Cervical Cancer, Complications
Conditions
Brief summary
The objective of this study was to evaluate the efficacy and complication of the treatment of pelvic external combined with 252-Cf neutron intracavitary radiotherapy with or without platinum in local advanced cervical cancer patients in the short and long term.
Interventions
Chemotherapy: Nedaplatin(NDP) 30-40mg/m2 iv., on day1, 4weeks as one cycle
patients received 20 Gy2.0/f, for 25-27f (SSD)with 8mv-X rays (SSD)
total dose of reference point A was 4400cGy, in four times Transvaginal implant sessions during Pelvic External Radiations
Sponsors
Study design
Eligibility
Inclusion criteria
* 1\. To be aged from 18 (including 18) to 65 (including 65), female patient; * 2\. Expected survival ≥6 months * 3\. Pathologically proven diagnosis of squamous carcinoma or adenocarcinoma of the cervix, according to FIGO(International Federation of Gynecology and Obstetrics) staging, appropriate stage for protocol entry, including IIA2, IIB,IIIA,IIIB; * 4\. No patients with distant metastases; * 5\. Measurable target lesions (satisfying the criteria in RECIST 1.1); * 6\. ECOG PS status of 0-2; * 7\. No prior treatment; * 8\. No * 9\. No surgery * 10\. Major organ function has to meet the following criteria: 1. Bilirubin \<1.5 times the upper limit of normal (ULN) 2. ALT , AST and APL≤2.5 × ULN 3. NEUT≥2.0 × 10\^9 / L 4. PLT ≥ 100 × 10\^9 / L 5. HB≥60g/L 6. Serum Cr and urea nitrogen ≤ 1.5 × ULN * 11\. Favorable cardiac functions, no patients with myocardial infarction within half a year, hypertension and coronary disease are well-controlled.
Exclusion criteria
* 1\. Serious heart disease, pulmonary disease, hepatic disease, , renal disease and metabolic disease, or with electrolyte disturbance; * 2\. Allergic to platinum; * 3\. Rejecte to join the study in other conditions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acute toxicity events | Week 5 of Radiation Therapy (RT) | chemo-related toxicity as measured by CTCAE v. 4.0, radiation-related toxicity as measured by RTOG/EORTC criteria |
| Long-trem toxicity events | through study completion, an average of 5 year | chemo-related toxicity as measured by CTCAE v. 4.0, radiation-related toxicity as measured by RTOG/EORTC criteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 5 Years Overall survial Rate | 5 years | — |
| 2 Years Overall survial Rate | 2 years | chemo-related toxicity as measured by CTCAE v. 4.0, radiation-related toxicity |
| Overall survial (OS) | through study completion, an average of 5 year | — |
| Disease-free survival (DFS) | through study completion, an average of 3 year | — |
| 3 Years Overall survial Rate | 3 years | — |
Countries
China