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NCT01627288: IDEAL

Integrated Dose Escalation for Advanced, Localized Gynecologic Cancer (The IDEAL - GYN Trial)

Completed NA Results posted Last updated 8 February 2021
What this trial tests

NA trial testing Boost radiation in Cancer of the Cervix in 12 participants. Completed in 16 November 2019.

Timeline
4 June 2012
Primary endpoint
16 November 2018
16 November 2019

Quick facts

Lead sponsorDuke University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment12
Start date4 June 2012
Primary completion16 November 2018
Estimated completion16 November 2019
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Duke University

Who can join

18 and older, female only, with Cancer of the Cervix or Cervical Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Maximum Tolerated Dose of Integrated Boost Radiation Therapy, Administered With IMRT Technique With Concurrent Chemotherapy (Cisplatin). Primary · During RT to 6 weeks post RT

Concurrent radiation therapy and chemotherapy is the standard of care for node positive cervical cancer. While there are several acceptable means to boost the disease in the low pelvis (i.e. brachytherapy, IMRT, or external beam), there is limited research into boosting gross disease in the pelvis or para-aortic region. This protocol is designed to determine the maximum tolerated dose of treating tumor bearing regions within the abdomen and pelvis, using an integrated boost technique and concurrent chemotherapy.

GroupValue95% CI
Treatment Arm70
Time to Local-regional Control With Integrated Boost Radiation Therapy (TTLR) Secondary · 3 years following treatment

Local-regional control is defined as local control without any nodal recurrence.

GroupValue95% CI
Combined Treatment Arms1.5± 0.1
Boost Radiation: Dose Level 1 (60 Gy)NA± NA
Boost Radiation: Dose Level 2 (65)0.65± NA
Boost Radiation: Dose Level 3 (70Gy)1.52± 0.04
Time to Distant Recurrence (TTDR) Secondary · 3 years after treatment
GroupValue95% CI
Combined Treatment Arms1.4± 0.1
Boost Radiation: Dose Level 1 (60 Gy)NA± NA
Boost Radiation: Dose Level 2 (65)1.2± NA
Boost Radiation: Dose Level 3 (70Gy)1.29± 0.22
Disease Free Survival (DFS) Secondary · 3 years after treatment
GroupValue95% CI
Combined Treatment Arms1.3± 0.1
Boost Radiation: Dose Level 1 (60 Gy)0.85± NA
Boost Radiation: Dose Level 2 (65)1.05± 0.23
Boost Radiation: Dose Level 3 (70Gy)1.34± 0.2
Overall Survival (OS) Secondary · 3 years after treatment
GroupValue95% CI
Combined Treatment Arms1.6± 0.1
Boost Radiation: Dose Level 1 (60 Gy)0.85± NA
Boost Radiation: Dose Level 2 (65)1.08± NA
Boost Radiation: Dose Level 3 (70Gy)1.7± NA
Number of Participants With Acute Dose Limiting Toxicities (DLT) Secondary · 6 weeks following treatment

Acute DLT will be defined based on the side effects inherent from radiation therapy for gynecologic cancers, including effects on bowel, bladder, and skin.Since integrated radiation dose escalation is unlikely to substantially affect the hematopoietic system, only non-hematologic, grade 3-4, acute toxicity will be considered the primary dose-limiting toxicity (acute DLT). Dose limiting toxicity will include any of the following during treatment or within 6 weeks of completion: Acute Grade 3-4 enteritis or proctitis, Acute Grade 3-4 bladder toxicity, Acute Grade 4 dermatologic toxicity.

GroupValue95% CI
Combined Treatment Arms1
Boost Radiation: Dose Level 1 (60 Gy)0
Boost Radiation: Dose Level 2 (65)0
Boost Radiation: Dose Level 3 (70Gy)1
Number of Participants With Late Dose Limiting Toxicities (DLT) Secondary · 3 years following treatment

Late DLTs will be defined at grade 3-4 GI or GU toxicity with onset after 6 weeks of treatment.

GroupValue95% CI
Combined Treatment Arms1
Boost Radiation: Dose Level 1 (60 Gy)0
Boost Radiation: Dose Level 2 (65)0
Boost Radiation: Dose Level 3 (70Gy)1

Adverse events — posted to ClinicalTrials.gov

Time frame: 3 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Dose Level 1
Serious: 2/3 (67%)
Deaths: 1/3
Dose Level 2
Serious: 0/3 (0%)
Deaths: 1/3
Dose Level 3
Serious: 1/6 (17%)
Deaths: 1/6

Serious adverse events (7 terms)

ReactionSystemDose Level 1Dose Level 2Dose Level 3
NauseaGastrointestinal disorders
Rectal necrosisGastrointestinal disorders
VomitingGastrointestinal disorders
DehydrationMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
Urinary fistulaRenal and urinary disorders
Urinary tract obstructionRenal and urinary disorders
Other adverse events (45 terms — click to expand)

ReactionSystemDose Level 1Dose Level 2Dose Level 3
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
PainGeneral disorders
DyspareuniaReproductive system and breast disorders
AnemiaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
White blood cell decreasedInvestigations
ColitisGastrointestinal disorders
ConstipationGastrointestinal disorders
HemorrhoiidsGastrointestinal disorders
Platelet count decreasedInvestigations
Weight lossInvestigations
HypokalemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
Cystitis noninfectiveRenal and urinary disorders
Urinary urgencyRenal and urinary disorders
Gastrointestinal disordersGastrointestinal disorders
ProctitisGastrointestinal disorders
Rectal hemorrhageGastrointestinal disorders
Rectal painGastrointestinal disorders
Salivary duct inflammationGastrointestinal disorders
Edema limbsGeneral disorders
Upper respiratory infectionInfections and infestations
ry tract infectionInfections and infestations
Lymphocyte count decreasedInvestigations
Neutrophil count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
Avascular necrosisMusculoskeletal and connective tissue disorders
Muscle weakness upper limbMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Acute kidney injuryRenal and urinary disorders
Renal and urinary disordersRenal and urinary disorders
Urinary frequencyRenal and urinary disorders
Urinary incontinenceRenal and urinary disorders
Urinary tract painRenal and urinary disorders
Pelvic painReproductive system and breast disorders
Vaginal hemorrhageReproductive system and breast disorders
VaginismusReproductive system and breast disorders

Most-reported serious reactions: Nausea, Rectal necrosis, Vomiting, Dehydration, Hypokalemia, Urinary fistula, Urinary tract obstruction.

Data from ClinicalTrials.gov NCT01627288 adverse events section.

Sponsor's own description

The purpose of this study is to determine the maximum tolerated dose of integrated boost radiation therapy when given with concurrent chemotherapy (cisplatin).

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other recruiting trials for Cancer of the Cervix

Currently open trials in the same condition.

Other Duke University trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01627288.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing