Efficacy and Safety Study of Concurrent Chemoradiation Therapy to Treat Locally Advanced Cervical Cancer
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Purpose
Concurrent chemoradiation therapy with weekly cisplatin is the current standard treatment for patients with locally advanced cervical cancer. However, weekly cisplatin is related to renal toxicity and not convenient regimen. Recently, carboplatin has proved to be a good radiosensitizer and less renal toxicity. Weekly carboplatin is more convenient regimen for both patients and physicians. Weekly carboplatin may have similar efficacy with weekly cisplatin and may have more favorable toxicity profile. Therefore, the investigators aimed to evaluate the efficacy and safety of concurrent chemoradiation with weekly carboplatin in patients with locally advanced cervical cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Cervical Cancer |
Radiation: Radiation therapy Drug: Carboplatin Drug: Cisplatin |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Comparison of Concurrent Chemoradiation Therapy With Weekly Cisplatin and Concurrent Chemoradiation Therapy With Weekly Carboplatin in Locally Advanced Cervical Cancer: Phase III Multicenter Prospective Randomized Controlled Trial |
- Response rate [ Time Frame: 3 months after completion of study treatment ] [ Designated as safety issue: No ]
- Number of patients with adverse events as a measure of safety and tolerability [ Time Frame: Before each chemotherapy, an average of 1 week ] [ Designated as safety issue: Yes ]
- Disease-free survival [ Time Frame: 2 years after completion of study treatment ] [ Designated as safety issue: No ]
- Overall survival [ Time Frame: 2 years after completion of study treatment ] [ Designated as safety issue: No ]
- Quality of life [ Time Frame: 3 months after completion of study treatment ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 154 |
| Study Start Date: | December 2009 |
| Estimated Study Completion Date: | November 2015 |
| Estimated Primary Completion Date: | November 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: CCRT weekly carboplatin
Concurrent chemoradiation therapy with weekly carboplatin
|
Radiation: Radiation therapy
pelvic radiation therapy (Extended filed radiation therapy and addition of brachytherapy is allowed)
Drug: Carboplatin
carboplatin 130mg/m2BSA on day 1,8,15,22,29,and 36
|
|
Active Comparator: CCRT weekly cisplatin
Concurrent chemoradiation therapy with weekly cisplatin
|
Radiation: Radiation therapy
pelvic radiation therapy (Extended filed radiation therapy and addition of brachytherapy is allowed)
Drug: Cisplatin
Cisplatin 40mg/m2BSA on day 1,8,15,22,29,and 36
|
Eligibility| Ages Eligible for Study: | 20 Years to 75 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Previously untreated, histologically confirmed cervical cancer
- One of following histologic types Squamous carcinoma, adenocarcinoma, adenosquamous carcinoma
- Age: 20-75 years
- GOG performance status: 0-2
- Adequate organ function Bone marrow: WBC ≥ 3,000/mm3, ANC ≥ 1,500/mm3, Platelet ≥ 100X103/mm3, Hb ≥ 10.0 g/dl Kidney: Creatinine < 1.25 × UNL, Liver : AST, ALT < 3 × UNL, T- bilirubin < 1.5 mg/ mm3
- Contraception during study treatment
- Informed consent
Exclusion Criteria:
- Previous chemotherapy or pelvic radiation therapy
- Hormone therapy within 4 weeks
- Concomitant malignancy within 5 years except cured basal cell carcinoma of skin
- Uncontrolled medical disease
- Pregnant or lactating woman
- Etc.
Contacts and Locations| Contact: Joo-Hyun Nam, M.D., Ph.D. | +82-2-3010-3633 | jhnam@amc.seoul.kr |
| Contact: Jeong-Yeol Park, M.D., Ph.D. | +82-2-3010-3646 | obgyjypark@amc.seoul.kr |
| Korea, Republic of | |
| Asan Medical Center | Recruiting |
| Seoul, Korea, Republic of, 138-736 | |
| Contact: Joo-Hyun Nam, M.D., Ph.D. +82-2-3010-3633 jhnam@amc.seoul.kr | |
More Information
No publications provided
| Responsible Party: | Joo-Hyun Nam, Professor, Asan Medical Center |
| ClinicalTrials.gov Identifier: | NCT01461772 History of Changes |
| Other Study ID Numbers: | CCRTCICA-CXCA |
| Study First Received: | October 26, 2011 |
| Last Updated: | October 27, 2011 |
| Health Authority: | Korea: Institutional Review Board |
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 Carboplatin Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Radiation-Sensitizing Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 19, 2013