Patients Diagnosed With Advanced Carcinoma of Uterine Cervix t
Conditions
Keywords
Advanced carcinomas of uterine cervix, Chemoradiation, Chemo-induction, Cisplatin, Gemcitabine
Brief summary
The purpose of this phase II study is to determine the survival free disease of patients diagnosed with invasive locally advanced carcinomas of uterine cervix treated with induction chemotherapy with cisplatin and gemcitabine followed by chemoradiation and definitive chemoradiation.
Interventions
50 mg/m2 - Day 1
Gemcitabine 1000mg/m2 on day 1 and day 8.
Cisplatin 40 mg/m2 on day 1, day8, day15, day22, day 36 of radiotherapy period.
45 Gy
80 Gy
Sponsors
Study design
Eligibility
Inclusion criteria
1. Advanced carcinoma of uterine cervix histological confirmed. 2. Indication for definitive chemoradiation treatment; 3. Measurable disease by RECIST 1.1 (Response Evaluation Criteria in Solid Tumors) criteria; 4. Age between 18 years old and 70 years old; 5. Adequate bone marrow and organ function defined by laboratory values; 6. Non evidence of disease in para-aortic lymph node;
Exclusion criteria
1. Previous treatment with Chemotherapy or radiotherapy 2. Previous surgery for primary tumor; 3. Distant metastasis; 4. Performance status according to Eastern Cooperative Oncology Group greater than 2; 5. Peripheric neuropathy greater than grade 2 by National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI-CTCAE) version 3.0; 6. Significant Cardiac disease (history of and/or active disease); 7. Other treatment for cancer, including hormonotherapy; 8. Psychiatric or addictive disorders or other conditions that, in the opinion of the investigator, would preclude the patient from meeting the study requirements;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease free survival | From the randomization until the end of the treatment - up to 36 month. |
Secondary
| Measure | Time frame |
|---|---|
| Response rate | 36 month after the end of the treatment. |
| Locoregional disease control rate | 36 month after the end of treatment. |
| Acute and chronic toxicity in both arms | From the randomization until the end of the treatment. |
| Overall survival | 36 month after the end of the treatment. |
Countries
Brazil