Evidence map›Paper›PMID 40947016›Full record

Trial reportAnnals of oncology : official journal of the European Society for Medical Oncology2025

Randomized phase III trial of adjuvant radiation versus chemoradiation in intermediate-risk, early-stage cervical cancer following radical hysterectomy and lymphadenectomy: results from NRG Oncology/GOG-263/KGOG 1008.

S Y Ryu, W Deng, K Albuquerque, W-J Koh, J Mayadev, A Heugel, B-J Kim, D-Y Kim, C-H Cho, J-W Kim and 10 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Annals of oncology : official journal of the European Society for Medical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01101451 (Randomized Phase III Clinical Trial of Adjuvant Radiation Versus Chemoradiation in Intermediate Risk, Stage I/IIA Cervical Cancer Treated With Initial Radical Hysterectomy and Pelvic Lymphadenectomy), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01101451 phase3completednot on this map

Randomized Phase III Clinical Trial of Adjuvant Radiation Versus Chemoradiation in Intermediate Risk, Stage I/IIA Cervical Cancer Treated With Initial Radical Hysterectomy and Pelvic Lymphadenectomy (NCT #01101451)

TypeinterventionalSponsorGOG FoundationRan2010 to 2024Enrolled340ConditionsCervical Adenocarcinoma, Cervical Adenosquamous Carcinoma, Cervical Squamous Cell Carcinoma, Not Otherwise Specified, Stage I Cervical Cancer AJCC v6 and v7ArmsCisplatin, External Beam Radiation Therapy, Intensity-Modulated Radiation Therapy, Laboratory Biomarker Analysis, Quality-of-Life Assessment
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

S Y RyuObstetrics and Gynecology, Korea Institute of Radiological and Medical Science, Seoul, Republic of Korea.
W DengNRG Statistical Center, Roswell Park Cancer Institute, Buffalo, USA.
K AlbuquerqueDepartment of Radiation Oncology, Harold C. Simmons Comprehensive Center, University of Texas-Southwestern Medical Center, Dallas, USA.
W-J KohNational Comprehensive Cancer Network, Plymouth Meeting, USA.
J MayadevRadiation Medicine and Applied Sciences, University of California San Diego, La Jolla, USA.
A HeugelUniversity Hospitals Cleveland Medical Center, Cleveland, USA.
B-J KimGynecologic Oncology, Korea Institute of Radiological and Medical Science, Seoul, Republic of Korea.
D-Y KimObstetrics and Gynecology, Asan Medical Center, Seoul, Republic of Korea.
C-H ChoObstetrics and Gynecology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
J-W KimObstetrics and Gynecology, Seoul National University Hospital, Seoul, Republic of Korea.
J H NoObstetrics and Gynecology, Seoul National University Bundang Hospital, Seoungnam, Republic of Korea.
R S MannelGynecologic Oncology, University of Oklahoma College of Medicine, Oklahoma City, USA.
K MillerGynecologic Oncology, Women & Infants' Program in Women's Oncology, Providence, USA.
D FabianRadiation Oncology, University of Kentucky Markey Cancer Center, Lexington, USA.
D M ChaseUniversity of California Los Angeles, Los Angeles, USA.
K M GilNortheast Ohio Medical University, Rootstown, USA.
W SmallDepartment of Radiation Oncology, Stritch School of Medicine, Cardinal Bernardin Cancer Center, Loyola University Chicago, Maywood, USA.
W RodgersPathology and Laboratory Medicine, Weill Cornell Medical College, New York, USA.
C A LeathUniversity of Alabama at Birmingham, O'Neal Comprehensive Cancer Center, Birmingham, USA. Electronic address: cleath@uabmc.edu.
B J MonkFlorida Cancer Specialists and Research Institute: GOG Foundation, West Palm Beach, USA.

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI James J. Dignam, GREG YOTHERS · 2014 to 2026
$146.4M
Treatment of HIV- and HIV+ Patients with HPV16+ CIN2/3 Using pNGLV4a-hCRTE6E7L2 DNA vaccine administered intramuscularly via electroporationP50CA098252 · NCI · JOHNS HOPKINS UNIVERSITY · PI TZYY-CHOOU WU · 2003 to 2026
$53.5M
NCTN Deep South Research ConsortiumUG1CA233330 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Charles A. Leath, Andrew M McDonald · 2019 to 2026
$3.7M
NCTN Deep South Research ConsortiumU10CA180855 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BJORNSTI, MARY-ANN, FALKSON, CARLA I · 2014 to 2018
$2.6M
NCI NIH HHS P50 CA098252NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180855NCI NIH HHS U10 CA180868NCI NIH HHS UG1 CA233330
6 · The paper itself

Abstract

backgroundTo determine whether adjuvant chemoradiation (CRT) with weekly cisplatin improves recurrence-free survival (RFS) compared with radiation (RT) in pathologically proven intermediate risk early-stage cervical cancer following radical hysterectomy and lymphadenectomy.

methodsPost-surgical patients with stage I-IIA cervical cancer with pathologically noted intermediate risk factors including combinations of capillary lymphatic space involvement, stromal invasion, and tumor size were randomly assigned in a 1 : 1 ratio to receive either adjuvant CRT or RT (NCT01101451). Patients received conformal RT, or intensity modulated radiation therapy. In the CRT arm, 6 weekly cycles of cisplatin 40 mg/m

resultsOf the 340 randomized patients, 316 were eligible and most had Federation of Gynecology and Obstetrics (2009) stage IB

conclusionAlthough RFS and OS favored CRT, the addition of cisplatin during RT did not statistically improve RFS or OS in cervical cancer patients with intermediate pathological risk factors following radical hysterectomy and lymphadenectomy. CRT increased grade 3 and 4 AEs with a transient decline in QoL.

Indexed as

Carcinoma, Squamous CellChemoradiotherapy, AdjuvantUterine Cervical NeoplasmsAdultAgedCisplatinDisease-Free SurvivalFemaleHumansHysterectomyLymph Node ExcisionMiddle AgedNeoplasm StagingQuality of LifeRadiotherapy, AdjuvantRisk FactorsCisplatincervical cancerchemo-radiationintermediate riskrecurrence-free survival

Identifiers

PMID40947016
PMCPMC12721713

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.