Health Condition 1: C539- Malignant neoplasm of cervix uteri, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Common Inclusion Criteria 1. Age 18 years and above. 2. Ability to tolerate full course of pelvic radiotherapy and or chemotherapy and or brachytherapy 3. Ability to understand and willingness to sign an informed consent document. 4. Should be willing to undergo extra biopsies and blood samples collection for translational research study. Cohort A 1. Patients diagnosed with LACC Stage IB2 to IIIC1, as per FIGO 2018 Classification for Radical Cohort. 2. Stage IIIB to IVA where palliative RT is indicated for palliative cohort. 3. No previous irradiation to the pelvis or chemo therapy. Cohort B 1. Patients diagnosed with LACC Stage IIIC2, as per FIGO 2018 Classification. 2. No previous irradiation to the pelvis or chemotherapy. Cohort C 1. Patients diagnosed with gynecological cancer and presenting with need of infield radiation. 2. Planned for reirradiation.
Exclusion criteria
Exclusion criteria: 1. Severe medical condition impairing complete treatment delivery. 2. Patients with immunocompromised states or active infection. 3. Patients on immunosuppressive drugs for other medical conditions. 4. Patients who will receive immune checkpoint inhibition therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective 1: To study the multi-time point interaction between radiotherapy for cervical cancer and impact on systemic immune cells. Objective 2: To study the multi-time point interaction between radiotherapy for cervical cancer and impact on tumor infiltrating immune cells and PD-L1 expression.Timepoint: Baseline, Week 1, Week 3, Month 3 | — |
Secondary
| Measure | Time frame |
|---|---|
| To study 3-year disease free survival as a function of baseline and post radiotherapy immune cell composition.Timepoint: 3 years from last day of treatment date and/or to date of recurrence/relapse. | — |
Countries
India
Contacts
Tata Memorial Centre