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Complete Nerve-Sparing Radical Hysterectomy for Cervical Cancer

Primary Purpose

Cervical Squamous Cell Carcinoma, Cervical Adenocarcinoma, Malignant Neoplasm of Cervix Stage IB1

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Nerve-Sparing Radical Hysterectomy
Sponsored by
Shanghai Gynecologic Oncology Group
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cervical Squamous Cell Carcinoma focused on measuring Cervical cancer; Nerve-sparing hysterectomy; simplified

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Age >=18 years to <= 70 years.
  • Women with histologically confirmed, primary adenocarcinoma or squamous cell carcinoma of the uterine cervix.
  • Stage IIA1, or IB1 disease.
  • Karnofsky performance status >70.
  • Patients who comply with follow-up.
  • With written informed consent.

Exclusion Criteria:

  • Age>70
  • History of lower urinary tract damage or surgery.
  • With abnormal urodynamic study results.
  • Karnofsky performance status <70.
  • Patients who have uncontrolled psychological disorders.
  • Unwilling to or unable to comply with protocol.
  • Prior treatment with pelvic radiotherapy

Sites / Locations

  • Fudan University Shanghai Zhongshan Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Nerve-Sparing Radical Hysterectomy (NSRH)

Arm Description

Type C1 Hysterectomy

Outcomes

Primary Outcome Measures

Proportion of patients with fully pelvic nerve plexus preserved
Proportion of patients who had a postvoid residual urine volume (PVR) under 50ml at postoperative day 4
Proportion of patients removing indwelling catheter

Secondary Outcome Measures

The rate of 36-month local control

Full Information

First Posted
September 18, 2015
Last Updated
October 12, 2016
Sponsor
Shanghai Gynecologic Oncology Group
Collaborators
Fudan University
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1. Study Identification

Unique Protocol Identification Number
NCT02562729
Brief Title
Complete Nerve-Sparing Radical Hysterectomy for Cervical Cancer
Official Title
A Simplified Approach of Complete Nerve-sparing Type C1 Radical Hysterectomy for Cervical Cancer, a Phase II Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2016
Overall Recruitment Status
Completed
Study Start Date
September 2015 (undefined)
Primary Completion Date
September 2016 (Actual)
Study Completion Date
September 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shanghai Gynecologic Oncology Group
Collaborators
Fudan University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the feasibility of complete nerve-sparing type C1 radical hysterectomy in cervical cancer.
Detailed Description
The primary objective of this study is to evaluate the rate of postvoid residual urine volume (PVR) <50ml on postoperative day 4 in patients with stage IB1 and IIA1 cervix cancer underwent complete nerve-sparing type C1 radical hysterectomy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Squamous Cell Carcinoma, Cervical Adenocarcinoma, Malignant Neoplasm of Cervix Stage IB1, Stage IIA1 Cervical Cancer
Keywords
Cervical cancer; Nerve-sparing hysterectomy; simplified

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
62 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Nerve-Sparing Radical Hysterectomy (NSRH)
Arm Type
Experimental
Arm Description
Type C1 Hysterectomy
Intervention Type
Procedure
Intervention Name(s)
Nerve-Sparing Radical Hysterectomy
Other Intervention Name(s)
Fully Pelvic-Nerve Plexus Preserved
Intervention Description
Type C1 NSRH Removal indwelling catheter on day 4 after surgery
Primary Outcome Measure Information:
Title
Proportion of patients with fully pelvic nerve plexus preserved
Description
Proportion of patients who had a postvoid residual urine volume (PVR) under 50ml at postoperative day 4
Time Frame
up to 30 days
Title
Proportion of patients removing indwelling catheter
Time Frame
up to 30 days
Secondary Outcome Measure Information:
Title
The rate of 36-month local control
Time Frame
up to 36 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age >=18 years to <= 70 years. Women with histologically confirmed, primary adenocarcinoma or squamous cell carcinoma of the uterine cervix. Stage IIA1, or IB1 disease. Karnofsky performance status >70. Patients who comply with follow-up. With written informed consent. Exclusion Criteria: Age>70 History of lower urinary tract damage or surgery. With abnormal urodynamic study results. Karnofsky performance status <70. Patients who have uncontrolled psychological disorders. Unwilling to or unable to comply with protocol. Prior treatment with pelvic radiotherapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Rongyu Zang, MD,PhD
Organizational Affiliation
Fudan University Shanghai Zhongshan Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fudan University Shanghai Zhongshan Hospital
City
Shanghai
State/Province
Shanghai
ZIP/Postal Code
200032
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
29163840
Citation
Zhang Y, Shi T, Yin S, Ma S, Shi D, Guan J, Xiang L, Liu Y, Ren Y, Tan D, Zang R. An improved nerve-sparing radical hysterectomy technique for cervical cancer using the paravesico-vaginal space as a new surgical landmark. Oncotarget. 2017 Jul 5;8(52):90413-90420. doi: 10.18632/oncotarget.19011. eCollection 2017 Oct 27.
Results Reference
derived

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Complete Nerve-Sparing Radical Hysterectomy for Cervical Cancer

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