Uterine cervical cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients with inoperable or recurrent uterine cervical cancer after surgery which is resistant to chemotherapy or chemoradiation therapy 2) ECOG performance status score between 0 and 2 3) No brain or pulmonary metastasis 4) No major morbidity: neutrocyte above 500/mm3, hemoglobin above 7.0g/dL, platelet count above 50000/mm3, and serum creatinine persistently below 1.2 mg/dL 5) Written informed consent from the patient
Exclusion criteria
Exclusion criteria: 1) Initial conventional therapy was not performed although indicated. 2) No measurable lesion according to RECIST ver 1.1 3) History of severe allergic reaction to iodine contrast media or platinum derivatives. 4) Impossible to catheterize due to hostile vascular anatomy 5) Contraindication to general anesthesia 6) History of heparin-induced thrombocytopenia 7) Presence of uncontrolled multiple neoplasm 8) Interstitial pneumonitis, pulmonary fibrosis, advanced emphysema, uncontrolled diabetes mellitus, uncontrolled hypertension, severe cardiac disease (heart failure, myocardial infarction, angina pectoris, etc...) with marked ECG abnormality, persistent adverse events (CTCAE ver 4.0 Grade 3 or worse) 9) Contraindication to drugs used in this study 10) Patients whom chief researcher or associate researcher judges unsuitable for this study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of dose limiting toxicity in dose-ranging study Objective response rate 6 months after the first NIPP session with the recommended dose | — |
Secondary
| Measure | Time frame |
|---|---|
| Objective response rate 6 months after the.first NIPP session Progression free survival Overall survival Time to treatment failure Estimation of maximum tolerated dose Incidence of neuropathy Drug extraction rate Correlation between serum cisplatin concentration and pelvic volume in each dose | — |
Countries
Japan
Contacts
Nippon medical school hospital Radiology