Cervical Carcinoma Stage IIB
Conditions
Keywords
Cervical cancer, Stage IIB, Neoadjuvant chemotherapy
Brief summary
Neoadjuvant chemotherapy (NACT) and radical surgery (RS) may have a possible better outcome to concurrent chemoirradiation (CCRT) in stage IIB cervical cancer. We try to verify such a hypothesis in terms of survival and treatment related morbidity.
Detailed description
Patients with International Federation of Gynecology and Obstetrics (FIGO) stage IIB cervical cancer are eligible for our study. They will receive cisplatin based neoadjuvant chemotherapy (NACT) 3 cycles followed by radical surgery (RS) (type III to V radical hysterectomy plus systematic pelvic lymphadenectomy) (arm A) or external beam radiation (EBRT) with concurrent weekly platinum 40mg/m2 followed by brachyradiotherapy (arm B).
Interventions
External beam radiation therapy (EBRT) with concurrent weekly platinum chemotherapy followed by brachytherapy
New adjuvant chemotherapy 3 cycles with Paclitaxel 150mg/m2 over 3 hours and Cisplatin
Radical hysterectomy (Type III or Type IV hysterectomy) plus bilateral pelvic lymph node dissection and para-aortic lymph node dissection or sampling
New adjuvant chemotherapy 3 cycles with Paclitaxel and Cisplatin 70mg/m2
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with newly histologically confirmed cervical carcinoma * Original clinical stage must be IIB (FIGO 2009) * Histopathology squamous carcinoma, adenocarcinoma or adeno-squamous carcinoma * Age between 18-65 * Patients must give signed informed consent
Exclusion criteria
* The presence of uncontrolled life-threatening illness * Receiving other ways of anti-cancer therapy * Investigator consider the patients can't finish the whole study * With normal liver function test (ALT、AST\>2.5×ULN) * With normal renal function test (Creatinine\>1.5×ULN) * WBC\<4,000/mm3 or PLT\<100,000/mm3
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease free survival | 5 years |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival | 5 years |
Countries
China