LESs Surgical Radicality for EaRly Stage Cervical Cancer

NCT02613286CompletedNAINTERVENTIONAL

Summary

Key Facts

Lead Sponsor

Hospital de Câncer de Pernambuco

Enrollment

40

Start Date

2015-05-01

Completion Date

2018-04-01

Study Type

INTERVENTIONAL

Official Title

A Proof of Concept Non-inferiority Trial Evaluating the Safety and Efficacy of Extrafascial Hysterectomy Plus Pelvic Lymph-node Dissection in Patients With Stage IA2-IB1 Cervical Cancer ≤ 2cm

Interventions

Extrafascial HysterectomyModified radical hysterectomy

Conditions

Uterine Cervical Neoplasms

Eligibility

Age Range

18 Years – 70 Years

Sex

FEMALE

Inclusion Criteria:

1. Patients with histologically confirmed adenocarcinoma, squamous, or adenosquamous cancer of the cervix by LEEP, cone or cervical biopsy;
2. Aged between 18 and 70 years;
3. performance status 0-2 (ECOG, Eastern Cooperative Oncology Group) and / or greater than 70 points by the Karnofsky scale;
4. FIGO early stage IA2-IB1 ≤ 2cm;
5. Appropriated cardio-respiratory, hepato-renal and hematological reserves; and
6. Signing of the Consent Form.

Exclusion Criteria:

1. Limiting systemic comorbidities including neuro-psychiatric disorders or obesity;
2. Apparent or confirmed uncontrolled infections;
3. Other malignancies in activity;
4. Previous radiation or chemotherapy treatment or major pelvic surgery;
5. History of drug allergies, and pregnancy or breast feeding; and
6. Evidence of more extensive disease at the time of surgery.

Outcome Measures

Primary Outcomes

Disease Free Survival (3-y DFS)

Time from surgery to recurrence

Time frame: 3 years

Secondary Outcomes

Treatment-related adverse events (surgical)

Surgical morbidity and mortality

Time frame: 90 days

Patient reported QoL

QoL according to EORTC C30 questionnaire (v3.0)

Time frame: Base-line and 6 months.

Rates of using adjuvant therapy

Cisplatin-based chemo-radiation or pelvic radiation alone (EBRT +/- intracavitary brachytherapy) indicated according to the #GOG92 and #GOG109 criteria

Time frame: 90 days

Overall survival (3-y OS)

Time from surgery to death of any cause

Time frame: 3 years