Health Condition 1: C53- Malignant neoplasm of cervix uteri
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically confirmed squamous cell carcinoma of the cervix. 2. FIGO 2018 stage IB3 to IVA 3. Completed standard CCRT with brachytherapy 4 EGFR positive tumor, defined by immunohistochemistry or PCR on biopsy 5. ECOG Performance Status 0 to 2 6. Adequate organ function, Hb more than 10 g per dL, ANC more than or equal to 1500 per microL, Platelets more than or equal to 100,000 per microL, Serum creatinine less than 1.4 mg per dL and creatinine clearance more than 60 mL per min . 7. Signed informed consent .
Exclusion criteria
Exclusion criteria: 1. Distant metastases by imaging. 2. Prior systemic therapy, other than concurrent cisplatin or targeted therapy for cervical cancer. 3. Another active malignancy. 4. Pregnancy or lactation. 5. Uncontrolled comorbidities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the safety and efficacy of gefitinib in EGFR-positive cervical cancer patients treated with standard chemoradiotherapy followed by consolidation gefitinib therapy.Timepoint: Monthly visits for 6 8 months while patients are on EGFR targeted therapy. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To assess the incidence of EGFR positivity rate in squamous cell carcinoma of cervix. 2. To evaluate the safety and tolerability of gefitinib consolidation by assessing acute and late treatment-related toxicities using RTOG/EORTC and CTCAE v5.0 criteria. 3. To monitor patient compliance during the consolidation therapy. 4. Disease free survival and progression free survivalTimepoint: After Completion of EGFR targeted therapy: Every 3 months for the first 2 years. Every 6 months for the next 3 years. Annually thereafter until 5 years. | — |
Countries
India
Contacts
Department of Radiotherapy and Radiation Medicine, Institute of Medical Sciences, BHU, Varanasi