AGuIX Gadolinium-based Nanoparticles in Combination With Chemoradiation and Brachytherapy
NCT03308604 · Status: UNKNOWN · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 18
Last updated 2021-07-07
Summary
This is a phase 1 clinical trial evaluating the safety, tolerability of escalating doses of AGuIX-NP in combination with radiation and cisplatin in patients with locally advanced cervical cancer. Dose escalation will be conducted using the modified toxicity probability interval (mTPI) method.
Three dose levels of intravenous AGuIX nanoparticles will be explored: 20mg/kg (level -1), 30 mg/kg (level 1) and 50 mg/kg (level 2).
Conditions
- Gynecologic Cancer
Interventions
- DRUG
-
Polysiloxane Gd-Chelates based nanoparticles (AGuIX)
Three intravenous injections of AGuIX will be delivered. The first injection of AGuIX will be delivered intravenously the 1st day and the 11th day of EBRT. The first injection will be preceded with an MRI (unenhanced T1 and T2 sequences) then followed with another MRI performed 4 hours later, to monitor tumor uptake. Irradiation will be performed after the second MRI. The second injection will be followed by an MRI 4 hours later. The third injection will be delivered intravenously the day of the brachytherapy procedure. Intravenous hydration will be performed during all brachytherapy courses to ensure AGuIX clearance. Up to three dose levels may be explored: 20mg/kg (level -1), 30 mg/kg (level 1) and 50 mg/kg (level 2). The starting dose level will be 30mg/kg.
- RADIATION
-
External beam radiotherapy (EBRT)
to the pelvis, with intensity modulated technique: 45 Gy in 5 weeks, with integrated boost to 55 - 57.5 Gy in case of macroscopic lymph node metastases
- RADIATION
-
Uterovaginal brachytherapy
15 Gy (maximal interval between EBRT and brachytherapy: 14 days).
- DRUG
-
Chemotherapy (cisplatin)
Concomitant weekly intravenous cisplatin 40 mg/m2 will be delivered (total 5 cycles).
Sponsors & Collaborators
-
National Cancer Institute, France
collaborator OTHER_GOV -
Gustave Roussy, Cancer Campus, Grand Paris
lead OTHER
Principal Investigators
-
Cyrus CHARGARI, MD · Gustave Roussy, Cancer Campus, Grand Paris
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-05-17
- Primary Completion
- 2022-07-31
- Completion
- 2024-05-31
Countries
- France
Study Locations
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