Gentler surgery for cervical cancer shows promise, study halted early
NCT ID NCT01048853
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether a less invasive surgery (conservative surgery) could safely treat women with early-stage, low-risk cervical cancer. The goal was to see if this approach causes fewer side effects and helps recovery. The study included 137 women with stage IA2 or IB1 cervical cancer and was stopped early, but the results help guide future treatment decisions.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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137 people
The number who actually took part.
- Started
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Apr 2010
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically confirmed squamous cell carcinoma of the cervix (any grade) or histologically confirmed grade 1 or 2 adenocarcinoma of cervix * International Federation of Gynecology and Obstetrics (FIGO) stage IA2 or IB1 disease * Tumor diameter =\< 2 cm on physical exam and on imaging studies * No lymphovascular space invasion (LVSI) present on biopsy or previous cone * Less than 10 mm of cervical stromal invasion * Cone margins and endocervical curettage (ECC) specimen negative for invasive cancer, cervical intraepithelial neoplasia (CIN) II, CIN III or adenocarcinoma-in-situ; (a negative margin is defined as no invasive cancer within 1.0 mm of both the endocervical and ectocervical margins and no adenocarcinoma in situ \[AIS\] or CIN II or CIN III at the inked or cauterized margin; one repeat cone and ECC permitted) * Patients are eligible for the study when a cone and ECC are performed prior to pre-enrollment in the study, and pathologic eligibility criteria are met; the cone and ECC must be performed within 12 weeks prior to pre-enrollment in the study; if the cone and ECC performed prior to pre-enrollment do not meet the pathologic criteria, patients may be pre-enrolled and are allowed 1 repeat cone \& ECC after pre-enrollment in order to meet pathologic eligibility criteria * Patients must sign an approved informed consent document * If patient is of childbearing potential, she must have a negative blood or urine pregnancy test within 14 days of surgical treatment on study * Imaging with positron emission tomography (PET) scan, computed tomography (CT) scan of the abdomen and pelvis, and/or magnetic resonance imaging (MRI) of the abdomen and pelvis must be performed and negative for metastatic disease within 12 weeks of enrollment Exclusion Criteria: * Clear cell, neuroendocrine, adenosquamous, serous carcinoma or other high-risk histologies * Grade 3 adenocarcinoma * FIGO stage IA1, IB2, II, III or IV disease * Tumors \> 2 cm in diameter on physical exam or imaging studies * Presence of LVSI * Greater than or equal to 10 mm of cervical stromal invasion * Cone margins or ECC specimen positive for invasive cancer, CIN II, CIN III or adenocarcinoma-in-situ (one repeat cone permitted) * Neoadjuvant radiation therapy or chemotherapy for cervical cancer * Patients unwilling or unable to provide informed consent for the study * Evidence of metastatic disease on PET, CT, and/or MRI performed within 12 weeks of enrollment * Patients who have had a simple hysterectomy (cut through hysterectomy)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207, United States
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Hospital Israelita Buenos Aires
Buenos Aires, 1407, Argentina
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Hospital Italiano of Buenos Aires
Buenos Aires, 1181, Argentina
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Hosptial de Cancer de Barretos
Barretos, São Paulo, 14784, Brazil
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Instituto Nacional De Cancerologia
Bogotá, 99999, Colombia
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Instituto Nacional De Cancerologia de Mexico
Mexico City, Tlalpan, 14080, Mexico
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Instituto Nacional de Enfermedades Neoplasicas
Lima, Lima 34, Peru
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Instituto de Oncologia Angel H Roffo
Buenos Aires, 1417, Argentina
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King Chulalongkorn University
Bangkok, Pathumwan, 10330, Thailand
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Lyndon Baines Johnson General Hospital
Houston, Texas, 77026-1967, United States
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M D Anderson Cancer Center
Houston, Texas, 77030, United States
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MD Anderson Cancer Center at Cooper-Voorhees
Voorhees Township, New Jersey, 08043, United States
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MD Anderson League City
Nassau Bay, Texas, 77058, United States
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MD Anderson in Katy
Houston, Texas, 77094, United States
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MD Anderson in Sugar Land
Sugar Land, Texas, 77478, United States
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MD Anderson in The Woodlands
The Woodlands, Texas, 77384, United States
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Nebraska Methodist Hospital
Omaha, Nebraska, 68114, United States
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Northwell Health Imbert Cancer Center
Bay Shore, New York, 11706, United States
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Royal Women's Hosptial
Melbourne, Victoria, 3052, Australia
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The Woman's Hospital of Texas
Houston, Texas, 77054, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a higher radiation dose beat cervical cancer without more harm?
- Can adding radiation boost the power of immunotherapy in advanced cervical cancer?
- New smart chemo targets tumors, spares healthy tissue
- Prehabilitation boosts pelvic floor recovery in cervical cancer patients
- Gene-Guided drug cocktail shows promise for Tough-to-Treat gynaecological cancers