Cervical Cancer, HIV Negative, HIV Positive
Conditions
Keywords
Chemotherapy, Concurrent Chemoradiotherapy, Radiotherapy
Brief summary
The investigators propose to prospectively study the difference in treatment (CTRT) completion and toxicities between HIV positive and HIV negative women in India with locally advanced cervical cancer receiving CTRT.
Detailed description
This study will compare chemoradiation completion rates for cervical cancer in two groups, women with HIV and women without HIV. The investigators will also be analyzing tumor tissue for tumor infiltrating lymphocytes which are thought to be involved in disease progression.
Interventions
Standard of Care Chemoradiation for Cervical cancer patients in India.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with newly biopsy proven squamous carcinoma or adenocarcinoma of the uterine cervix, FIGO stage IB2-IIIB in whom curative CTRT is planned * Karnofsky performance status ≥ 70 * Patients with lower paraortic lymph nodes (below the level of L2 vertebra) * patients diagnosed with cervical cancer whom also HIV positive or HIV negative
Exclusion criteria
* patients with active tuberculosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Completion Rates of Cancer Treatment | 2 years | To evaluate and compare the completion rates of cancer treatment in HIV positive cervical cancer patients and HIV negative cervical cancer patients. Treatment adherence is defined as receiving at least 5 cycles of weekly cisplatin chemotherapy and completion of all prescribed radiation (including brachytherapy) and chemotherapy within 8 weeks of treatment initiation. |
| Impact of HIV Infection on acute toxicities | 2 years | To compare the incidence of acute grade ≥3 gastrointestinal, genitourinary and hematological toxicities using CTCAE v4 in patients receiving concurrent cisplatin-based chemo-radiation and brachytherapy for cervical cancer in HIV positive and HIV negative patients. Acute toxicities include any toxicity occurring within 90 days of treatment completion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tumor infiltrating lymphocytes (TILs) | 2 Years | To identify and characterize tumor infiltrating lymphocytes (TILs) with reference to numbers and phenotype in tumor biopsies of HIV positive and HIV negative cervical cancer patients in India |
Countries
India