Intra-lesional Tumor Boost for Bulky Cervical Cancer
NCT07435376 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 17
Last updated 2026-02-27
Summary
The goal of this clinical trial is to learn if adding a radiation boost (intra-lesional boost) works to treat patients with large-sized cervical cancer. It will also learn about the safety of this treatment. The main questions it aims to answer are:
* Does the extra radiation boost effectively reduce the tumor size before the internal radiation (brachytherapy) treatment begins?
* What medical problems (side effects) do participants have when receiving this treatment?
Researchers will give this intra-lesional boost to all participants during their standard radiation therapy to see if it helps shrink the tumor more than usual.
Participants will:
* Receive radiation therapy to the pelvis with a targeted boost to the tumor for about 5 to 6 weeks
* Visit the clinic daily for radiation treatment and regularly for checkups Have an MRI scan during the 4th or 5th week of treatment to measure the tumor size
* Receive internal radiation therapy (brachytherapy) after finishing the external radiation
* Visit the clinic for follow-up checkups and tests for up to 2 years
Conditions
- Cervical Cancer
- Squamous Cell Carcinoma of Cervix
Interventions
- RADIATION
-
intra-lesional boost IMRT
Patients receive Whole Pelvis (+/- para-aortic field) radiotherapy 45-50.4 Gy in 25-28 fractions. An intra-lesional boost is delivered using SIB technique: 15 Gy in 3 fractions to the boost target (GTVp minus 0.7-1.0 cm margin).
- PROCEDURE
-
High Dose Rate Brachytherapy
Followed by CT or MRI-based HDR brachytherapy. Recommended dose is 27.5-30 Gy in 4-6 fractions to the HR-CTV using Iridium-192 source.
Sponsors & Collaborators
-
Seoul National University Bundang Hospital
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 19 Years
- Max Age
- 80 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-02-23
- Primary Completion
- 2026-09-30
- Completion
- 2028-11-30
Countries
- South Korea
Study Locations
More Related Trials
-
Cetuximab, Cisplatin, and Radiation Therapy in Treating Patients With Stage IB, Stage II, Stage III, or Stage IVA Cervical Cancer
NCT00104910 ·Status: COMPLETED ·Phase: PHASE1
-
Reducing Radiation Target Volume for Stage IIb Cervical Cancer
NCT07249957 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
External Beam Radiation Therapy and Brachytherapy With Chemotherapy and Immunotherapy for the Treatment of Stage IVB Cervical Cancer
NCT06543576 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Image Based Brachytherapy in Locally Advanced Cervical Cancers - a Randomized Controlled Trial
NCT03005743 ·Status: COMPLETED ·Phase: NA
-
Randomized Study of Z-100 Plus Radiation Therapy to Treat Cervical Cancer
NCT02247232 ·Status: COMPLETED ·Phase: PHASE3
-
Radiation Therapy and Cisplatin With or Without Cetuximab in Treating Patients With Stage IB, Stage II, or Stage IIIB Cervical Cancer
NCT00957411 ·Status: COMPLETED ·Phase: PHASE2
-
Cervical Cancer Brachytherapy With Interstitial Needles in 3 Fractions
NCT06284031 ·Status: RECRUITING ·Phase: NA
-
Systemic and Tumor Immune Response During Pelvic (Chemo)Radiation and/or Brachytherapy for Cervical Cancer
NCT06804135 ·Status: RECRUITING
-
Bevacizumab, Cetuximab, and Cisplatin With IMRT (Intensity-Modulated Radiation Therapy) for Patients With Stage III/IV Head and Neck Squamous Cell Carcinoma
NCT00968435 ·Status: COMPLETED ·Phase: PHASE2
-
Shortened Course Adjuvant Radiotherapy Following TORS
NCT05714657 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Pelvic External Combined With 252-Cf Neutron Intracavitary Radiotherapy With or Without Platinum in Treating Advanced Cervical Cancer
NCT02835404 ·Status: UNKNOWN ·Phase: PHASE2
-
Chemotherapy Plus Radiation Therapy in Treating Patients With Primary Stage IVB Cervical Cancer
NCT03175848 ·Status: UNKNOWN ·Phase: NA
-
Radiation Therapy and Bortezomib and Cetuximab With or Without Cisplatin to Treat Head and Neck Cancer
NCT01445405 ·Status: COMPLETED ·Phase: PHASE1
-
A Safety and Efficacy of CCRT With Paclitaxel/Carboplatin as Adjuvant Therapy to Post-operative Cervical Cancer Patients
NCT00340184 ·Status: COMPLETED ·Phase: PHASE2
-
Magnetic Resonance Imaging-Based Radiation Therapy and Cisplatin in Patients With Stage I, Stage II, Stage III, or Stage IV Cervical Cancer
NCT01016561 ·Status: TERMINATED ·Phase: NA
-
Biomarker-Driven Radiation Therapy Dose Reduction After Transoral Robotic Surgery for the Treatment of HPV-Positive Oropharyngeal Cancer
NCT05387915 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Study Evaluating a Stereotactic Boost/Treatment for Recurrent or Metastatic Cancer of the Head and Neck
NCT02474368 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Radiation Therapy With or Without Chemotherapy in Patients With Stage I-IIA Cervical Cancer Who Previously Underwent Surgery
NCT01101451 ·Status: COMPLETED ·Phase: PHASE3
-
Stereotactic Body Radiation Therapy (SABR) for Definitive Treatment of Locally Advanced Cervical Cancer
NCT02045433 ·Status: TERMINATED ·Phase: PHASE2
-
Stereotactic Body Radiation Therapy in Treating Patients With High Risk Locally Advanced Head and Neck Cancer
NCT02388932 ·Status: TERMINATED ·Phase: NA
-
Radiation Therapy and Chemotherapy in Treating Patients With Locally Advanced Cervical Cancer
NCT00054444 ·Status: COMPLETED ·Phase: PHASE1
-
Study With Intensity Modulated Radiation Therapy With Cisplatin to Treat Stage I-IVA Cervical Cancer
NCT01554397 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Transoral Surgery Followed By Low-Dose or Standard-Dose Radiation Therapy With or Without Chemotherapy in Treating Patients With HPV Positive Stage III-IVA Oropharyngeal Cancer
NCT01898494 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Spatially Fractionated Radiation Treatment for Gynaecological Cancers
NCT06644846 ·Status: RECRUITING ·Phase: NA
-
Estimation of Tumor Response With Linac MRI-guided Adaptive Radiotherapy for Locally Advanced Cervical Cancer
NCT05942742 ·Status: UNKNOWN