial cancer. - ENGOT-EN2-DGCG

Danish Gynaecological Cancer Group0 个研究点目标入组 240 人开始时间: 2013年5月23日最近更新:

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
240

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • Target Population
  • 1.Only node-negative patients are eligible: Histological confirmed endometrial carci-noma with no macroscopic remaining tumour after primary surgery and lymph-node negative disease, with one of the following postoperative FIGO 2009 stage and grade:
  • a.Stage I grade 3 endometrioid adenocarcinoma
  • b.Stage II endometrioid adenocarcinoma
  • c.Stage I and II type 2 histology (clear cell, serous, squamous cell carcinoma, carcinosarcoma or undifferentiated carcinoma)
  • Prior therapy
  • 2.Patients have undergone hysterectomy (total abdominal hysterectomy, radical hysterectomy, laparoscopic or robotic hysterectomy) and bilateral salpingo-oopherectomy (BSO) and pelvic lymphadenectomy (LNE).
  • 3.LNE: minimum 10 pelvic nodes (4 from each side) should be removed. Para-aortic LNE is optional.
  • 3.aPatients who undergo sentinel lymph node biopsy (SLB) may be included if the surgeon performing the SLB has performed at least 20 cases of SLB for endome-trial cancer. In addition, for each patient, bilateral sentinel node must be identified or a side-specific pelvic lymphadenectomy must be performed if a SLN is not iden-tified in a hemi-pelvis.
  • 4.Omentectomy strongly recommended in clear cell, serous or undifferentiated car-cinoma.
  • 5.Surgery performed within 12 weeks of randomization. If the dates for hysterectomy and lymph node dissection are different, 12 weeks are counted from the last sur-gery, and in that case the gap between two surgeries should not exceed 8 weeks.
  • Other inclusion criteria
  • 6.Patients must give informed consent according to the rules and regulations of the individual participating centres.
  • 7.Patients have not received any other anticancer therapy other than surgery for en-dometrial cancer.
  • 8.Adjuvant vaginal brachytherapy is permitted in both arms. In chemotherapy arm, timing of VBT should not cause delay in chemotherapy delivery.
  • 9.Patients must have a WHO performance status of 0-2
  • 10.Patients must have an adequate bone-marrow, renal and hepatic function (WBC =3.0x109/L, neutrophils =1.5x109/L, platelets =100x109/L, total S-bilirubin <2 x up-per normal value, ALAT <2.5 x upper normal value, estimated GFR >50 ml/min (measured or calculated according to Cockroft-Gault, Jeliffe or Wright formula). Up to 5% deviation for hematological values and 10% deviation for s-bilirubin and ALAT are tolerated.
  • 11.Life expectancy of at least 12 weeks.
  • 12.Patients must be fit to receive combination chemotherapy.
  • 13.Patient’s age >18 years
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 96
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 144

排除标准

  • Target Disease Exceptions
  • 1.Sarcomas or small cell carcinoma with neuroendocrine differentiation.
  • Prohibited Treatments and/or Therapies
  • 2.External Beam Radiotherapy.
  • 3.Concurrent cancer therapy.
  • 4.Concurrent treatment with an anticancer investigational agent or participation in another anticancer clinical trial.
  • Other exclusion criteria
  • 5.Previous or concurrent malignant disease except for patients with second malig-nancy who has been relapse free for =3 years, or patients with curatively treated carcinoma in situ of the cervix or basal cell carcinoma of the skin.
  • 6.Active infection or other serious underlying medical condition, which might prevent the patient from receiving treatment or to be followed.
  • 7.Active infection or other serious underlying medical condition, which might prevent the patient from receiving treatment or to be followed.
  • 8.Whatever reasons which interferes with an adequate follow-up
  • 9.Patients who are breast feeding must stop breast feeding before enrolment in the trial and must not do so during whole trial period, otherwise these patients are non-eligible.

研究者

发起方
Danish Gynaecological Cancer Group

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