RecruitingNot ApplicableNCT03719547

Robot-assisted Approach to Cervical Cancer


Sponsor

Karolinska Institutet

Enrollment

800 participants

Start Date

May 28, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of the RACC trial is to compare the oncologic outcome defined as recurrence-free survival (RFS) between robot-assisted and open radical hysterectomy for the treatment of early stage cervical cancer.


Eligibility

Sex: FEMALEMin Age: 18 Years

Inclusion Criteria8

  • Histologically confirmed primary adenocarcinoma, squamous cell carcinoma or adeno-squamous carcinoma of the uterine cervix;
  • Patients with histologically confirmed stage IB (IB3 excluded) and IIA1, according to the latest revision of the FIGO staging manual
  • Patients undergoing either a Type B or C radical hysterectomy (Querleu and Morrow classification)
  • Patients with adequate bone marrow, renal and hepatic function
  • ECOG Performance Status of 0, 1 or 2.
  • Patient must be suitable candidates for surgery.
  • Patients who have signed an approved Informed Consent
  • Age 18 years or older

Exclusion Criteria10

  • Any histology other than adenocarcinoma, squamous cell carcinoma or adeno-squamous carcinoma of the uterine cervix
  • Tumor size greater than 4 cm
  • FIGO stage II-IV (except IIA1)
  • Patients with a history of pelvic or abdominal radiotherapy
  • Patients who are pregnant
  • Patients with contraindications to surgery
  • Patients with evidence of metastatic disease by conventional imaging, enlarged pelvic or aortic lymph nodes \> 2cm; or histologically positive lymph nodes
  • Serious concomitant systemic disorders incompatible with the study (at the discretion of the investigator)
  • Patients unable to withstand prolonged lithotomy and steep Trendelenburg position
  • Patients with secondary invasive neoplasm in the last 5 years (except non-melanoma skin cancer, breast cancer T1N0M0 grade 1 or 2 without any signs of recurrence or activity)

Interventions

PROCEDUREAbdominal radical hysterectomy

Radical hysterectomy (type B or C according to the Querleu\&Morrow classification) with pelvic lymphadenectomy

PROCEDURERobot-assisted radical hysterectomy

Radical hysterectomy (type B or C according to the Querleu\&Morrow classification) with pelvic lymphadenectomy

DIAGNOSTIC_TESTSentinel lymph node biopsy

Assessment of sentinel lymph nodes using either radiotracer or indocyanine green (ICG)


Locations(1)

Karolinska University Hospital

Stockholm, Sweden

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT03719547


Related Trials