This multi centric international retrospective study aims to register patients with oligo metastatic and oligo recurrent cervical cancer. The study will register patients in planned period with an aim to analyse clinical outcomes with or without use of radiation in this setting.
Detailed clinical protocol can be obtained by contacting the principal investigator.
Study Type
OBSERVATIONAL
Enrollment
350
The aim is to include all patients with (induced) oligo metastatic and oligo recurrent settings, irrespective of whether treated with concurrent chemoradiation, systemic chemotherapy, or with other locally directed therapies (like surgery, ablation, etc.)
3-year overall survival
To estimate overall survival of patients diagnosed with oligo-recurrent and (induced) oligo-metastatic cervix cancer.
Time frame: From date of diagnosis of recurrence untill the date of death due to any cause or date of censoring at the last time the subject was known to be alive, whichever came first, assessed upto 3 years after initiation of the study
3-year Infield progression free survival
To estimate infield progression-free survival and progression-free interval of patients diagnosed with oligo-recurrent and (induced) oligo-metastatic cervix cancer.
Time frame: From date of first disease progression to date of subsequent progression or death from any cause, whichever came first, assessed upto 3 years after initiation of the study
3- year Progression free survival
To estimate overall progression-free survival of patients diagnosed with oligo-recurrent and (induced) oligo-metastatic cervix cancer.
Time frame: From date of first disease progression to subsequent disease progression or death from any cause, whichever came first, assessed upto 3 years after initiation of the study
Dose response relationship of nodal and visceral progressions
Radiation Dose-Response Curve will be generated for mean time to nodal and visceral progressions at different dose level
Time frame: From date of start of treatment of disease progression, assessed upto 3 years
Dose response relationship within setting of re-irradiation (infield progressions)
Radiation Dose-Response Curve will be generated for mean time to infield progression at different dose level
Time frame: From date of start of treatment of disease progression, assessed upto 3 years
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Moderate to severe adverse events within the (induced) oligo-metastatic and oligo-recurrent setting ( including toxicity with targeted agents like bevacuzimab and pembrolizumab)
Number or percent of participants with treatment-related moderate to severe adverse events as assessed by CTCAE v4.0 (If available)
Time frame: From date of start of treatment of recurrence to end of study, assessed upto 3 years after initiation of the study
Report on various risk groups within oligo-metastatic and oligo-recurrent setting
Clinical, pathological, and treatment-related factors of patients recorded during the sudy will be used to develop multivariable risk models to identify risk factors and define various risk groups within oligo-metastatic and oligo-recurrent setting
Time frame: From date of recurrence to end of study, assessed upto 3 years after initiation of the study
Nomogram which correlates risk groups with expected outcomes within the (induced) oligo-metastatic and oligo-recurrent setting
Nomogram will be developed which could estimate the probability of a expected outcomes (overall survival, infield progression free survival, overall progression free survival) based on the risk group the patient belongs to within oligo-metastatic and oligo-recurrent setting.
Time frame: From date of recurrence to end of study, assessed upto 3 years after initiation of the study
Tissue based biomarkers
Sponsor Institute will facilitate storage of biopsy tissue of patients within oligo-metastatic and oligo-recurrent setting included in this study. In future, these tissue samples will be used for translational reseach in this field.
Time frame: From date of start of recurrence to end of study, assessed upto 3 years after initiation of the study