Weekly Versus Three-week Chemoradiation in Patients With Advanced Cervical Cancer
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Purpose
Three weekly cisplatin based chemoradiation is to be compared the compliance, toxicity, and response rates with the weekly cisplatin based chemoradiation in the treatment of locoregionally advanced cervical cancers.
| Condition | Intervention | Phase |
|---|---|---|
|
Cervical Cancers |
Drug: Cisplatin plus radiotherapy |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Randomized Trial of Concurrent Chemoradiation With Weekly Versus Three-week Cisplatin in Patients With Advanced Cervical Cancer |
- compliance [ Time Frame: 3 month ] [ Designated as safety issue: No ]
- Percentage of completed cycles of scheduled chemotherapy in each arm
- Percentage of grade III and IV toxicity
- Delayed radiation time due to toxicity
- survival [ Time Frame: 5 years ] [ Designated as safety issue: No ]
- 5 year progression free survival
- 5 year survival rate
| Enrollment: | 104 |
| Study Start Date: | January 2002 |
| Study Completion Date: | December 2009 |
| Primary Completion Date: | December 2004 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: control arm
Weekly cisplatin 40mg/m2 during radiation therapy
|
Drug: Cisplatin plus radiotherapy
Pelvic radiation concommitant with weekly cisplatin 40mg/m2 for control arm; Pelvic radiation concommitant with triweekly cisplatin 75mg/m2 for experimental arm
Other Name: cisplatin
|
|
Experimental: experimental
Cisplatin 75mg/m2 every three weeks during radiation therapy
|
Drug: Cisplatin plus radiotherapy
Pelvic radiation concommitant with weekly cisplatin 40mg/m2 for control arm; Pelvic radiation concommitant with triweekly cisplatin 75mg/m2 for experimental arm
Other Name: cisplatin
|
Detailed Description:
This study is to compare the compliance, toxicity, response and survival rate between concurrent chemoradiation with weekly cisplatin 40mg/m2 and three-week cisplatin 75mg/m2 in patients with advanced cervical cancer. Patients with primary untreated invasive squamous cell carcinoma, adenosquamous carcinoma or adenocarcinoma of the cervix from stage IIB to IVA were enrolled. Patients with histologically proven locoregionally advanced cervical cancer will be randomized into two treatment arm; Arm I, concurrent chemoradiation with weekly cisplatin 40mg/m2 for six times; Arm II, concurrent chemoradiation with three-week cisplatin 75mg/m2 for three times. The compliance and toxicity during the chemoradiation is the primary endpoint. Response rate and the overall survival will be analyzed as secondary endpoints.
Eligibility| Ages Eligible for Study: | 30 Years to 75 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically proven cervical cancer
- Squamous, Adenosquamous, Adeno carcinoma cell type
- International Federation of Gynecologic Oncology (FIGO) stage IIB - IVA
- Gynecologic Oncology Group (GOG) performance status 0 - 2
Exclusion Criteria:
- Previous history of chemotherapy or radiation
- History of other cancer
- Hypersensitivity to platinum agents
- Pregnancy
- Serious medical disease
Contacts and Locations| Korea, Republic of | |
| Korea Institute of Radiological & Medical Sciences | |
| Seoul, Korea, Republic of, 139-706 | |
| Principal Investigator: | Sang-Young Ryu, MD | Korea Institute of Radiological & Medical Sciences |
More Information
Publications:
| Responsible Party: | Sang-Young Ryu, Chair of Cerivcal/Ovarian Cancer Center, Korea Cancer Center Hospital |
| ClinicalTrials.gov Identifier: | NCT01097252 History of Changes |
| Other Study ID Numbers: | KCCH GY 1005 |
| Study First Received: | March 29, 2010 |
| Last Updated: | March 27, 2012 |
| Health Authority: | South Korea: Institutional Review Board |
Keywords provided by Korea Cancer Center Hospital:
|
Cervical Neoplasm chemoradiation compliance toxicity |
Additional relevant MeSH terms:
|
Uterine Cervical Neoplasms Uterine Neoplasms Genital Neoplasms, Female Urogenital Neoplasms Neoplasms by Site Neoplasms Uterine Cervical Diseases Uterine Diseases |
Genital Diseases, Female Cisplatin Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Radiation-Sensitizing Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 23, 2013