About this trial
This study is a dynamically adjustable prospective longitudinal study designed to capture biospecimen (biopsy, blood, surgical) and multimodal treatment-related data (imaging, dosimetry, clinical) before, during, and after treatment with definitive-intent chemoradiotherapy for patients with locally advanced cervical and pancreatic cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Cervical cancer
Pancreatic cancer
ECOG performance status ≤ 2
At least 18 years old
Disqualifiers
Any issue (medical, anatomic, other) that might preclude safe acquisition of biospecimens at the discretion of the treating physician
Trial design
Parallel
Treatments tested in this trial
Tumor collection via biopsy
Other interventionCervical cancer: Pre-radiation therapy, 1 week after beginning radiation therapy, 3 weeks after beginning radiation therapy, and recurrence. Pancreatic cancer: pre-stereotactic body radiotherapy, 12 weeks after completion of radiotherapy, and recurrence.
Blood collection
Other interventionCervical cancer: pre-radiation therapy, 1 week after beginning radiation therapy, 3 weeks after beginning radiation therapy, 6 weeks after completing radiation therapy, 12 weeks after completing radiation therapy, and recurrence. Pancreatic cancer: pre-stereotactic body radiotherapy, 6 weeks after completion of radiotherapy, 12 weeks after completion of radiotherapy, surgery (if applicable), and recurrence
Diffusion basis spectrum imaging (DBSI) magnetic resonance imaging (MRI)
DeviceCervical cancer: initial staging, 12 weeks after completing radiation therapy, and recurrence. Pancreatic cancer: initial staging, stereotactic body radiotherapy (SBRT) simulation, 12 weeks after completing radiation therapy, and recurrence. The imaging will be performed when possible.
Treatment groups
Trial outcomes
Primary outcomes
Changes in tumor microenvironment
Generalized linear mixed effects models will be first used to capture the changes in the longitudinal values of a single assay output over time for a given biospecimen. Random effects will be used to describe the correlation of repeated measures on the same subject over time.
Sponsors and contacts
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Washington University School of Medicine
Lead sponsor
National Cancer Institute (NCI)
Collaborator
The Foundation for Barnes-Jewish Hospital
Collaborator