Actively Recruiting

Phase 2
Age: 18Years +
FEMALE
ID05076942

Groningen International Study on Sentinel Nodes in Vulvar Cancer-III A Prospective Phase II Treatment Trial

Led by University Medical Center Groningen · Updated on 2023-08-01

157

Participants Needed

27

Research Sites

52 weeks

Total Duration

On this page

Sponsors

U

University Medical Center Groningen

Lead Sponsor

D

Dutch Cancer Society

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to evaluate a new treatment approach for early-stage vulvar cancer patients who have sentinel lymph node (SN) metastases larger than 2mm. Traditionally, these patients undergo an inguinofemoral lymphadenectomy (IFL), a surgery linked to significant side effects like wound problems and leg swelling. Previous studies showed that radiotherapy alone was not enough for larger metastases, so this trial tests adding chemotherapy to improve treatment. Participants receive chemoradiation, which includes inguinofemoral radiotherapy totaling 56 Gy over 5 to 6 weeks, combined with weekly intravenous cisplatin chemotherapy. The radiotherapy is delivered in daily doses with a focused boost to affected lymph nodes. This study is a phase II trial designed to monitor safety and effectiveness, with rules to stop if groin recurrences become too frequent. During the study, participants will be closely monitored for groin recurrences within the first two years after treatment. Assessments include checking for treatment-related side effects, quality of life surveys specific to vulvar cancer, and regular follow-up visits. Researchers aim to gather detailed information about the safety of replacing surgery with chemoradiation and the impact on patients' well-being over time.

CONDITIONS

Brief Title

Groningen International Study on Sentinel Nodes in Vulvar Cancer-III

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically confirmed primary squamous cell carcinoma of the vulva
  • T1 tumor not involving the urethra, vagina, or anus
  • Depth of tumor invasion greater than 1 mm
  • Tumor diameter less than 4 cm
  • Unifocal tumor
  • No enlarged or suspicious inguinofemoral lymph nodes on imaging
  • Ability to provide informed consent
  • Metastatic sentinel lymph node with metastasis larger than 2 mm and/or extracapsular extension, or more than one sentinel node with metastasis 2 mm or smaller
  • Ability to understand study requirements and comply with procedures
  • Adequate bone marrow, kidney, and liver function as defined by specific blood counts and chemistry
  • Performance status of 0, 1, or 2 on ECOG scale
  • Age 18 years or older
  • Life expectancy of at least 12 weeks
  • Written informed consent obtained
Not Eligible

You will not qualify if you...

  • Inoperable tumors or tumors larger than 4 cm
  • Multifocal tumors
  • Tumors with pathology other than squamous cell carcinoma
  • Enlarged or suspicious lymph nodes confirmed metastatic by fine needle aspiration
  • Other carcinomas within the last 5 years except basal cell carcinoma
  • History of pelvic radiotherapy
  • Recent infection requiring hospitalization or antibiotics within 2 weeks before enrollment
  • Pregnant or nursing females
  • Desire to become pregnant
  • Known untreated or progressive brain or spinal cord metastases
  • Recent unstable heart conditions or severe congestive heart failure within 6 months prior to enrollment

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 5 to 6 weeks

Participants receive chemoradiation consisting of inguinofemoral radiotherapy combined with weekly cisplatin for early stage vulvar cancer with sentinel node metastasis.

Weekly visits for chemoradiation over 5 to 6 weeks

Follow-up

Duration - Up to 2 years

Participants are monitored for groin recurrence and treatment-related morbidity, with assessments of quality of life over the first two years after treatment.

Regular follow-up visits during the first 2 years after treatment

Trial Site Locations

Total: 27 locations

1

UC Irvine Health/Chao Family Comprehensive Cancer Center

Orange, California, United States, 92868

Actively Recruiting

2

Mount Sinai Medical Center

Miami Beach, Florida, United States, 33140

Actively Recruiting

3

Baystate Medical Center

Springfield, Massachusetts, United States, 01199

Actively Recruiting

4

Spectrum Health at Butterworth Campus

Grand Rapids, Michigan, United States, 49503

Actively Recruiting

5

Munson Medical Center

Traverse City, Michigan, United States, 49684

Actively Recruiting

6

Nebraska Methodist Hospital

Omaha, Nebraska, United States, 68114

Actively Recruiting

7

Women's Cancer Center of Nevada

Las Vegas, Nevada, United States, 89106

Actively Recruiting

8

Memorial Sloan Kettering Basking Ridge

Basking Ridge, New Jersey, United States, 07920

Actively Recruiting

9

Memorial Sloan Kettering Monmouth

Middletown, New Jersey, United States, 07748

Actively Recruiting

10

Memorial Sloan Kettering Bergen

Montvale, New Jersey, United States, 07645

Actively Recruiting

11

Memorial Sloan Kettering Commack

Commack, New York, United States, 11725

Actively Recruiting

12

Memorial Sloan Kettering Westchester

Harrison, New York, United States, 10604

Actively Recruiting

13

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

14

Memorial Sloan Kettering Nassau

Uniondale, New York, United States, 11553

Actively Recruiting

15

Duke University Medical Center

Durham, North Carolina, United States, 27710

Actively Recruiting

16

Duke Women's Cancer Care Raleigh

Raleigh, North Carolina, United States, 27607

Actively Recruiting

17

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States, 43210

Actively Recruiting

18

ProMedica Flower Hospital

Sylvania, Ohio, United States, 43560

Actively Recruiting

19

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States, 73104

Actively Recruiting

20

Women and Infants Hospital

Providence, Rhode Island, United States, 02905

Actively Recruiting

21

Avera Cancer Institute

Sioux Falls, South Dakota, United States, 57105

Actively Recruiting

22

Catharina Hospital Eindhoven

Eindhoven, Netherlands, 5623EJ

Actively Recruiting

23

University Medical Center Groningen

Groningen, Netherlands, 9712RB

Actively Recruiting

24

Leiden University Medical Center

Leiden, Netherlands, 2333ZA

Actively Recruiting

25

Radboud University Medical Center

Nijmegen, Netherlands, 6525GA

Actively Recruiting

26

Erasmus Medical Center

Rotterdam, Netherlands, 3015GD

Actively Recruiting

27

University Medical Center Utrecht

Utrecht, Netherlands, 3584CX

Actively Recruiting

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Research Team

M

Maaike H Oonk, MD PhD

L

Liza Lahaye

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Published Research Related To This Trial

Phase II activity trial of high-dose radiation and chemosensitization in patients with macrometastatic lymph node spread after sentinel node biopsy in vulvar cancer: GROningen INternational Study on Sentinel nodes in Vulvar cancer III (GROINSS-V III/NRG-GY024).

Lilian T Gien, Brian Slomovitz, Ate Van der Zee...

https://pubmed.ncbi.nlm.nih.gov/36653060