CClinicalTrials.gg
RecruitingNCT07415681Updated Aug 10, 2026

GCCC 2578 Randomized Photon vs Proton RT for Newly Diagnosed Gynecologic Primaries

A Phase 2 interventional study of Volume Modulated Arc Therapy (VMAT) and Intensity Modulated Proton Therapy (IMPT) in Gynaecologic Cancer, Cervical Cancer and Radiation Therapy, sponsored by University of Maryland, Baltimore. Recruiting at 5 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-10.

Sponsored by University of Maryland, Baltimore · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
116
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The purpose of study is to compare the side effects of two different forms of radiation for endometrial and cervical cancer. If you decide to enroll in this study, you will be randomized to one of two treatment groups. This study will compare two standard of care treatments: "Conventional" pHoton radiation versus pRoton radiation.

02

Conditions studied

  • Gynaecologic Cancer
  • Cervical Cancer
  • Radiation Therapy
03

In context

Uterine Cervical Neoplasms

1,881 studies on the registry are indexed under Uterine Cervical Neoplasms; 567 are open to participants now.

This study's planned enrollment of 116 is above the median of 100 across 1,377 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

University of Maryland, Baltimore is the lead sponsor of 687 studies on the registry; 130 are open to participants now.

Of its 90 completed or terminated interventional studies of FDA-regulated products, 63 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. a. Newly diagnosed endometrial cancer after TAH/BSO and nodal sampling, sentinel LN biopsy or pelvic nodal dissection planning to receive sequential chemotherapy and radiation or concurrent chemoradiotherapy or b. cervical cancer planning to receive definitive chemoradiation with HDR brachytherapy boost
  2. Histologic confirmation of malignancy (primary only)
  3. ≥ 18 years of age
  4. ECOG performance status ≤ 2
  5. Patient must have the ability to understand and the willingness to sign a written informed consent document or when appropriate, have an acceptable surrogate capable of giving consent on the subject's behalf.
  6. Insurance approval for IMPT

Exclusion criteria

Exclusion Criteria:

  1. Metastatic disease beyond para-aortic lymph nodal region
  2. Residual tumor after surgery exceeding 2 cm in maximum dimension in patients with endometrial cancer.
  3. FIGO 2014 stage III-IVA cervix cancer planning to receive concurrent pembrolizumab.
  4. Cervical cancer with inability to receive concurrent chemotherapy.
  5. Any prior pelvic radiation.
  6. Treatment with other investigational agents.
  7. Carcinosarcoma.
  8. Creatine clearance \<30 mL/m2
  9. Unable to lie flat during or tolerate radiation.
  10. Refusal to sign informed consent.
  11. Any additional active cancer that would interfere with the primary study endpoints
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
116 participants (estimated)

Study arms

  • Active comparator
    Photon Radiation

    Photon Radiation Therapy (Volume Modulated Arc Therapy (VMAT))

    Radiation: Volume Modulated Arc Therapy (VMAT)

  • Active comparator
    Proton Radiation

    Proton Radiation Therapy (Intensity Modulated Proton Therapy (IMPT))

    Radiation: Intensity Modulated Proton Therapy (IMPT)

Interventions

  • RadiationVolume Modulated Arc Therapy (VMAT)

    VMAT RT- 45-50.4 Gy in 1.8-2 Gy fractions All patients will receive concurrent cisplatin 40 mg/m2 on a weekly basis during EBRT in accordance with standard of care. No chemotherapy will be utilized during HDR brachytherapy.

    Also known as: Arm 1

  • RadiationIntensity Modulated Proton Therapy (IMPT)

    IMPT- 45-50.4 Gy in 1.8-2 Gy fractions All patients will receive concurrent cisplatin 40 mg/m2 on a weekly basis during EBRT in accordance with standard of care. No chemotherapy will be utilized during HDR brachytherapy.

    Also known as: Arm 2

06

What researchers measure

Primary outcomes

  1. Number of participants with treatment-related Acute Gastrointestinal Toxicity as assessed by CTCAE v 5.0

    To compare patient reported acute gastrointestinal toxicity specifically grade 2 or higher (CTCAE) diarrhea events between IMPT and VMAT for patients receiving pelvic nodal irradiation for newly diagnosed cervical and endometrial cancer.

    Time frame: 2-years following completion of treatment

Secondary outcomes

  1. Incidence of grade 4 (via CTCAE) lymphopenia during radiation between IMPT and VMAT

    To compare the incidence of grade 4 lymphopenia during radiation between IMPT and VMAT for patients receiving pelvic nodal irradiation for newly diagnosed cervical and endometrial cancer.

    Time frame: 2-year following completion of treatment

  2. Number of patients with decreased lymphocyte values at first follow-up visit post radiation

    To compare lymphocyte nadir at first follow-up visit after completion of radiation.

    Time frame: 3 months post completion of RT

  3. Number of patients with physician reported GI toxicities assessed by CTCAE v5

    To compare physician reported GI outcomes between arms.

    Time frame: 2 years post radiation treatment

  4. Rates of treatment completion within scheduled time frame

    To compare rates of treatment completion within scheduled time frame between arms.

    Time frame: 2 years post treament

  5. GI, GU and hematologic grade 2 or higher late toxicity events (via CTCAE)

    To compare GI, GU and hematologic grade 2 or higher late toxicity events between arms.

    Time frame: 2 years post treatment completion

  6. Compare 2-year overall survival, local failure and distant failure

    To compare 2-year overall survival, local failure and distant failure between arms.

    Time frame: 2 years post treatment completion

07

Study locations

5 of 5 sites recruiting
  • Maryland Proton Treatment Center
    Baltimore, Maryland 21201, United States
    Recruiting
  • University of Maryland Greenebaum Cancer Center
    Baltimore, Maryland 21201, United States
    Recruiting
  • Upper Chesapeake Health
    Bel Air, Maryland 21014, United States
    Recruiting
  • Central Maryland Radiation Oncology
    Columbia, Maryland 21044, United States
    Recruiting
  • Baltimore Washington Medical Center- Tate Cancer Center
    Glen Burnie, Maryland 21061, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07415681
Lead sponsor
University of Maryland, Baltimore
Responsible party
Elizabeth Nichols (Principal Investigator, University of Maryland, Baltimore) — Principal investigator
First posted
Feb 17, 2026
Start date
Mar 25, 2026
Primary completion
Dec 2029 (estimated)
Completion
Dec 2033 (estimated)
Last update
Aug 10, 2026

Study contacts

Elizabeth Nichols, MD
Contact
enichols1@umm.edu
410-328-6080
Caitlin Eggleston, MPH
Contact
caitlineggleston@umm.edu
410-369-5351
Elizabeth Nichols, MD
principal investigator · University of Maryland Medical Center/Maryland Proton Treatment Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion