German-funded Laparoscopic Approach to Cervical Cancer

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorHannover Medical School

About this trial

The G-LACC trial is a prospective, interventional, multicenter, open-label, randomized and controlled non-inferiority operative trial.

The main goal of this clinical trial is to evaluate the non-inferiority of minimally invasive radical hysterectomy in contrast to abdominal radical hysterectomy in patients with early-stage cervical cancer. In the case of SHAPE criteria, surgery may also be performed as minimally invasive or abdominal simple hysterectomy. The primary criterion for assessment is disease-free survival (DFS). As secondary outcomes, overall survival (OS), disease recurrence, quality of life, intra-/postoperative complications, and serious adverse events are recorded for assessment.

Eligibility criteria

Qualifiers

Histologically confirmed primary adenocarcinoma, squamous cell carcinoma or adenosquamous carcinoma of the uterine cervix

Patients with FIGO stage IA2, IB1, or IB2 disease (<4 cm)

Patients undergoing radical hysterectomy according either to Type II or III (Piver Classification) or to Type B or C (Querleu and Morrow classification)

Performance status of ECOG 0-1

Disqualifiers

Any histology other than an adenocarcinoma, squamous cell carcinoma, or adenosquamous carcinoma of the uterine cervix

Tumor size of 4 cm and greater, estimated by either magnetic resonance imaging (MRI) or clinical examination

FIGO stage IB3 - IV

Patients with a history of pelvic or abdominal radiotherapy

Trial design

Treatments tested in this trial

  • Laparoscopic or robot-assisted radical/simple hysterectomy
  • Abdominal radical/simple hysterectomy

Treatment groups

756 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Hannover Medical School

Lead sponsor

German Cancer Aid

Collaborator