Comparison of Proton or Intensity Modulated Radiation Therapy After Surgery for Endometrial or Cervical Cancer

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorMayo Clinic

About this trial

This early phase I trial compares the side effects between patients treated with proton radiation therapy versus intensity modulated radiation therapy after surgery for the treatment of endometrial or cervical cancer. Radiation therapy uses high energy protons or x-rays to kill tumor cells and shrink tumors. Using quality of life questionnaires and adverse event assessments may help doctors learn whether proton radiation therapy is associated with lower acute gastrointestinal toxicities at the end of treatment compared to intensity modulated radiation therapy in patients with endometrial or cervical cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Histologically confirmed diagnosis of cervical or endometrial cancer

Must have undergone an open or robotic hysterectomy (total abdominal, vaginal, radical, or total laparoscopic) for carcinoma of the cervix or endometrium

History and physical prior to registration

Smoking status

Disqualifiers

Receiving external beam boost dose during RT

Distant metastases

Gross disease at time of RT

Histology of endometrial stromal sarcoma, leiomyosarcoma, melanoma or small cell carcinomas

Trial design

Design model

Single group

Treatments tested in this trial

  • Quality-of-Life Assessment

    Other intervention

    Complete quality of life questionnaires

  • Questionnaire Administration

    Other intervention

    Complete adverse event assessments

  • Radiation Therapy

    Radiation

    Undergo proton or intensity modulated radiation therapy

Treatment groups

121 Participants
are divided into 1 treatment group
Group A: Treatment (radiation therapy, questionnaires)Experimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Change in Expanded Prostate Cancer Index Composite (EPIC) Bowel score

Will be examined using analysis of covariance.

Time frame
Baseline up to 3 years post-radiation therapy (RT)

Secondary outcomes

1

Bowel and bladder dose-volume histogram (DVH) parameters

Will be examined in association with the change in EPIC Bowel and Urinary scores using analysis of covariance, considering the DVH variables as model covariates.

Time frame
Up to 3 years post-RT
2

Change in EPIC Urinary score

Will be examined using analysis of covariance.

Time frame
Baseline up to 5 weeks
3

Well-being

Measured by the Functional Assessment of Cancer Therapy cervix domain. Will be examined using analysis of covariance.

Time frame
Up to 3 years post-RT
4

Incidence of grade 2+ hematologic toxicities

Measured by Common Terminology Criteria for Adverse Events version 4.0. Will be examined using logistic regression.

Time frame
Up to 3 years post-RT

Other outcomes

Sponsors and contacts

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