NCT01823315.
Trial name or title | Methotrexate single‐dose treatment and methotrexate/actinomycin‐D single‐dose treatment in low‐risk gestational trophoblastic neoplasia (GTN‐01) |
Methods | Open‐label RCT in China; 3‐year follow‐up |
Participants | 300 women with LRGTN |
Interventions | Arm 1: MTX 0.4 mg/(kg·day) IM on days 1‐5. If BhCG level can not drop to 1/10 of the origin level during the following 3 weeks, additional course is administered at 2‐week intervals, after the first normal hCG value has been recorded. Arm 2: Act D 0.6 mg/m2, IV on day 1,2; MTX 100 mg/m2, IV, on day1 (after Act D); MTX 200 mg/m2, IV, on day 1 (after MTX, 500 mL NS > 4 hours) If BhCG level does not drop to 1/10 of the origin level during the following 3 weeks, additional courses are administered at 2‐week intervals, with one additional cycle after the first normal hCG value has been recorded. |
Outcomes | Primary: adverse events; progression‐free survival, CR and treatment failure Secondary: resumption of menstruation, pregnancy rate, delivery rate of live‐born babies, abnormal pregnancy (stillbirth, neonatal deaths, miscarriage, terminations, ectopic and molar pregnancies) |
Starting date | December 2012. Estimated completion date December 2017 |
Contact information | Dr Danhui Weng Tongji Hospital, Wuhan, Hubei, China, 430030 |
Notes |
Act D = Actinomycin D; BhCG = beta human chorionic gonadotrophin; CR = Complete response; CT = chemotherapy; FIGO = International Federation of Gynecology and Obstetrics; IM = intramuscular; IV = intravenous; LRGTN = low‐risk gestational trophoblastic neoplasia; MTX = Methotrexate; NS = normal saline; PO = by mouth; QoL = quality of life; RCT = randomised controlled trial; WHO = World Health Organization