UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000560
Receipt number R000000682
Scientific Title Phase II trial of dosetaxel and carboplatin as neoadjuvant chemotherapy in patients with stage Ib2-II nonsquamous cell carcinoma of uterine cervix
Date of disclosure of the study information 2007/01/01
Last modified on 2023/02/09 19:18:20

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Basic information

Public title

Phase II trial of dosetaxel and carboplatin as neoadjuvant chemotherapy in patients with stage Ib2-II nonsquamous cell carcinoma of uterine cervix

Acronym

Phase II trial of dosetaxel and carboplatin as neoadjuvant chemotherapy in patients with stage Ib2-II nonsquamous cell carcinoma of uterine cervix

Scientific Title

Phase II trial of dosetaxel and carboplatin as neoadjuvant chemotherapy in patients with stage Ib2-II nonsquamous cell carcinoma of uterine cervix

Scientific Title:Acronym

Phase II trial of dosetaxel and carboplatin as neoadjuvant chemotherapy in patients with stage Ib2-II nonsquamous cell carcinoma of uterine cervix

Region

Japan


Condition

Condition

nonsquamous cell carcinoma of uterine cervix

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and safety for neoadjuvant chemotherapy consisting of docetacel and carboplatin in patients with stage Ib2-II nonsquamous cell carcinoma of uterine cervix

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Efficacy

Key secondary outcomes

Safety


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

patients with stage Ib2 or II with diameter of over 2 cm nonsquamous cell carcinoma of uterine cervix

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >

Gender

Female

Key inclusion criteria

The eligibility requirements for entry into this study included a histologically confirmed diagnosis of nonsquamlous cell carcinoma of uterine cervix and no prior chemotherapytreatment. All patients were required to have a Eastern Cooperative Oncology Group performance status of <3, age 20 to 75 years, and adequate bone marrow function, liver function, and renal function defined by neutrophils > 2,000/mm3, platelets > 100,000/mm3, serum AST and ALT < 100 IU/l, serum ALP < 750 IU/l, serum total bilirubin < 1.5 mg/dl, and serum creatinine < 1.5 mg/dl. All patients were required to provide written informed consent.

Key exclusion criteria

1 fever with over 38.0C
2 infection or WBC>12,000/mm3
3 severe complications
4 neuropathy >Grade 2
5 edema > Grade 2
6 double cancer
7 pleural effusion and ascites for which drainage are necessary.
8 previous chemotherapy by taxane compounds

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Junzo
Middle name
Last name Kigawa

Organization

Matsue city hospital

Division name

Department of Obstetrics and Gynecology

Zip code

690-8509

Address

32-1 Noshiro-cho, Matsue, Shimane

TEL

0852-60-8000

Email

mshima12@med.tottori-u.ac.jp


Public contact

Name of contact person

1st name Muneaki
Middle name
Last name Shimada

Organization

Tottori University

Division name

Department of Obstetrics and Gynecology

Zip code

683-8504

Address

36-1 Nishimachi, Yonago Japan

TEL

0859-38-6647

Homepage URL


Email

mshima12@med.tottori-u.ac.jp


Sponsor or person

Institute

Sankai Gynecology Study Group (SGSG)

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

none

Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRB of Tottori University Faculty of Medicine

Address

361 Nishi-cho, Yonago, Tottori

Tel

0859-33-1111

Email

me-kenkyu@adm.tottori-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2007 Year 01 Month 01 Day


Related information

URL releasing protocol

http://www.sgsg.biz/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/27380169/

Number of participants that the trial has enrolled

61

Results

The response rate was 69 % (95 % CI, 57-82 %), with 5 patients achieving complete response, 31 partial response, 15 stable disease, and 1 progressive disease. Median follow-up duration was 1913 days with a range of 145-2632 days. Of 52 patients, 50 underwent radical hysterectomy after neoadjuvant chemotherapy. The 2-year overall survival rate was 81.8 % for stage IB2, 85.7 % for stage IIA2, and 92.6 % for stage IIB.

Results date posted

2021 Year 04 Month 13 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

We conducted a phase II study to evaluate the efficacy of neoadjuvant chemotherapy with docetaxel and carboplatin followed by radical hysterectomy for patients with non-squamous cell carcinoma of the uterine cervix.

Participant flow

Sixty-one patients with International Federation of Gynecology and Obstetrics stage IB2, IIA2, or IIB non-squamous cell carcinoma of the uterine cervix were enrolled. The patients were administered docetaxel at a dose of 60 mg/m2, followed by carboplatin at a dose based on an area under the curve of 6. The treatments were repeated every 21 days for one to three cycles. Fifty-two patients were eligible to evaluate the efficacy of neoadjuvant chemotherapy followed by radical hysterectomy. Adverse events were evaluated in 59 patients.

Adverse events

The most frequent grade 3 and 4 hematological toxicity was neutropenia, with 43 patients experiencing grade 4 and 11 with grade 3. The nonhematological toxicities were mainly grade 1 or 2 in severity.

Outcome measures

Neoadjuvant chemotherapy with docetaxel and carboplatin followed by radical hysterectomy may be a useful strategy for patients with non-squamous cell carcinoma of uterine cervix.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2006 Year 12 Month 12 Day

Date of IRB

2007 Year 02 Month 05 Day

Anticipated trial start date

2006 Year 12 Month 01 Day

Last follow-up date

2010 Year 10 Month 01 Day

Date of closure to data entry

2010 Year 12 Month 01 Day

Date trial data considered complete

2010 Year 12 Month 01 Day

Date analysis concluded

2011 Year 06 Month 01 Day


Other

Other related information

Int J Clin Oncol . 2016 Dec;21(6):1128-1135. doi: 10.1007/s10147-016-1010-0. Epub 2016 Jul 5.


Management information

Registered date

2006 Year 12 Month 26 Day

Last modified on

2023 Year 02 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000682


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name