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A Phase III Trial to Investigate the Effect of NACT in Lymph Node Positive Cervix Cancer

Effect of Neoadjuvant Chemotherapy Followed by Concurrent Chemoradiation and Brachytherapy in Cervix Cancer Stage IIIC1/IIIC2 - a Phase III Prospective Randomized Controlled Trial - ENACT-RT

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2023/08/056902
Enrollment
162
Registered
2023-08-24
Start date
Unknown
Completion date
Unknown
Last updated
2023-09-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C539- Malignant neoplasm of cervix uteri, unspecified

Interventions

Intervention1: NACT: Two cycles of NACT (carboplatin + paclitaxel)
3 weekly 2 cycles Control Intervention1: CTRT and Brachytherapy: Concurrent chemoradiation with weekly cisplatin followed by brachytherapy

Sponsors

Dr. Partha Sarathi Bhattacharyya
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Cancer of the uterine cervix considered suitable for curative treatment with definitive radio-(chemo)therapy including BT 2. Biopsy proven cervix cancer (squamous, adenocarcinoma, and adeno-squamous histology) within the age group of 18 to 70 years. 3. Radiologically confirmed stage IIIC1 and IIIC2 (according to FIGO and TNM staging guidelines) 4. Eastern Cooperative oncology Group (ECOG) performance status 5. Adequate organ reserve 6. Willingness to include in the trial (informed consent form).

Exclusion criteria

Exclusion criteria: 1. Patients with any other FIGO stage than IIIC1 and IIIC2 2. Small cell neuroendocrine cancer, melanoma and other rare cancers in the cervix 3. A proven history of previous malignancies / radiation 5. NYHA class III heart failure 6. CTCAE v5.0 Grade =2 peripheral neuropathy 7. Baseline hearing loss 8. HIV or Hepatitis B or Hepatitis C infection 9. Mental illness 10. Pregnant and lactating women

Design outcomes

Primary

MeasureTime frame
Disease free survivalTimepoint: 24 months

Secondary

MeasureTime frame
1. Acute & late toxicities of chemotherapy and radiotherapy. 2. Overall Survival 3. Effect of NACT in the subgroups like local stage of IIIB/IIIA versus IIB/IIA/IB Timepoint: 24 months

Countries

India

Contacts

Public ContactDr KGK Deepak

Mahatma Gandhi Cancer Hospital and Research Institute

drrajinipriya@gmail.com9640953911

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026