locally advanced adenocarcinoma of the uterine cervix
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pathologically proven adenocarcinoma or adenosquamous carcinoma of the uterine cervix 2. Stage IIB, III, or IVA disease (FIGO 1994) 3. No enlarged para-aortic lymph node by CT scan 4. Measurable disease 5. Age; 20-70 years 6. PS; WHO 0-2 7. Patients with unresectable disease or patients who refuse surgery 8. No prior surgery or chemotherapy to cervical cancer 9. Adequate bone marrow, hepatic, and renal functions; white blood cells >= 3000/m3 hemoglobin >= 10g/dl platelets >= 100,000/m3 total bilirubin <= 1.5mg/dl AST/ALT <= 100IU/dl serum creatinine <= 1.5mg/dl creatinine clearance >= 50ml/min ECG: within normal range 10. Life expectancy; longer than 6 months 11. Written informed consent
Exclusion criteria
Exclusion criteria: 1. Severe concomitant illness (e.g. uncontrolled heart disease, uncontrolled hypertension, uncontrolled diabetes mellitus, uncontrolled infectious disease, active gastric ulcer, uncontrolled mental illness) 2. History of other malignancies within the past 5 years 3. Tumor invading directly to the rectum 4. Prior radiotherapy to the pelvis 5. Patients who are judged inappropriate for the entry into the study by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Phase I study Acute toxicity (to determine the maximum tolerated dose and the recommended dose for phase II study) Phase II study Response rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Phase I study Response rate at the RD level Phase II study Acute and late toxicity Local control Progression-free survival Overall survival | — |
Countries
Japan