Acute toxicities in cervical cancer patients receiving definitive concurrent chemoradiation with daily online adaptive radiotherapy Uterine Cervical Neoplasms Radiotherapy, Intensity-Modulated Adaptive Radiotherapy Image-Guided Radiotherapy Cone-Beam Computed Tomography Brachytherapy Chemoradiotherapy
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female 2. Age at least 18 years 3. Biopsy-proven squamous cell carcinoma or adenocarcinoma or adenosquamous carcinoma of the uterine cervix classified as FIGO 2018 stage IB3 to IIIC1
Exclusion criteria
Exclusion criteria: 1. More than three pelvic lymph nodes, paraaortic or inguinal lymph node involvement 2. Presence of distant metastasis 3. previous radiation therapy to the pelvis 4. post hysterectomy status 5. underlying inflammatory bowel disease 6. abnormal renal function (defined as creatinine clearance (CrCl) less than 60 mL/min based on Cockcroft-Gault equation) 7. patients with inadequate bone marrow function (White blood cells count <3,000 cells/cumm, absolute neutrophils count <1,500 cells/cumm, hemoglobin <9.0 g/dL, platelets <100,000/uL)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acute gastrointestinal adverse events within 90 days after the end of radiotherapy Common Terminology Criteria for Adverse Events (CTCAE) grading | — |
Secondary
| Measure | Time frame |
|---|---|
| Acute genitourinary adverse events within 90 days after the end of radiotherapy Common Terminology Criteria for Adverse Events (CTCAE) grading,Acute hematologic adverse events within 90 days after the end of radiotherapy Common Terminology Criteria for Adverse Events (CTCAE) grading,Dosimetric parameters at the end of intervention Equivalent Dose in 2 Gy fractions formula,Local failure-free survival 2 year obtained from clinical follow-up records.,overall survival 2 year obtained from clinical follow-up records. | — |
Countries
Thailand
Contacts
Faculty of Medicine, Chulalongkorn University