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. 2016 Jun 9;2016(6):CD007102. doi: 10.1002/14651858.CD007102.pub4

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