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Phase 3 N=28 Randomized Treatment

Extraperitoneal Para-aortic Lymph Node Dissection (EPLND) for Cervix

Cervical Squamous Cell Carcinoma · Adenosquamous Carcinoma · Adenocarcinoma · Locally Advanced Malignant Neoplasm · Cervical Cancer

Enrolled (actual)
28
Serious AEs
0.0%
Results posted
Feb 2021
Primary outcome: Primary: Overall Survival Rate

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Extraperitoneal laparoscopic lymphadenectomy (EPLND) (Procedure); Chemoradiation (Radiation)
Age
Adult, Older Adult · 18+ yrs
Sex
Female
Sponsor
M.D. Anderson Cancer Center
Primary completion
Jan 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Overall Survival Rate

Summary

The goal of this clinical research study is to learn if a surgical procedure called an extraperitoneal laparoscopic lymphadenectomy followed by chemotherapy and tailored radiation therapy can help to control the disease for a longer time than standard-of-care chemotherapy and whole pelvic radiation therapy.

Eligibility Criteria

Inclusion Criteria

  • Women with clinical stage IB2-IVA cervical squamous cell carcinoma, adenosquamous, or adenocarcinoma.
  • Women with FDG-PET positive or indeterminate pelvic lymph nodes or indeterminate low common iliac nodes and negative paraaortic nodes.
  • Women with planned treatment of primary definitive chemoradiation therapy.
  • Patient information and written informed consent form signed.
  • Age >/= 18 years old
  • ECOG Performance Status (PS) /= 3 months

Exclusion Criteria

  • Women with stage IA or IB1 cancer.
  • Women with prior radiotherapy to the pelvis or retroperitoneal surgery.
  • Women with neuroendocrine histologies, or histologies other than squamous, adenosquamous or adenocarcinoma.
  • Women with FDG PETpositive high common or paraaortic lymph node metastasis confirmed by biopsy.
  • Women who have undergone simple or radical hysterectomy prior to radiotherapy.
  • Women with planned treatment of radiotherapy only (without chemotherapy).
  • Women with planned treatment of palliative radiotherapy.
  • Women with metastatic disease outside of pelvis.
  • Women who have completed treatment for other malignancies (except non-melanomatous skin cancer) < 5 years from their new diagnosis of cervical cancer.
  • Women who are pregnant, women who are likely to be pregnant or are breastfeeding.
  • Women with any serious and/or unstable pre-existing medical, psychiatric, or other condition that could interfere with patient's safety, provision of informed consent or compliance to study procedures.
  • (French Sites Only) Women not affiliated with Social Security System in France.
  • (French Sites Only) Women deprived of liberty or under guardianship.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01365156). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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