Endometrial Cancer
Conditions
Brief summary
Previous some studies suggested the addition of chemotherapy to radiation therapy after surgery may have survival benefit in patients with high risk endometrial cancer. In addition, docetaxel plus cisplatin regimen may have similar efficacy with paclitaxel plus carboplatin which is currently used in most cases. However, docetaxel plus cisplatin may cause less toxicity compared to paclitaxel plus carboplatin. Therefore, the investigators aimed to analyze the efficacy of docetaxel plus cisplatin regimen followed by radiation therapy after surgery in patients with high risk endometrial cancer.
Interventions
Docetaxel 70mg/m2BSA, q 3 weeks, 3 cycles
Cisplatin 60mg/m2BSA, q 3 weeks, 3 cycles
Pelvic radiation therapy (Extended filed radiation therapy and addition of brachytherapy is allowed)
Sponsors
Study design
Eligibility
Inclusion criteria
* One of following high risk groups Stage III after staging operation Stage II (Type I hysterectomy + BSO + LND) Stage I + two of \[Grade III, LVSI+, Mm\>1/2\] Clear cell or serous carcinoma: stage IB-II * Age: 20-75 * ECOG PS: 0-2 * Adequate organ function BM: WBC ≥ 3,000/mm3, ANC≥1,500/mm3, Plt≥100X103/mm3, Hb≥10.0 g/dl Kidney: Creatinine \<1.25 × UNL이고, GFR ≥ 60 Liver: AST, ALT\< 3×UNL, T- bil\<1.5 mg/ mm3 * Informed Consent
Exclusion criteria
* Previous chemotherapy or pelvic RT * Hormone therapy within 4 weeks * Other malignant disease * Uncontrolled medical disease * Infection requiring antibiotics * Symptomatic CHF, RF, Angina, Arrhythmia, etc. * Neurosis or psychosis * Etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free survival | 2 years after completion of study treatment |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival | 2 years after completion of study treatment |
| Number of Participants with Adverse Events as a Measure of Safety and Tolerability | Before each chemotherapy, an expected average of 3 weeks |
| Quality of life | 3 months after completion of study treatment |
Countries
South Korea