Daily Adaptive Radiation Therapy an Individualized Approach for Carcinoma of the Cervix (ARTIA-Cervix)
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ClinicalTrials.gov Identifier: NCT05197881 |
Recruitment Status :
Recruiting
First Posted : January 20, 2022
Last Update Posted : August 3, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
Cervical Cancer by FIGO Stage 2018 | Device: Varian Ethos Adaptive Radiation Therapy | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 125 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Daily Adaptive External Beam Radiation Therapy in the Treatment of Carcinoma of the Cervix: A Phase II Trial of an Individualized Approach for Intestinal Toxicity Reduction (ARTIA-Cervix) |
Actual Study Start Date : | May 3, 2022 |
Estimated Primary Completion Date : | May 2024 |
Estimated Study Completion Date : | May 2026 |
Arm | Intervention/treatment |
---|---|
Experimental: Daily Adaptive External Beam Radiation Therapy
Daily adaptive radiation therapy delivered with Varian Ethos treatment system.
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Device: Varian Ethos Adaptive Radiation Therapy
Daily adaptive external beam radiation therapy delivered on Varian Ethos treatment system. |
- Acute Patient Reported Outcome (PRO) GI Toxicity [ Time Frame: End of external beam treatment delivery (week 5) ]GI toxicity as reported by the patient using the gastrointestinal section of the NCI-PRO questionnaire
- Acute PRO Bowel Toxicity [ Time Frame: End of external beam treatment delivery (week 5) ]Bowel toxicity as reported with EPIC bowel questionnaire
- Acute PRO Urinary Toxicity [ Time Frame: End of external beam treatment delivery (week 5) ]Urinary toxicity as reported with EPIC urinary questionnaire
- Patient Reported Quality by EQ-5D-5L [ Time Frame: 24 months post treatment ]Quality of life as document with EQ-5D-5L patient reported questionnaire
- Patient Reported Quality by EORTC [ Time Frame: 24 months post treatment ]Quality of life as document with EORTC patient reported questionnaire
- Disease-free Survival [ Time Frame: Enrollment through 2 year follow up ]Disease-free survival at 2 years
- Normal Tissue Complication Probability Model [ Time Frame: Enrollment through 2 year follow up ]Develop a normal tissue complication probability (NTCP) model of acute GI toxicity based on true integrated daily dose to the bowel
- Workflow Feasibility [ Time Frame: End of external beam treatment delivery ]Record percentage of fractions delivered with adaptive radiation therapy vs traditional IGRT
- CTCAE Toxicities [ Time Frame: Enrollment through 2 year follow up ]Physician reported CTCAE toxicities
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | Female |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients must have histologically confirmed, newly diagnosed advanced cervical cancer (squamous cell carcinoma, adenocarcinoma, and adenosquamous cell carcinoma): FIGO 2018 clinical stages IB2-IVA without positive LN.
- Patients must NOT have had a hysterectomy.
- Pelvic nodal status is to be confirmed by one or more of the following studies/procedures: PET/CT scan, CT scan, MR Scan, fine needle biopsy, extra peritoneal biopsy or laparoscopic biopsy, per institutional standard of care.
- Patients must be planning to undergo concurrent pelvic radiation and chemotherapy.
- ECOG performance status ≤ 2 (Karnofsky ≥60%).
- Patient must be willing and able to complete the PRO-CTCAE, EQ-5D, EPIC and EORTC questionnaires as described in the study protocol.
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Patient must have normal organ and marrow function as defined below:
- leukocytes ≥ 2,500/mcL
- absolute neutrophil count ≥ 1,500/mcL
- platelets ≥ 100,000/mcL
- hemoglobin ≥ 8 g/dL (can be transfused with red blood cells pre-study)
- total bilirubin ≤ 1.5 × institutional upper limit of normal (ULN)
- AST(SGOT)/ALT(SGPT) ≤ 3 × ULN
- alkaline phosphatase ≤ 2.5 × ULN
-
creatinine < 1.5 mg/dL to receive weekly cisplatin*
- Patients whose serum creatinine is between 1.5 and 1.9 mg/dL are eligible for cisplatin if there is no hydronephrosis and the estimated creatinine clearance (CCr) is >30 ml/min. For the purpose of estimating the CCr, the formula of Cockcroft and Gault for females should be used:CCr=(0.85 ×(140-age)×IBW)/((Scr×72)) where age is the patient's age in years (from 20 to 80 years), Scr is the serum creatinine in mg/dL, and IBW is the ideal body weight in kg (according to the calculation IBW = 45.5 kg + 2.3 kg for each inch over 5 feet).
- Age ≥ 18 years.
- No known allergy to cisplatin or compounds of similar biologic composition.
- Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
- Prior radiation therapy to the pelvis or abdominal cavity, para-aortic lymph glands (PALN) radiation, or previous therapy of any kind for this malignancy.
- Patients with PALN nodal metastasis.
- Prior allogeneic bone marrow transplantation or prior solid organ transplantation.
- Prior systemic anticancer therapy due to a diagnosis of cancer (e.g., chemotherapy, targeted therapy, immunotherapy) within 3 years prior to entering the study.
- Patients diagnosed on imaging or biopsy with a synchronous primary malignancy (with the exception of DCIS of the breast, or early stage basal cell carcinoma of the skin).
- Patients with a history of inflammatory bowel disease, including ulcerative colitis and Crohn's Disease.
- Patients with a history of other symptomatic autoimmune disease: rheumatoid arthritis, systemic progressive sclerosis (scleroderma), systemic lupus erythematosus, autoimmune vasculitis (e.g., Wegener's Granulomatosis); CNS or motor neuropathy considered of autoimmune origin (e.g., Guillain-Barre Syndrome and Myasthenia Gravis, multiple sclerosis.).
- Patients with active tuberculosis (TB).
- Patients who are pregnant.
- Patients who are actively breastfeeding (or who do not agree to discontinue breastfeeding before the initiation of protocol therapy).
- Patients who are of child-bearing potential who do not agree to use birth control in accordance with institution's standard of care.
- Patients with a prior known history or current diagnosis of a vesicovaginal, enterovaginal, or colovaginal fistula.
- Patients who undergo a pelvic or para-aortic lymph node dissection prior to planned chemoradiation therapy.
- Patients with active infection of HIV; positive 1 / 2 antibodies.
- Patients with hip prosthetics
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05197881
Contact: Steve Kohlmyer, MS | 12062760076 | steve.kohlmyer@varian.com | |
Contact: Sean Davidson, MS | sean.davidson@varian.com |
United States, Alabama | |
University of Alabama Birmingham | Recruiting |
Birmingham, Alabama, United States, 35233 | |
Contact: Laronica Conway 205-975-4362 laronicaconway@uabmc.edu | |
Contact: Ashley Anderson 205-975-2880 aranderson@uabmc.edu | |
United States, California | |
Moores Cancer Center at UC San Diego Health | Recruiting |
La Jolla, California, United States, 92037 | |
Contact: Nicole Daniel mdaniel@health.ucsd.edu | |
United States, Texas | |
University of Texas Southwestern | Recruiting |
Dallas, Texas, United States, 75390 | |
Contact: Sarah Neufeld, MS 214-648-1836 sarah.hardee@utsouthwestern.edu | |
Contact: Kevin Albuquerque, MD kevin.albuquerque@utsouthwestern.edu |
Principal Investigator: | Jyoti Mayadev, MD | University of California, San Diego | |
Principal Investigator: | Xenia Ray, PhD | University of California, San Diego |
Responsible Party: | Varian, a Siemens Healthineers Company |
ClinicalTrials.gov Identifier: | NCT05197881 |
Other Study ID Numbers: |
VAR-2021-04 |
First Posted: | January 20, 2022 Key Record Dates |
Last Update Posted: | August 3, 2023 |
Last Verified: | August 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | Yes |
Product Manufactured in and Exported from the U.S.: | No |
Carcinoma Uterine Cervical Neoplasms Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Uterine Neoplasms Genital Neoplasms, Female Urogenital Neoplasms |
Neoplasms by Site Uterine Cervical Diseases Uterine Diseases Genital Diseases, Female Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Urogenital Diseases Genital Diseases |