Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID07022470

Brachytherapy Fractionation Individualized by Treatment Feasibility in Cervical Cancer: Phase II Trial Comparison of 3 vs 4 Fractions (BRACHY-FIT)

Led by Stanford University · Updated on 2025-06-15

41

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the feasibility of a shorter high dose rate (HDR) brachytherapy regimen for patients with locally advanced cervical cancer. This non-randomized Phase II trial compares a 3-fraction HDR brachytherapy schedule against the standard 4-fraction schedule. The study aims to determine whether the shorter 3-fraction regimen can be safely delivered based on specific dosimetric criteria during treatment planning. Participants who meet certain dosimetric thresholds at their first brachytherapy session will receive the investigational 3-fraction regimen, consisting of 8 Gy per fraction for a total of 24 Gy. Those who do not meet these criteria will receive the standard care 4-fraction regimen, with 7 Gy per fraction totaling 28 Gy. The treatment allocation is based on individualized planning rather than random assignment. During the study, researchers will monitor how many patients can complete the 3-fraction regimen within about 8 months. Patients will undergo standard evaluations including clinical assessments and imaging as required for brachytherapy planning and delivery. Safety and treatment feasibility will be closely followed, with participation lasting through the treatment period and follow-up as scheduled by the clinical team.

CONDITIONS

Brief Title

Phase II Trial Comparison of 3 vs 4 Fractions (BRACHY-FIT).

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically documented malignancy of the cervix and planned to receive brachytherapy as part of definitive treatment.
  • ECOG performance status of 0-2
  • Age 2 18 years old.
  • Ability to understand and the willingness to provide written informed consent.
Not Eligible

You will not qualify if you...

  • Contraindication to receiving radiotherapy as determined by treating radiation oncologist.
  • Contraindication to receiving MRI.
  • Prior radiation to the pelvis > 3 months ago
  • Age < 18 years old.
  • Pregnant or breast-feeding

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Up to treatment completion (typically several weeks)

Participants receive high-dose-rate brachytherapy in either 3 or 4 fractions based on individual dosimetric criteria.

3 to 4 treatment visits (in-person)

Trial Site Locations

Total: 1 location

1

Stanford University

Palo Alto, California, United States, 94304

Actively Recruiting

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Research Team

A

Alyssa Alyssa

J

Jillian Skerchak

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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