About this trial
To investigate the safety and efficacy of moderately hypofractionated intensity-modulated radiotherapy in the treatment of postoperative cervical cancer
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
ECOG performance status 0 or 1;
Histologically confirmed cervical squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma;
Status post radical hysterectomy with pelvic lymph node dissection with or without para-aortic lymph node dissection, and postoperative radiotherapy initiated within 3 months;
For squamous cell carcinoma: meeting Sedlis criteria; for adenocarcinoma and adenosquamous carcinoma: meeting the "four-factor model";
Disqualifiers
History of active malignant tumor within 3 years prior to initial treatment(except for the cervical cancer)and any locally curable tumors treated with radical therapy;
Any high-risk factor confirmed by postoperative pathology: positive lymph node metastasis, positive parametrial invasion, or positive resection margin;
History of neoadjuvant therapy prior to enrollment;
Local recurrence or distant metastasis prior to enrollment;
Trial design
Single group
Treatments tested in this trial
Postoperative Radiotherapy
RadiationPostoperative moderately hypofractionated IMRT (2.5Gy per fraction, 17 fractions, once a day)
Treatment groups
Trial outcomes
Primary outcomes
Acute toxicities
the incidence of acute grade 3 or higher gastrointestinal (GI), genitourinary (GU), and hematologic toxicities during radiotherapy (RT) or within three months after RT completion, based on the CTCAE version 6.0
Secondary outcomes
Late toxicities
evaluation of late toxicities during three months to one year after RT completion according to CTCAE version 6.0
Disease-Free Survival (DFS)
the time from initiation of study treatment to the first occurrence of locoregional recurrence, distant metastasis, or death from any cause.
Overall Survival (OS)
the time from the start of study treatment to death from any cause.
Patient-reported quality of life
scores of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) / Cervical Cancer Module (EORTC QLQ-CX24).The scale ranges from 0 to 100, where higher scores represent better quality of life.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Manni Huang
Lead sponsor
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Sponsor institution
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Collaborator