Cervical Cancers
Conditions
Keywords
Cervical Neoplasm, chemoradiation, compliance, toxicity
Brief summary
Three weekly cisplatin based chemoradiation is to be compared the compliance, toxicity, and response rates with the weekly cisplatin based chemoradiation in the treatment of locoregionally advanced cervical cancers.
Detailed description
This study is to compare the compliance, toxicity, response and survival rate between concurrent chemoradiation with weekly cisplatin 40mg/m2 and three-week cisplatin 75mg/m2 in patients with advanced cervical cancer. Patients with primary untreated invasive squamous cell carcinoma, adenosquamous carcinoma or adenocarcinoma of the cervix from stage IIB to IVA were enrolled. Patients with histologically proven locoregionally advanced cervical cancer will be randomized into two treatment arm; Arm I, concurrent chemoradiation with weekly cisplatin 40mg/m2 for six times; Arm II, concurrent chemoradiation with three-week cisplatin 75mg/m2 for three times. The compliance and toxicity during the chemoradiation is the primary endpoint. Response rate and the overall survival will be analyzed as secondary endpoints.
Interventions
radiation with cisplatin 40mg/m2, 6 cycles, every week
weekly cisplatin 40mg/m2, 6 cycles
cisplatin 75mg/m2, 3cycles, every 3 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically proven cervical cancer * Squamous, Adenosquamous, Adeno carcinoma cell type * International Federation of Gynecologic Oncology (FIGO) stage IIB - IVA * Gynecologic Oncology Group (GOG) performance status 0 - 2
Exclusion criteria
* Previous history of chemotherapy or radiation * History of other cancer * Hypersensitivity to platinum agents * Pregnancy * Serious medical disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| compliance | 3 month | 1. Percentage of completed cycles of scheduled chemotherapy in each arm 2. Percentage of grade III and IV toxicity 3. Delayed radiation time due to toxicity |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| survival | 5 years | 1. 5 year progression free survival 2. 5 year survival rate |
Countries
South Korea