Uterine Cervical Cancer
Conditions
Keywords
uterine cervical cancer
Brief summary
The scope of the trial is to assess the efficacy of the association gemcitabine-cisplatin + radiotherapy followed by an adjuvant chemotherapy
Interventions
125 mg/m² at day 1, 8, 15, 21 and 28, 2 hours before radiotherapy.
45Gy (5 x 1,8Gy/week) on pelvic area +/- boost (10 to 15Gy) +/- 45Gy (5 x 1,8Gy/week)on lumbo-aortic area
40 mg/m² at day 1, 8, 15, 21 and J28 before Gemcitabine and with a hyperhydration
Sponsors
Study design
Eligibility
Inclusion criteria
* Age between 18 and 70 years old * Cervical uterine cancer (epidermoid or adenocarcinoma, stage:from IB\> or = 4 cm to IV, according to FIGO classification) histologically proven * Measurable lesions,clinically and by MRI assessed * PS-WHO \< or = 2 ou Karnofsky Index \>70 per cent * Life expectancy \> 3 months * Hematologic function: leukocytes \< or = 3 G/l, polynuclear neutrophil leukocytes \> or = 1.5 G/l, platelets \> or = 100 G/l, hemoglobin \> or = 10 g/dl * Hepatic function: ASAT and ALAT \< 2.5 ULN * Renal function: creatininemia \< 1.5 ULN, clearance \> 60 ml/min * No prior chemotherapy or radiotherapy * Contraception * Written informed consent signed
Exclusion criteria
* Stage IB \< 4 cm or IVB * Other histology than epidermoid or adenocarcinoma * Distant metastases, including sus-clavicular adenopathy * Contraindication to MRI * Pregnant or lactating woman * Auto-immune disease * Peripheric neuropathy, autograft or homograft, psychiatric disease * Prior cancer (except cutaneous basocellular carcinoma and uterine cervical carcinoma in situ) * Active infection * Other clinical trial with an experimental drug * Known positive serology (HIV, HbC, HbS)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free survival | 3 years after the end of study treament |
Secondary
| Measure | Time frame |
|---|---|
| Global survival | 5 years after the end of study treatment |
| safety | untill 5 years after study treatment |
Countries
France
Contacts
Centre Oscar Lambret