Endometrial Cancer
Conditions
Keywords
IMRT, Tomotherapy, Post-Hysterectomy, Endometrial Cancer
Brief summary
This study is evaluating the feasibility of using helical tomotherapy to deliver IMRT in post-hysterectomy endometrial cancer patients receiving adjuvant radiotherapy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age greater than or equal to 18 years of age 2. Karnofsky Performance Status of greater than or equal to 60 3. FIGO Surgical Stage I, II, and III 4. Pathologic confirmation of endometrial cancer 5. Patient status post hysterectomy 6. Patients with local or regional metastases are eligible for this protocol, but not those with distant metastases 7. Patients must have adequate: * Bone Marrow Function: * ANC ≥ 1,500/mcl (\< CTCAE v 3.0 Grade 1). * Platelets ≥ 100,000/mcl (\< CTCAE v3.0 Grade 1). * Renal Function: * Serum creatinine ≤ institutional upper limit normal (ULN) (CTCAE v 3.0 Grade 0). Note: if serum creatinine \> ULN, a 24-hour creatinine clearance must be collected and must be \> 50 mL/min. * Hepatic Function: * Bilirubin ≤ 1.5 x ULN (\< CTCAE v 3.0 Grade 1). * SGOT≤ 2.5 x ULN (\< CTCAE v 3.0 Grade 1). * Alkaline phosphatase ≤ 2.5 x ULN (\< CTCAE v 3.0 Grade 1). * Neurologic Function: * Neuropathy (sensory and motor) \< CTCAE v 3.0 Grade 1.
Exclusion criteria
1. Age less than 18 years of age 2. Karnofsky Performance Status less than 60 3. Radiographic or pathologic evidence of metastatic disease (other than pelvic or para-aortic lymph nodes) 4. Prior pelvic radiation therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The study will evaluate the feasibility of using helical tomotherapy to deliver IMRT in post-hysterectomy endometrial cancer patients receiving adjuvant radiotherapy. | 1 year from the start of radiation therapy. | The study will be deemed infeasible if greater than 10% of patients experience one of the following: * Patient cannot be given the treatment because her anatomy is such that a dosimetrically satisfactory treatment plan cannot be devised for her. * The patient experiences any grade 4 acute toxicity judged to be related to her external radiation treatment. * Within 1 year of the start of radiation therapy, the patient develops any grade 4 late toxicity judged to be related to her external radiation treatment. * Within 1 year of the start of radiation therapy, the patient develops any in-field pelvic recurrence. * Within 1 year of the start of radiation therapy, the patient dies from causes judged to be related to her treatment. |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate incidence of early toxicities | 30 days after last day of radiation therapy |
| Evaluate incidence of late toxicities | 1 year from the start of radiation therapy |
| Evaluate local, regional, and distant recurrence rates | 5 years from start of radiation therapy |
| Evaluate 5-year disease-free and 5-year overall survival rates | 5 years from start of radiation therapy |
Countries
United States