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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  
Intramural Research Fund 
 
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  
Name  Address 
NIL  NIL 
 
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  
Status 
Not Applicable 
 
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
  1. 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).

  2. 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

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [janejessica25@gmail.com].

  6. 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.

  7. 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

 
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