Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
MY TRIALS
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Register a trial
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00614211
Registration number
NCT00614211
Ethics application status
Date submitted
31/01/2008
Date registered
13/02/2008
Titles & IDs
Public title
Laparoscopic Approach to Cervical Cancer
Query!
Scientific title
A Phase III Randomized Clinical Trial of Laparoscopic or Robotic Radical Hysterectomy Versus Abdominal Radical Hysterectomy in Patients With Early Stage Cervical Cancer
Query!
Secondary ID [1]
0
0
LACC001
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
LACC
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Cervical Cancer
0
0
Query!
Condition category
Condition code
Cancer
0
0
0
0
Query!
Womb (Uterine or endometrial cancer)
Query!
Cancer
0
0
0
0
Query!
Cervical (cervix)
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Treatment: Surgery - Total Abdominal Radical Hysterectomy
Treatment: Surgery - Total Laparoscopic or Robotic Radical Hysterectomy
Active comparator: 1 - Total Abdominal Radical Hysterectomy
Experimental: 2 - Total Laparoscopic or Robotic Radical Hysterectomy
Treatment: Surgery: Total Abdominal Radical Hysterectomy
In a radical hysterectomy the uterus, the upper one to two centimetres of the vagina and the soft tissues around the cervix are excised.
Treatment: Surgery: Total Laparoscopic or Robotic Radical Hysterectomy
In a radical hysterectomy the uterus, the upper one to two centimetres of the vagina and the soft tissues around the cervix are excised.
Query!
Intervention code [1]
0
0
Treatment: Surgery
Query!
Comparator / control treatment
Query!
Control group
Query!
Outcomes
Primary outcome [1]
0
0
Disease free survival
Query!
Assessment method [1]
0
0
Compare treatment equivalence
Query!
Timepoint [1]
0
0
5 years from surgery
Query!
Secondary outcome [1]
0
0
Patterns of recurrence
Query!
Assessment method [1]
0
0
date and localization of 1st recurrence as confirmed histologically - Compare patterns between groups
Query!
Timepoint [1]
0
0
5 years from surgery
Query!
Secondary outcome [2]
0
0
Costs
Query!
Assessment method [2]
0
0
Compare costs between groups
Query!
Timepoint [2]
0
0
6 months from surgery
Query!
Secondary outcome [3]
0
0
Quality of life Questionnaires
Query!
Assessment method [3]
0
0
Compare QoL between groups
Query!
Timepoint [3]
0
0
6 months from surgery
Query!
Secondary outcome [4]
0
0
Pelvic Floor Distress Inventory Questionnaire
Query!
Assessment method [4]
0
0
Compare PFDI between groups
Query!
Timepoint [4]
0
0
5 years from surgery
Query!
Secondary outcome [5]
0
0
Overall survival
Query!
Assessment method [5]
0
0
Compare between groups
Query!
Timepoint [5]
0
0
5 years from surgery
Query!
Secondary outcome [6]
0
0
Feasibility of sentinel lymph node biopsy
Query!
Assessment method [6]
0
0
Compare between groups
Query!
Timepoint [6]
0
0
Intra-operatively
Query!
Secondary outcome [7]
0
0
Intra-operative, peri-operative, post-operative and long term treatment related morbidity
Query!
Assessment method [7]
0
0
Compare these between groups
Query!
Timepoint [7]
0
0
6 months from surgery
Query!
Eligibility
Key inclusion criteria
* Histologically confirmed primary adenocarcinoma, squamous cell carcinoma or adenosquamous carcinoma of the uterine cervix;
* Patients with Histologically confirmed stage IA1 (with lymph vascular invasion), stage IA2, or stage IB1 disease
* Patients undergoing either a Type II or III radical hysterectomy (Piver Classification)
* Patients with adequate bone marrow, renal and hepatic function:
* ECOG Performance Status of 0 or 1.
* Patient must be suitable candidates for surgery.
* Patients who have signed an approved Informed Consent
* Patients with a prior malignancy allowed if > 5 years ago with no current evidence of disease
* Females, aged 18 years or older
* Negative serum pregnancy test within <30 days of surgery in pre-menopausal women and women < 2 years after the onset of menopause
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
* Any histology other than adenocarcinoma, squamous cell carcinoma or adenosquamous carcinoma of the uterine cervix;
* Tumor size greater than 4 cm;
* FIGO stage II-IV;
* Patients with a history of pelvic or abdominal radiotherapy;
* Patients who are pregnant;
* Patients with contraindications to surgery;
* Patients with evidence of metastatic disease by conventional imaging studies, enlarged pelvic or aortic lymph nodes > 2cm; or histologically positive lymph nodes
* Unfit for Surgery: serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator);
* Patients unable to withstand prolonged lithotomy and steep Trendelenburg position
* Patient compliance and geographic proximity that do not allow adequate follow-up
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Open (masking not used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
NA
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
1/01/2008
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
1/03/2022
Query!
Sample size
Target
Query!
Accrual to date
Query!
Final
636
Query!
Recruitment in Australia
Recruitment state(s)
QLD,WA
Query!
Recruitment hospital [1]
0
0
The Wesley Hospital - Auchenflower
Query!
Recruitment hospital [2]
0
0
Greenslopes Private Hospital - Greenslopes
Query!
Recruitment hospital [3]
0
0
Royal Brisbane and Women's Hospital - Herston
Query!
Recruitment hospital [4]
0
0
Mater Health Services - South Brisbane
Query!
Recruitment hospital [5]
0
0
The Townsville Hospital - Townsville
Query!
Recruitment hospital [6]
0
0
Saint John of God - Subiaco
Query!
Recruitment postcode(s) [1]
0
0
4066 - Auchenflower
Query!
Recruitment postcode(s) [2]
0
0
4120 - Greenslopes
Query!
Recruitment postcode(s) [3]
0
0
4029 - Herston
Query!
Recruitment postcode(s) [4]
0
0
4101 - South Brisbane
Query!
Recruitment postcode(s) [5]
0
0
4814 - Townsville
Query!
Recruitment postcode(s) [6]
0
0
- Subiaco
Query!
Recruitment outside Australia
Country [1]
0
0
United States of America
Query!
State/province [1]
0
0
Maryland
Query!
Country [2]
0
0
United States of America
Query!
State/province [2]
0
0
Nevada
Query!
Country [3]
0
0
United States of America
Query!
State/province [3]
0
0
New York
Query!
Country [4]
0
0
United States of America
Query!
State/province [4]
0
0
Oklahoma
Query!
Country [5]
0
0
United States of America
Query!
State/province [5]
0
0
Texas
Query!
Country [6]
0
0
United States of America
Query!
State/province [6]
0
0
Wisconsin
Query!
Country [7]
0
0
Argentina
Query!
State/province [7]
0
0
Cordoba
Query!
Country [8]
0
0
Brazil
Query!
State/province [8]
0
0
Parana
Query!
Country [9]
0
0
Brazil
Query!
State/province [9]
0
0
San Paulo
Query!
Country [10]
0
0
Brazil
Query!
State/province [10]
0
0
Sao Paulo
Query!
Country [11]
0
0
Brazil
Query!
State/province [11]
0
0
SP
Query!
Country [12]
0
0
Bulgaria
Query!
State/province [12]
0
0
Pleven
Query!
Country [13]
0
0
Canada
Query!
State/province [13]
0
0
Ontario
Query!
Country [14]
0
0
China
Query!
State/province [14]
0
0
Guangdong
Query!
Country [15]
0
0
China
Query!
State/province [15]
0
0
Zhejiang
Query!
Country [16]
0
0
Colombia
Query!
State/province [16]
0
0
Medellin
Query!
Country [17]
0
0
Italy
Query!
State/province [17]
0
0
Milan
Query!
Country [18]
0
0
Italy
Query!
State/province [18]
0
0
Rome
Query!
Country [19]
0
0
Korea, Republic of
Query!
State/province [19]
0
0
Seoul
Query!
Country [20]
0
0
Mexico
Query!
State/province [20]
0
0
Mexico City
Query!
Country [21]
0
0
Peru
Query!
State/province [21]
0
0
Surquillo
Query!
Country [22]
0
0
Puerto Rico
Query!
State/province [22]
0
0
Caguas
Query!
Funding & Sponsors
Primary sponsor type
Government body
Query!
Name
Queensland Centre for Gynaecological Cancer
Query!
Address
Query!
Country
Query!
Other collaborator category [1]
0
0
Other
Query!
Name [1]
0
0
M.D. Anderson Cancer Center
Query!
Address [1]
0
0
Query!
Country [1]
0
0
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
The goal of this clinical research study is to compare the long-term outcomes of different surgical methods for the treatment of cervical cancer. The long-term outcome of a total abdominal radical hysterectomy (TARH) will be compared against laparoscopy. In this study, the laparoscopy will be done with or without robotic technology.
Query!
Trial website
https://clinicaltrials.gov/study/NCT00614211
Query!
Trial related presentations / publications
Obermair A, Gebski V, Frumovitz M, Soliman PT, Schmeler KM, Levenback C, Ramirez PT. A phase III randomized clinical trial comparing laparoscopic or robotic radical hysterectomy with abdominal radical hysterectomy in patients with early stage cervical cancer. J Minim Invasive Gynecol. 2008 Sep-Oct;15(5):584-8. doi: 10.1016/j.jmig.2008.06.013. Tanaka T, Ueda S, Miyamoto S, Hashida S, Terada S, Konishi H, Kogata Y, Taniguchi K, Komura K, Ohmichi M. Comparison of Prognosis between Minimally Invasive and Abdominal Radical Hysterectomy for Patients with Early-Stage Cervical Cancer. Curr Oncol. 2022 Mar 24;29(4):2272-2283. doi: 10.3390/curroncol29040185. Frumovitz M, Obermair A, Coleman RL, Pareja R, Lopez A, Ribero R, Isla D, Rendon G, Bernardini MQ, Buda A, Moretti-Marquez R, Zevallos A, Vieira MA, Zhu T, Land RP, Nicklin J, Asher R, Robledo KP, Gebski V, Ramirez PT. Quality of life in patients with cervical cancer after open versus minimally invasive radical hysterectomy (LACC): a secondary outcome of a multicentre, randomised, open-label, phase 3, non-inferiority trial. Lancet Oncol. 2020 Jun;21(6):851-860. doi: 10.1016/S1470-2045(20)30081-4. Erratum In: Lancet Oncol. 2020 Jul;21(7):e341. doi: 10.1016/S1470-2045(20)30347-8. Ramirez PT, Frumovitz M, Pareja R, Lopez A, Vieira M, Ribeiro R, Buda A, Yan X, Shuzhong Y, Chetty N, Isla D, Tamura M, Zhu T, Robledo KP, Gebski V, Asher R, Behan V, Nicklin JL, Coleman RL, Obermair A. Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer. N Engl J Med. 2018 Nov 15;379(20):1895-1904. doi: 10.1056/NEJMoa1806395. Epub 2018 Oct 31.
Query!
Public notes
Query!
Contacts
Principal investigator
Name
0
0
Pedro Ramirez, M.D.
Query!
Address
0
0
M.D. Anderson Cancer Center
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for public queries
Name
0
0
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
Query!
No/undecided IPD sharing reason/comment
Query!
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00614211