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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00002807
Registration number
NCT00002807
Ethics application status
Date submitted
1/11/1999
Date registered
27/01/2003
Titles & IDs
Public title
Radiation or Observation Only in Endometrial Cancer Who Have Undergone Surgery
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Scientific title
A Phase III Randomized Trial Comparing TAH BSO Versus TAH BSO Plus Adjuvant Pelvic Irradiation in Intermediate Risk Carcinoma of the Endometrium
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Secondary ID [1]
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CAN-NCIC-EN5
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Secondary ID [2]
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EN5
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Endometrial Cancer
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Condition category
Condition code
Cancer
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0
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Womb (Uterine or endometrial cancer)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - radiation therapy
No intervention: Observation -
Experimental: Radiation - Post-operative pelvic radiation therapy (45 Gy in 25 fractions over 5 weeks)
Treatment: Other: radiation therapy
45 Gy in 25 fractions over 5 weeks
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Survival (combined with the ASTEC trial)
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Assessment method [1]
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0
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Timepoint [1]
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2009
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Secondary outcome [1]
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Progression-free survival
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Assessment method [1]
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0
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Timepoint [1]
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2009
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Histologically proven adenocarcinoma or adenosquamous cell carcinoma of the endometrium
* Intermediate-risk of recurrence after laparoscopically-assisted vaginal hysterectomy (with or without laparoscopic staging) or total abdominal hysterectomy and bilateral salpingo-oophorectomy
* Postoperative pathologic stage IA/IB (grade 3), stage IC (grade 1-3), or stage IIA (all grades)
* Patients with more than 50% myometrial invasion (grade 1 or 2) or less than 50% myometrial invasion (grade 3) but with positive peritoneal cytology also eligible
* Patients whose sole criterion for increased risk is positive peritoneal cytology are not eligible
* No pathologically involved lymph nodes if staging procedure performed
* Stage I papillary serous or clear cell endometrial cancer allowed
PATIENT CHARACTERISTICS:
Age:
* Not specified
Performance status:
* ECOG 0-3
Life expectancy:
* At least 3 years
Hematopoietic:
* WBC at least 2,000/mm^3
* Platelet count at least 100,000/mm^3
* Hemoglobin at least 10 g/dL
Hepatic:
* Not specified
Renal:
* Creatinine less than 2 times upper limit of normal
* No serious renal disease that would preclude radiotherapy
Cardiovascular:
* No serious cardiovascular disease that would preclude radiotherapy
Other:
* No history of inflammatory bowel disease such as ulcerative colitis
* No other malignancy within past 5 years except curatively treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, colon cancer, or thyroid cancer
* No psychiatric or addictive disorder that would preclude study participation
PRIOR CONCURRENT THERAPY:
Biologic therapy:
* Not specified
Chemotherapy:
* Not specified
Endocrine therapy:
* No prior anticancer hormonal therapy
* No concurrent progestogens
Radiotherapy:
* No prior pelvic irradiation
* No prior or other concurrent vaginal intracavitary radiotherapy
Surgery:
* See Disease Characteristics
Other:
* No prior anticancer therapy
* No other concurrent anticancer therapy
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Minimum age
No limit
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Maximum age
120
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
4/07/1996
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
21/12/2009
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Sample size
Target
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Accrual to date
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Final
116
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Royal Women's Hospital - Carlton
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Recruitment postcode(s) [1]
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3053 - Carlton
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Minnesota
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Country [2]
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Canada
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State/province [2]
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Alberta
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Country [3]
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Canada
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State/province [3]
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British Columbia
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Country [4]
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Canada
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State/province [4]
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New Brunswick
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Country [5]
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Canada
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State/province [5]
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Newfoundland and Labrador
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Country [6]
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Canada
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State/province [6]
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Nova Scotia
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Country [7]
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Canada
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State/province [7]
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Ontario
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Country [8]
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Canada
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State/province [8]
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Quebec
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Country [9]
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Canada
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State/province [9]
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Saskatchewan
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Funding & Sponsors
Primary sponsor type
Other
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Name
NCIC Clinical Trials Group
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
RATIONALE: Radiation therapy uses high-energy x-rays to damage cancer cells. It is not yet known whether radiation therapy is more effective than observation only after sugery in treating endometrial cancer. PURPOSE: This randomized phase III trial is studying radiation therapy to see how well it works compared to observation only in treating patients with stage I or stage II endometrial cancer who have undergone hysterectomy and oophorectomy.
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Trial website
https://clinicaltrials.gov/study/NCT00002807
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Trial related presentations / publications
ASTEC/EN.5 Study Group; Blake P, Swart AM, Orton J, Kitchener H, Whelan T, Lukka H, Eisenhauer E, Bacon M, Tu D, Parmar MK, Amos C, Murray C, Qian W. Adjuvant external beam radiotherapy in the treatment of endometrial cancer (MRC ASTEC and NCIC CTG EN.5 randomised trials): pooled trial results, systematic review, and meta-analysis. Lancet. 2009 Jan 10;373(9658):137-46. doi: 10.1016/S0140-6736(08)61767-5. Epub 2008 Dec 16.
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Public notes
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Contacts
Principal investigator
Name
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Himu R. Lukka, MD
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Address
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Margaret and Charles Juravinski Cancer Centre
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Country
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Phone
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Fax
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0
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
ASTEC/EN.5 Study Group; Blake P, Swart AM, Orton J...
[
More Details
]
Results not provided in
https://clinicaltrials.gov/study/NCT00002807