Moderated Hypofractionated Online Adaptive Radiotherapy in Cervical Cancer

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexFemale
Age18-75
SponsorPeking Union Medical College Hospital

About this trial

The most common external beam radiotherapy fractionation scheme for cervical cancer is 45-50.4 Gy delivered in 25-28 fractions. However, prolonged treatment duration can lead to insufficient availability of medical resources. We hope to assess the safety and efficacy of moderated hypofractionated online adaptive radiotherapy in combination with brachytherapy in patients with cervical cancer in a multicenter study.

Eligibility criteria

Qualifiers

The patient is fully voluntary and has the capacity for autonomy, signing the informed consent form 30 days prior to enrollment

Age ≥18 and ≤75 years

FIGO stage IB-IIIB cervical cancer; IIIC1 (lymph node metastasis ≤2 cm, without common iliac lymph node metastasis)

Pathologically diagnosed as squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma

Disqualifiers

Patients who have undergone cervical cancer surgery, excluding pelvic lymphadenectomy or pelvic lymph node dissection, or cervical conization

FIGO stages IA, IIIC2, IVA, or IVB

FIGO stage IIIC1 with lymph nodes >2 cm, or with common iliac lymph node metastasis

History of prior abdominal or pelvic radiotherapy

Trial design

Treatments tested in this trial

  • Moderated hypofractionated online adaptive radiotherapy
  • Conventional radiotherapy

Treatment groups

440 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Peking Union Medical College Hospital

Lead sponsor

Peking University Cancer Hospital & Institute

Collaborator

Shandong Cancer Hospital and Institute

Collaborator

Ruijin Hospital

Collaborator