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临床试验/2024-513576-18-00
2024-513576-18-00暂停3 期

Induction chemotherapy followed by standard concurrent chemoradiotherapy in cervical cancer with para-aortic lymph node involvement: A phase III, multicenter, parallel-group randomized, controlled trial - ONCOCOL-01

Centre Hospitalier Universitaire De Toulouse13 个研究点 分布在 1 个国家目标入组 310 人开始时间: 2024年5月28日最近更新:
适应症
相关药物

试验速览

阶段
3 期
状态
暂停
入组人数
310
试验地点
13
主要终点
Overall survival defined as the time from the date of randomization to the date of death from any cause

研究概览

简要总结

Evaluate whether induction chemotherapy with three cycles of Carboplatin and Paclitaxel followed by standard treatment (concurrent chemoradiotherapy) improves overall survival compared to standard treatment alone, in patients with locally advanced cervical cancer with para-aortic lymph node involvement.

研究设计

研究类型
Interventional

入排标准

年龄范围
18 years 至 65+ years(65+ Years, 18-64 Years)
性别
Female
接受健康志愿者

入选标准

  • Patient with cervical cancer WITH para-aortic lymph node involvement determined by either a positive 18F-FDG PET-CT (visual interpretation of metabolic activity of para-aortic lymph node, greater than the background noise), or by histological examination of para-aortic lymph nodes if negative 18F-FDG PET-CT
  • Signed written informed consent
  • Affiliated to a social security insurance or equivalent
  • Age ≥18 years
  • ECOG performance status of 0 to 2
  • FIGO stage IIIC2 or IVA WITH para-aortic lymph node involvement at the time of diagnosis
  • Adenocarcinoma or squamous cell carcinoma or adenosquamous carcinoma
  • Normal renal function (creatinine clearance ≥60 mL/min)
  • Normal liver function (total bilirubin <1.5 times the upper limit of normal (ULN) and AST <3 ULN)
  • Normal haematological assessment (platelets >100×109/L and neutrophils >1.5×109/L)
  • Women of childbearing potential and not postmenopausal must have a negative blood serum or urine pregnancy test before starting the study treatment

排除标准

  • Patients who have received prior chemotherapy or radiotherapy for their cervical cancer
  • Pregnant or breastfeeding women
  • History of invasive cancer (in the last five years) other than non-melanoma skin cancer
  • Acute, uncontrolled cardiovascular disease
  • Peripheral neuropathy of CTCAE grade 3-4
  • Known hypersensitivity to Paclitaxel, Cisplatin or other platinum-containing compounds
  • Patients under legal protection

结局指标

主要结局

Overall survival defined as the time from the date of randomization to the date of death from any cause

Overall survival defined as the time from the date of randomization to the date of death from any cause

次要结局

  • Tumour response at the end of standard treatment (concurrent chemoradiotherapy), based on investigator assessments according to both RECIST 1.1 and PERCIST 1.0 criteria
  • Progression-free survival, defined as the time from the date of randomization to the date of progression (based on investigator assessments according to RECIST 1.1 criteria) or the date of death from any cause, whichever occurs first
  • Site of disease recurrence (local, pelvic and/or para-aortic lymph nodes, distant)
  • Health-related quality of life, assessed using the EORTC QLQ-C30 questionnaire and the QLQ-CX24 module
  • Adverse events occurring from the first study treatment administration, assessed based on the NCI-CTCAE version 5.0

研究者

申办方类型
Hospital/Clinic/Other health care facility
责任方
Principal Investigator
主要研究者

MOTTON Stéphanie

Scientific

Centre Hospitalier Universitaire De Toulouse

研究点 (13)

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