Bulky Neoplasm, Cervical Cancer, Neoadjuvant Chemotherapy
Conditions
Keywords
cervical cancer, neoadjuvant chemotherapy, bulky neoplasm
Brief summary
Evaluate the efficacy and safety of neoadjuvant chemotherapy (NAC) with albumin-bound paclitaxel and carboplatin followed by chemoradiation therapy (CRT) for stage IIIC cervical cancer patients with carcinoma \>4 cm in greatest dimension and/or lymph node \>2cm in short axis.
Detailed description
in this phase III tiral , stage IIIC cervical cancer patients with carcinoma \>4 cm in greatest dimension and/or lymph node \>2cm in short axis will be randomly assigned to two circles of NAC with albumin-bound paclitaxel and carboplatin followed by standard CRT with weekly cisplatin plus pelvic radiotherapy or to standard CRT alone. The primary end point was 3-year progression-free survival (PFS). Secondary end points were response rate, 3-year locoregional control, 3-year overall survival (OS), safety, and quality of life.
Interventions
260mg/m2 q3w \*2 circles
AUC 5-6 q3w \* 2 circles
Sponsors
Study design
Eligibility
Inclusion criteria
1. pathologically comfirmed : squamous cell, adenocarcinoma, or adenosquamous carcinoma of the uterine cervix; 2. FIGO (2018 International Federation of Gynecology and Obstetrics) stage IIIC with carcinoma \>4 cm in greatest dimension and/or lymph node \>2 cm in short axis at initial diagnosis. 3. age 18 to 70 years; 4. Eastern Cooperative Oncology Group performance status 0 to 2; 5. adequate organ function.
Exclusion criteria
1\. not at initial diagnosis; 2. with other kind of tumor. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 3-year progression-free survival ratio | up to 3 years | the time from study randomization to 3 years, the ratio for patients without disease progression nor death. |
Countries
China