Early Pelvic Floor Physical Therapy for Women Undergoing Pelvic Radiation for Gynecologic Malignancies

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorUniversity of Cincinnati

About this trial

This is a single arm phase II study in which 28 patients who will be undergoing definitive pelvic external beam radiation therapy for cervical cancer will receive pelvic floor physical therapy 4 weeks after completing radiation therapy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants must be female.

Patients must be 18 years old or older.

Any patient with invasive cervical cancer who is planned for definitive chemoradiation.

Plan to receive a minimum dose of 45Gy to pelvis per investigator.

Disqualifiers

Any previous therapeutic pelvic radiation.

Non-English speaking.

Trial design

Design model

Single group

Treatments tested in this trial

  • Pelvic floor physical therapy

    Procedure/Surgery

    Four weeks after completion of RT, patients will begin a standardized pelvic floor PT course. The protocol will include two 1-hour physical therapy appointments focused on pelvic floor muscle training, dilator training and education. These sessions will be 4 weeks apart and performed by a pelvic floor physical therapist.

Treatment groups

28 Participants
are divided into 1 treatment group
Group A: Pelvic floor physical therapyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Evaluate fecal incontinence via EORTC-QLQ CX24 validated survey

To determine the rate of fecal incontinence at 3 months after RT in women undergoing pelvic radiation for gynecologic malignancies. The primary endpoint of this study is the rate of fecal incontinence at 3 months after RT utilizing the EORTC-QLQ CX24 validated survey. A score of 1 or higher will be classified as having incontinence.

Time frame
3 months after Radiation Therapy Treatment

Secondary outcomes

1

Rates of urinary incontinence via EORTC-QLQ CX24

1\. To determine the rates of urinary incontinence 3 months after RT in women undergoing pelvic radiation for gynecologic malignancies. a. Secondary endpoints will include rates of urinary incontinence as obtained from the EORTC-QLQ CX24 at 3-months post-treatment.

Time frame
3 months after Radiation Therapy Treatment
2

Sexual symptoms via EORTC-QLQ CX24

1\. To determine sexual symptoms at 3 months after RT in women undergoing pelvic radiation for gynecologic malignancies. a. Secondary endpoints will include rates of sexual symptoms as obtained from the EORTC-QLQ CX24 at 3-months post-treatment.

Time frame
3 months after Radiation Therapy Treatment
3

QOL as obtained from the EORTC-QLQ CX24

1\. To determine QOL at 3 months after RT in women undergoing pelvic radiation for gynecologic malignancies. a. Secondary endpoints will include QOL as obtained from the EORTC-QLQ CX24 at 3-months post-treatment.

Time frame
3 months after Radiation Therapy Treatment
4

Compliance rates with recommended standard of care schedule of dilator via self reports

2\. To determine compliance rates with recommended standard of care schedule of dilator use at 3 months after RT in women undergoing pelvic radiation for gynecologic malignancies. 1. Participant reported compliance with home exercise course from baseline through 3 months will be collected and analyzed for rate of compliance against protocol usage. 2. Reported dilator compliance will be compared to reported historical compliance rates for this SOC recommendation

Time frame
3 months after Radiation Therapy Treatment

Other outcomes

Sponsors and contacts

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