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Trial registered on ANZCTR
Registration number
ACTRN12624000211561
Ethics application status
Approved
Date submitted
24/11/2023
Date registered
1/03/2024
Date last updated
14/07/2024
Date data sharing statement initially provided
1/03/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Increased dose at parametrium using intensity modulated radiotherapy in locally advanced cervical cancer treated with 2D brachytherapy
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Scientific title
The effect of parametrial simultaneous integrated boost on local control in locally advanced cervical cancer treated with 2D brachytherapy
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Secondary ID [1]
311026
0
None
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Universal Trial Number (UTN)
U1111-1300-7067
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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:
Cervical cancer
332143
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Condition category
Condition code
Cancer
328866
328866
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0
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Cervical (cervix)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Parametrial simultaneous integrated boost via linear accelerator using intensity modulated radiotherapy or volumetric modulated arc therapy, is delineated by a radiation oncologist and planned by a medical physicist. Prior to treatment delivery performed by radiotherapists, the plan is evaluated by the radiation oncologist. Dose for parametrial simultaneous integrated boost is 55 Gray (Gy) in 25 fractions (5 fractions per week), concomitant with whole pelvic radiation with dose of 50Gy. During and after external beam radiotherapy, brachytherapy is performed with total dose of 7Gy times 4, weekly. The total treatment time should not be more than 56 days. All the treatments are delivered in radiotherapy unit, Vajira Hospital, Bangkok, Thailand. To assess or monitor adherence or fidelity to the intervention, audit of medical records by principal investigator and/or secondary investigator is done. If there is any protocol deviation, the issue will be discussed and informed to the subject(s) involved in order to maintain or improve fidelity.
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Intervention code [1]
327476
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Treatment: Devices
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
336664
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Local control defined as no recurrence in vagina, cervix, uterus and parametrium
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Assessment method [1]
336664
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Physical examination and radiographic studies including MRI or CT scan of pelvis
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Timepoint [1]
336664
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baseline, 3 years following end of treatment
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Secondary outcome [1]
429267
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Regional control defined as no recurrence of pelvic and paraaortic lymph node
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Assessment method [1]
429267
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Radiographic studies including MRI or CT scan of pelvis with/without upper abdomen
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Timepoint [1]
429267
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baseline, 3 years following end of treatment
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Secondary outcome [2]
429268
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toxicity
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Assessment method [2]
429268
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History, physical examination, radiographic studies including MRI or CT scan of pelvis, scope
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Timepoint [2]
429268
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baseline, 3 years following end of treatment
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Secondary outcome [3]
431153
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Distant control defined as no recurrence in any organs excluding local and regional recurrences
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Assessment method [3]
431153
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Physical examination, CT of chest and whole abdomen
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Timepoint [3]
431153
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baseline, 3 years following end of treatment
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Secondary outcome [4]
431154
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overall survival
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Assessment method [4]
431154
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death certificates
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Timepoint [4]
431154
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baseline, 3 years following end of treatment
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Secondary outcome [5]
431155
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cancer specific survival
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Assessment method [5]
431155
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Physical examination, radiographic studies including MRI or CT scan of pelvis and upper abdomen, CT of chest and death certificates
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Timepoint [5]
431155
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baseline, 3 years following end of treatment
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Secondary outcome [6]
431156
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quality of life
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Assessment method [6]
431156
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EORTC QLQ-C30 questionnaires
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Timepoint [6]
431156
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baseline, 3 years following end of treatment
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Secondary outcome [7]
432302
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quality of life
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Assessment method [7]
432302
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EORTC QLQ-CX24 questionnaires
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Timepoint [7]
432302
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baseline, 3 years following end of treatment
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Eligibility
Key inclusion criteria
squamous cell carcinoma, adenocarcinoma or adenosquamous cell carcinoma of uterine cervix FIGO stage IB3-IVa with/without inguinal node metastases aged at least 18 years ECOG 0-2
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
-other primary malignancies except carcinoma in situ of cervix and basal cell carcinoma of skin -previous hysterectomy -previous pelvic or abdominal radiotherapy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
28/03/2024
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Actual
28/03/2024
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Date of last participant enrolment
Anticipated
30/11/2024
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Actual
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Date of last data collection
Anticipated
30/11/2028
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Actual
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Sample size
Target
39
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Accrual to date
28
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Final
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Recruitment outside Australia
Country [1]
25988
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Thailand
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State/province [1]
25988
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Funding & Sponsors
Funding source category [1]
315288
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Hospital
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Name [1]
315288
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Vajira hospital
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Address [1]
315288
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681 Samsen Rd, Wachira Phayaban, Dusit District, Bangkok 10330
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Country [1]
315288
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Thailand
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Primary sponsor type
Hospital
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Name
Vajira hospital
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Address
681 Samsen Rd, Wachira Phayaban, Dusit District, Bangkok 10330
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Country
Thailand
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Secondary sponsor category [1]
317329
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None
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Name [1]
317329
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Address [1]
317329
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Country [1]
317329
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314211
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IRB Faculty of Medicine Vajira Hospital
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Ethics committee address [1]
314211
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681 Samsen Rd, Wachira Phayaban, Dusit District, Bangkok 10330
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Ethics committee country [1]
314211
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Thailand
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Date submitted for ethics approval [1]
314211
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15/06/2023
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Approval date [1]
314211
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24/08/2023
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Ethics approval number [1]
314211
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115/66 E
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Summary
Brief summary
The aim of the present study is to evaluate efficacy and safety of dose escalation at parametrium using intensity modulated radiotherapy in cervical cancer patients treated with 2D brachytherapy. The study hypothesis is that increased dose to parametrium will improve disease control with acceptable treatment toxicity.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
130798
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Mr Aniwat Berpan
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Address
130798
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Vajira Hospital, 681 Samsen Rd, Wachira Phayaban, Dusit District, Bangkok 10330
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Country
130798
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Thailand
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Phone
130798
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+66817289207
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Fax
130798
0
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Email
130798
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[email protected]
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Contact person for public queries
Name
130799
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Aniwat Berpan
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Address
130799
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Vajira Hospital, 681 Samsen Rd, Wachira Phayaban, Dusit District, Bangkok 10330
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Country
130799
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Thailand
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Phone
130799
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+66817289207
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Fax
130799
0
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Email
130799
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[email protected]
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Contact person for scientific queries
Name
130800
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Aniwat Berpan
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Address
130800
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Vajira Hospital, 681 Samsen Rd, Wachira Phayaban, Dusit District, Bangkok 10330
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Country
130800
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Thailand
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Phone
130800
0
+66817289207
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Fax
130800
0
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Email
130800
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
individual participant data of published results only
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When will data be available (start and end dates)?
after the first publication of the study, without end date
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Available to whom?
other researchers
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Available for what types of analyses?
only to achieve the aims in the study protocol
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How or where can data be obtained?
by emailing the principal investigator (
[email protected]
)
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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