Adaptative Radiotherapy for Locally Advanced Cervical Cancer (ARCOL)
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ClinicalTrials.gov Identifier: NCT02937948 |
Recruitment Status :
Active, not recruiting
First Posted : October 19, 2016
Last Update Posted : July 14, 2020
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Condition or disease | Intervention/treatment | Phase |
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Uterine Cervical Cancer | Other: Adaptative treatment plan Radiation: External radiotherapy | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 79 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Other |
Official Title: | Phase II Study of Adaptative Radiotherapy for Locally Advanced Cervical Cancer |
Actual Study Start Date : | April 5, 2017 |
Estimated Primary Completion Date : | August 2020 |
Estimated Study Completion Date : | January 2021 |

Arm | Intervention/treatment |
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Experimental: Adaptative Treatment plans
A Library of treatment plans will be generated for each patient before starting radiochemotherapy (standard treatment). This Library will be created using CT-Scans with variable bladder filling (and hence different uterine positions). Each day of radiotherapy treatment, an appropriate plan is chosen based on Imaging that day.
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Other: Adaptative treatment plan
Each patient will have 3 scanners before treatment initiation. One corresponding to an empty bladder, one to an "intermediate" one, one to a full bladder. Radiation: External radiotherapy At the time of each fraction of external radiotherapy, the most appropriate plan (empty, intermediate, full bladder) covering the target and sparing the organs at risk is chosen. |
- Number of patient having an Acute genito-urinary (GU) and Gastro-intestinal (GI) toxicities assessed by CTCAE V4.03 [ Time Frame: 3 months after end of radio-chemotherapy treatment ]
- Number of patient having a Grade ≥ 2 Hematologic and other toxicities assessed by CTCAE V4.03 [ Time Frame: 3 months after end of radio-chemotherapy treatment ]

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | Female |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Cervix carcinoma proved by histology
- According International Federation of Gynecology and Obstetrics (FIGO) classification, stages IB2, IIA, IIB, IIIA and IIIB without lumbo-aortic lymph node damage (surgical or radiologic)
- Patient treated with radio-chemotherapy then curietherapy with curative aim, validated in multidisciplinary meeting
- Renal, hepatic and cardiovascular functions that allow administration of the associated systemic treatment
- Older than 18 years
- Good general status, World Health Organization less or equal to 1
- Signed informed consent
Exclusion Criteria:
- History of cancer that is not controlled and / or treated for less than 5 years (excepted for cutaneous baso-cellular cancer)
- History of pelvic irradiation
- Simultaneous participation to another research that could interfere with the study results
- Pregnant or breastfeeding patient
- Patient under tutor or guardian
- Patient not able to respect medical follow-up for geographical, social or psychological reasons
- Not affiliated to a system of French social security

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): NCT02937948
France | |
Institut de Cancérologie de l'Ouest | |
Angers, France, 49933 | |
Centre François Baclesse | |
Caen, France, 14000 | |
CLCC Georges François Leclerc | |
Dijon, France, 21034 | |
Centre Oscar Lambret | |
Lille, France | |
Centre Léon Bérard | |
Lyon, France | |
Centre rené Gauducheau | |
Nantes, France, 44805 | |
CHU Poitiers | |
Poitiers, France, 86021 | |
Centre Eugène Marquis | |
Rennes, France, 35042 | |
Centre Henri Becquerel | |
Rouen, France, 76038 | |
CHU de Tours | |
Tours, France, 37044 | |
Centre Alexis Vautrin | |
Vandoeuvre Les Nancy, France, 54500 | |
Gustave Roussy | |
Villejuif, France, 94805 |
Responsible Party: | Center Eugene Marquis |
ClinicalTrials.gov Identifier: | NCT02937948 |
Other Study ID Numbers: |
2015-02-45-01 |
First Posted: | October 19, 2016 Key Record Dates |
Last Update Posted: | July 14, 2020 |
Last Verified: | July 2020 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Plan Description: | Not authorized in France |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Locally advanced |
Uterine Cervical Neoplasms Uterine Neoplasms Genital Neoplasms, Female Urogenital Neoplasms |
Neoplasms by Site Neoplasms Uterine Cervical Diseases Uterine Diseases |