| CTRI Number |
CTRI/2025/09/095184 [Registered on: 22/09/2025] Trial Registered Prospectively |
| Last Modified On: |
21/09/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Radiation Therapy |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Outcomes of a Single-Session Internal Radiation Approach for Cervical Cancer After External Radiation |
|
Scientific Title of Study
|
Clinical outcomes of cervical cancer with single application in situ HDR brachytherapy involving 8Gy x 3 fractions following a course of pelvic EBRT - a prospective clinical study |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Yarlagaddda Jane Jessica |
| Designation |
Junior Resident |
| Affiliation |
Jawaharlal Institute of Postgraduate Medical Education and Research |
| Address |
Department of Radiation Oncology
Regional Cancer Centre
Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER Pondicherry PONDICHERRY 605006 India |
| Phone |
7981060288 |
| Fax |
|
| Email |
janejessica25@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Parthasarathy Vedasoundaram |
| Designation |
Professor |
| Affiliation |
Jawaharlal Institute of Postgraduate Medical Education and Research |
| Address |
Department of Radiation Oncology
Regional Cancer Centre
Jawaharlal Institute of
Postgraduate Medical Education and Research JIPMER Pondicherry PONDICHERRY 605006 India |
| Phone |
9443601748 |
| Fax |
|
| Email |
dr_patchu2003@yahoo.co.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Parthasarathy Vedasoundaram |
| Designation |
Professor |
| Affiliation |
Jawaharlal Institute of Postgraduate Medical Education and Research |
| Address |
Department of Radiation Oncology
Regional Cancer Centre
Jawaharlal Institute of
Postgraduate Medical Education and Research JIPMER Pondicherry PONDICHERRY 605006 India |
| Phone |
9443601748 |
| Fax |
|
| Email |
dr_patchu2003@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Intramural Research Fund Jawaharlal Institute of Postgraduate Medical Education and Research |
| Address |
Jawaharlal Institute of Postgraduate Medical Education and Research
JIPMER Campus Rd
Gorimedu
Dhanvantari Nagar
Puducherry
605006 |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Yarlagaddda Jane Jessica |
Jawaharlal Institute of Postgraduate Medical Education and Research |
Department of Radiation Oncology, Regional Cancer Centre
Jawaharlal Institute of Postgraduate Medical Education and Research, Gorimedu, Pondicherry, 605006 Pondicherry PONDICHERRY |
7981060288
janejessica25@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTIONAL ETHICS COMMITTEE - INTERVENTIONAL STUDIES JIPMER |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: C539||Malignant neoplasm of cervix uteri, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Brachytherapy |
in situ HDR brachytherapy 8Gy x 3 fractions |
| Comparator Agent |
NOT APPLICABLE |
NOT APPLICABLE |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
70.00 Year(s) |
| Gender |
Female |
| Details |
Biopsy-proven newly diagnosed carcinoma cervix
Stage IB, IIA, IIB, IIIB; without lower one third
of vagina involvement.
ECOG 0-2
Age less than 70 years
No major life threatening complications
Willingness to comply with study procedures and
provide informed consent |
|
| ExclusionCriteria |
| Details |
ECOG 3 or more
Prior pelvic radiotherapy
Uncontrolled diabetes and hypertension
Prior history of DVT/ Pulmonary embolism
Pregnancy or lactating women
Lower one-third involvement of vagina in any
stage |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
To assess the locoregional control up to 6 months post
radiotherapy in patients with cervical cancer. |
6 months after treatment completion |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| To evaluate early acute and acute toxicities (less than 3months, and less than 6months respectively) associated using CTCAE Version 5.0 toxicity criteria |
3 months, 6 months |
To evaluate late toxicities (more than 6months) associated
with the therapeutic pelvic irradiation |
1 year |
|
|
Target Sample Size
|
Total Sample Size="48" Sample Size from India="48"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
10/10/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="2" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report Response - Analytic Code
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response - Proposals should be directed to [janejessica25@gmail.com].
- For how long will this data be available start date provided 01-09-2025 and end date provided 01-09-2035?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
Scientific Title
Clinical outcomes of cervical cancer with single application in situ HDR brachytherapy involving 8 Gy x 3 fractions following a course of pelvic EBRT a prospective clinical study Public Title
Study on outcomes of cervical cancer using a shorter single application brachytherapy schedule after external radiotherapy Brief Summary
This is a prospective single centre interventional study conducted at JIPMER Puducherry. The study evaluates the clinical outcomes of patients with biopsy proven cervical cancer Stage IB to IIIB ECOG 0 to 2 age less than 70 years treated with standard pelvic external beam radiotherapy EBRT with or without concurrent chemotherapy followed by a single application of high dose rate HDR intracavitary brachytherapy delivering 8 Gy x 3 fractions. The primary aim is to assess locoregional control at 6 months after completion of treatment. Secondary aims include assessment of acute and late toxicities using CTCAE version 5 criteria and overall treatment compliance. The trial will recruit 48 patients over 2 years. This regimen is expected to provide comparable tumor control with acceptable toxicity while reducing overall treatment time and improving compliance in the Indian setting. Study Design
Type Interventional prospective single arm clinical study
Allocation Non randomized convenience sampling
Duration 2 years Primary Outcome
Locoregional control at 6 months post radiotherapy complete or no complete response as per RECIST version 1.1 criteria. Secondary Outcomes
Acute and early toxicities less than 6 months graded by CTCAE version 5.0
Late toxicities more than 6 months
Overall treatment compliance and treatment related complications Inclusion Criteria
Biopsy proven newly diagnosed cervical carcinoma
Stage IB IIA IIB IIIB without lower one third vaginal involvement
Age less than 70 years
ECOG performance status 0 to 2
No major life threatening comorbidities
Willingness to comply with protocol and provide informed consent Exclusion Criteria
Age more than 70 years
ECOG 3 or more
Prior pelvic radiotherapy
Uncontrolled diabetes or hypertension
Prior history of DVT or pulmonary embolism
Pregnancy or lactation
Lower one third vaginal involvement Sample Size
48 patients accounting for 10 percent attrition Intervention
External beam radiotherapy with or without concurrent chemotherapy as per protocol
HDR intracavitary brachytherapy single application delivering 8 Gy x 3 fractions Study Setting
Department of Radiation Oncology Regional Cancer Centre JIPMER Puducherry India
Estimated Duration
Recruitment 2 years
Follow up 5 years every 2 months up to 6 months every 4 months up to 3 years every 6 months up to 5 years |