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Weekly IV Topotecan and Cisplatin With Radiation in Cervical Carcinoma

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified March 2008 by University of California, Irvine.
Recruitment status was:  Recruiting
Information provided by:
University of California, Irvine Identifier:
First received: November 21, 2005
Last updated: March 26, 2008
Last verified: March 2008
There will be approximately 14,000 new patients with invasive cervical cancer diagnosed in the United States in 2003 with about 4,000 deaths from this disease. This accounts for approximately 17% of all deaths due to gynecologic cancers. Radiation has been the primary treatment modality for locoregionally advanced cervical cancer. Recent trials of concomitant systemic cisplatin chemotherapy and radiation have shown high response rates (RR) with improvements in durable remissions and overall survival. Though the incidence and mortality in the U.S. dropped steadily from years 1940 to 2000, there has recently been a plateau, arresting the decline. With the routine addition of systemic Cisplatin (CDDP) chemotherapy to local regional radiation, mortality from advanced cervical cancer in the United States is expected to further decrease. However, further advances in this disease are needed.

Condition Intervention Phase
Cervical Cancer Drug: Topotecan Drug: Cisplatin Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Feasibility Study of Weekly IV Topotecan and Cisplatin With Concurrent Pelvic Radiation in the Treatment of Stages IB2 - IVA Cervical Carcinoma

Resource links provided by NLM:

Further study details as provided by University of California, Irvine:

Primary Outcome Measures:
  • To assess the feasibility and toxicity [ Time Frame: 5 years ]

Secondary Outcome Measures:
  • To assess the efficacy [ Time Frame: 5 years ]

Estimated Enrollment: 12
Study Start Date: April 2004
Estimated Study Completion Date: January 2009
Estimated Primary Completion Date: January 2009 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Topotecan
    2 mg/m2 IV on days 1, 8, 15, 22, 29 and once during parametrial boost (6 cycles)
    Other Name: Hycamtin
    Drug: Cisplatin
    40 mg/m2 IV (Maximum total dose of 70 mg) on days 1, 8, 15, 22, 29 and once during parametrial boost (6 cycles)
    Other Names:
    • Platinol
    • AQ
    • NSC #119875

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Patients with primary, previously untreated, histologically confirmed invasive squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma of the uterine cervix, Stage I-2, II-B, III-B, IV-A.
  2. Patients with negative, non-suspicious para-aortic nodes determined by lymphangiogram, CT, MRI or lymphadenectomy.
  3. Patients with adequate bone marrow function: ANC greater than or equal to 1,500/mcl, platelets greater than or equal to 100,000/mcl, and Hemoglobin > 10 mg/dl.
  4. Patients with adequate renal function: Creatinine equal to or less than 1.5 mg%.
  5. Patients with adequate hepatic function: Bilirubin less than or equal to 1.5 x normal and SGOT and Alkaline phosphatase less than or equal to 3 x normal.
  6. Patients who have signed an approved informed consent.
  7. Patients with GOG Performance Status of 0, 1, 2, or 3.
  8. Patients of childbearing potential must have a negative serum pregnancy test and use an effective form of contraception.
  9. Patients who are suitable for treatment with radical intent using concurrent cisplatin and pelvic radiation.

Exclusion Criteria:

  1. Patients who cannot be or have not been adequately clinically staged.
  2. Patients with lower one-third vaginal involvement.
  3. Patients with septicemia or severe infection.
  4. Patients with circumstances that will not permit completion of the study or required follow-up.
  5. Patients with other invasive malignancies, with the exception of non-melanoma skin cancer, who had (or have) any evidence of the other cancer present within the last 5 years or whose previous cancer treatment contraindicates this protocol therapy.
  6. Patients with carcinoma of the cervical stump.
  7. Patients who are lactating or pregnant.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00257816

Contact: Chao Family Comprehensive Cancer Center University of California, Irvine Medical Center 1-877-UC-STUDY

United States, California
Chao Family Comprehensive Cancer Center Recruiting
Orange, California, United States, 92868
Principal Investigator: Bradley Monk, MD         
Sponsors and Collaborators
University of California, Irvine
Principal Investigator: Bradley Monk, MD Chao Family Comprehensive Cancer Center
  More Information

Responsible Party: Bradley J. Monk, MD, University of California, Irvine Medical Center Identifier: NCT00257816     History of Changes
Other Study ID Numbers: UCI 03-33
Study First Received: November 21, 2005
Last Updated: March 26, 2008

Keywords provided by University of California, Irvine:
Cervical Cancer

Additional relevant MeSH terms:
Uterine Cervical Neoplasms
Uterine Neoplasms
Genital Neoplasms, Female
Urogenital Neoplasms
Neoplasms by Site
Uterine Cervical Diseases
Uterine Diseases
Genital Diseases, Female
Antineoplastic Agents
Topoisomerase I Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action processed this record on August 18, 2017