10 Participants NeededMy employer runs this trial

Cesium-131 Brachytherapy for Gynecologic Cancers

HP
Overseen ByHeather Pavlik
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new method to treat cervical and endometrial cancer that has recurred in the vagina after previous radiation therapy. Instead of major surgery to remove organs, small radioactive seeds called cesium-131 are placed directly near the tumor to emit radiation and target cancer cells. This approach, known as Cesium-131 Low Dose Radiation (LDR), may help preserve organs and reduce side effects. Individuals with cervical or endometrial cancer that has returned after radiation treatment and have a tumor suitable for the cesium implant might be a good fit for this study. As an unphased trial, this study offers a unique opportunity to explore innovative treatment options that could potentially improve quality of life.

What prior data suggests that this brachytherapy technique is safe for treating gynecologic cancers?

Research has shown that cesium-131 brachytherapy is generally safe for treating certain cancers. This treatment involves placing tiny radioactive seeds close to the tumor. Studies have found that cesium-131 effectively manages gynecologic cancers in patients who need this treatment.

Cesium-131 is already used to treat prostate cancer and has a high success rate in keeping patients cancer-free. The seeds used in this therapy lose their radioactivity quickly, reducing long-term exposure.

While cesium-131 is usually well-tolerated, it can have side effects like all treatments. These side effects depend on the treated area and can vary from person to person. However, research suggests that any side effects are manageable.

In summary, cesium-131 brachytherapy appears to be a promising and safe option for those with recurrent gynecologic cancers, offering a less invasive alternative to major surgery.12345

Why are researchers excited about this trial?

Cesium-131 brachytherapy is unique because it uses a new form of low-dose radiation specifically for gynecologic cancers. Unlike traditional external beam radiation therapy, Cesium-131 is implanted directly into the tumor site, allowing for a more precise delivery of radiation. This can potentially reduce damage to surrounding healthy tissues and shorten the overall treatment time. Researchers are excited about this approach because it could lead to fewer side effects and improved quality of life for patients compared to conventional radiation therapies.

What evidence suggests that cesium-131 brachytherapy is effective for treating vaginal recurrence of cervical and endometrial cancer?

Research has shown that Cesium-131 brachytherapy, which participants in this trial will receive, can effectively treat cervical and endometrial cancers. This treatment places tiny radioactive seeds near the tumor to deliver direct radiation. Studies have found that this method is generally well-tolerated and shows promising early results. Cesium-131 brachytherapy may help preserve organs, offering an alternative to major surgery. It has been used successfully in treating various cancers, indicating its potential for these specific conditions. Overall, the evidence is encouraging for those considering this treatment option.678910

Are You a Good Fit for This Trial?

This trial is for people with cervical or endometrial cancer that has come back in the vagina after previous pelvic radiation. Participants must have a measurable vaginal tumor and be healthy enough to undergo the procedure, but do not need specific organ function tests since no chemotherapy is given.

Inclusion Criteria

I have had pelvic radiation for cervical or endometrial cancer within safe limits.
I understand the study and am willing to sign a consent form.
I do not need to meet specific organ or marrow function levels for this study.
See 4 more

Exclusion Criteria

I have not had another active or recent invasive cancer in the past 3 years.
History of allergic reactions to compounds chemically or biologically similar to Cesium-131 implant or other study agents
I have cancer that has spread and can be seen on scans at enrollment.
See 2 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Cesium-131 low-dose rate interstitial brachytherapy is administered as an organ-preserving radiation technique

3-4 weeks
1-2 visits (in-person) for implantation

Follow-up

Participants are monitored for organ preservation and progression-free survival

1 year
Regular visits (in-person) for imaging and physical exams

Extended Follow-up

Assessment of tumor marker expressions and long-term outcomes

2 years

What Are the Treatments Tested in This Trial?

Interventions

  • Cesium-131 Low Dose Radiation (LDR)

Trial Overview

The study is testing cesium-131 low-dose rate brachytherapy, where tiny radioactive seeds are placed directly into or near the recurrent tumor to deliver targeted internal radiation while aiming to preserve organs. This offers an alternative to major surgery.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Cesium-131 BrachytherapyExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Denise Fabian

Lead Sponsor

Trials
2
Recruited
50+

Citations

Implementation and early clinical results utilizing Cs-131 ...

Permanent interstitial brachytherapy with Cs-131 was well tolerated with favorable early results compared to other series.

Cs-131LDR Brachytherapy for Organ-Preserving ...

Cesium-131 low-dose rate interstitial brachytherapy may be an effective organ-preserving radiation technique for the treatment of cervical and ...

Cesium-131 Low-Dose Rate Interstitial Brachytherapy as ...

Cesium-131 low-dose rate interstitial brachytherapy may be an effective organ-preserving radiation technique for the treatment of cervical and endometrial ...

a comparison of Ir-192 versus Co-60 sources - PMC

Cervical cancer patients who were treated with HDR Co-60 brachytherapy were comparable in survival and toxicity outcomes of those with HDR Ir-192 brachytherapy.

Study Details | NCT07631572 | Cs-131LDR Brachytherapy ...

Cesium-131 low-dose rate interstitial brachytherapy may be an effective organ-preserving radiation technique for the treatment of cervical and endometrial ...

Reporting and Outcomes of Brachytherapy for Gynecologic ...

Percentage of reporting for various parameters in the 50 studies on gynecological reirradiation with brachytherapy, published from 1990 to 2025.

COVID-19 impact on timing of brachytherapy treatment ... - PMC

The purpose of this study was to highlight the importance of timely brachytherapy treatment for patients with gynecologic, breast, and prostate malignancies ...

A Review of Practice and Outcomes of External Beam Radiotherapy ...

exceptionally effective and safe in the curative management of selected gynecologic cancers for whom interstitial radiation techniques are indicated ...

A. Gabriella Wernicke | Publications | Zucker School of Medicine

Median follow-up ranged from 5-19.3 months for Cs-131 patients and 7.2-12.2 for IORT patients. Aggregated RN rates were 17.5% for Cs-131 with GammaTile (GT), ...

Evaluation of the new cesium-131 seed for use in low- ...

Cesium-131 is a low-energy x-ray emitter, . The intended application is brachytherapy for treating cancers. The 131Cs radioisotope with a short half-life time ...