A Phase II Clinical Trial of Adjuvant Postoperative Irradiation Combined With Paclitaxel/Carboplatin(TP) or Cisplatin/Doxorubicin/Cyclophosphamide (CAP) Chemotherapy for Patients With High-risk Endometrial Cancer
Overview
- Phase
- Phase 2
- Intervention
- radiotherapy
- Conditions
- Prosthesis Survival
- Sponsor
- Fan Ming
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Disease Free Survival(DFS)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This phase II clinical trial was designed to assess the feasibility, safety, toxicity, recurrence and survival pattern when TP or CAP chemotherapy was combined with adjuvant radiation for patients with high-risk endometrial cancer.
Investigators
Fan Ming
Shanghai Cancer Center
Fudan University
Eligibility Criteria
Inclusion Criteria
- •Patients must have had a hysterectomy (total abdominal, vaginal hysterectomy, or laparoscopic-assisted vaginal hysterectomy) or modified radical hysterectomy or radical hysterectomy and bilateral salpingo-oophorectomy no more than 8 weeks prior to start of radiation therapy.
- •Additional surgical staging procedures are permissible but not required.
- •Risk factors: patients must fit one of the following:
- •Pelvic lymph node metastases
- •Paraaortic lymph node metastases
- •Grade 3 with myometrial invasion \>50%
- •With stromal invasion of cervix
- •Known extrauterine disease (excluding second primary) confined to the pelvis.
- •High risk pathological type include: uterine papillary serous carcinoma, clear cell carcinoma, squamous cell carcinoma, undifferentiated carcinoma,
- •No known gross residual disease, or distant metastases.
Exclusion Criteria
- •Prior pelvic radiation therapy.
- •Positive peritoneal cytology only for stage IIIa (FIGO 1998).
- •With history of other malignancies less than 5 years.
- •With gross residual disease, or distant metastases.
- •With endometrioid endometrial carcinoma and no risk factors:
- •with myometrial invasion \<50%
- •Grade 1\~2, with myometrial invasion \>50%
- •With serious internal diseases which affect designed treatment
- •With psychotic disorders
Arms & Interventions
radiotherapy combined with chemotherapy
Arm Label: radiotherapy combined with chemotherapy: Radiotherapy: Pelvic radiation to 45 Gy, 1.8 Gy per day, five days per week (25 fractions) or intensive modulated pelvic radiotherapy, with brachytherapy boost to the vagina if total abdominal hysterectomy and bilateral salpingo-oophorectomy was done in surgery, or with paraaortic radiation if paraaortic lymphnode metastases were found after surgery. Cisplatin: Two courses cisplatin (50mg/m2) given on days 1 and 28 during radiotherapy. Cisplatin and Doxorubicin and Cyclophosphamide： Four courses of cisplatin (50mg/m2) and doxorubicin (60mg/m2) and cyclophosphamide (600mg/m2) given at 3 week intervals following completion of radiotherapy. Paclitaxel and Carboplatin： Or four courses of Paclitaxel(135mg/m2) and carboplatin (AUC=5) given at 3 week intervals following completion of radiotherapy.
Intervention: radiotherapy
radiotherapy combined with chemotherapy
Arm Label: radiotherapy combined with chemotherapy: Radiotherapy: Pelvic radiation to 45 Gy, 1.8 Gy per day, five days per week (25 fractions) or intensive modulated pelvic radiotherapy, with brachytherapy boost to the vagina if total abdominal hysterectomy and bilateral salpingo-oophorectomy was done in surgery, or with paraaortic radiation if paraaortic lymphnode metastases were found after surgery. Cisplatin: Two courses cisplatin (50mg/m2) given on days 1 and 28 during radiotherapy. Cisplatin and Doxorubicin and Cyclophosphamide： Four courses of cisplatin (50mg/m2) and doxorubicin (60mg/m2) and cyclophosphamide (600mg/m2) given at 3 week intervals following completion of radiotherapy. Paclitaxel and Carboplatin： Or four courses of Paclitaxel(135mg/m2) and carboplatin (AUC=5) given at 3 week intervals following completion of radiotherapy.
Intervention: Cisplatin
radiotherapy combined with chemotherapy
Arm Label: radiotherapy combined with chemotherapy: Radiotherapy: Pelvic radiation to 45 Gy, 1.8 Gy per day, five days per week (25 fractions) or intensive modulated pelvic radiotherapy, with brachytherapy boost to the vagina if total abdominal hysterectomy and bilateral salpingo-oophorectomy was done in surgery, or with paraaortic radiation if paraaortic lymphnode metastases were found after surgery. Cisplatin: Two courses cisplatin (50mg/m2) given on days 1 and 28 during radiotherapy. Cisplatin and Doxorubicin and Cyclophosphamide： Four courses of cisplatin (50mg/m2) and doxorubicin (60mg/m2) and cyclophosphamide (600mg/m2) given at 3 week intervals following completion of radiotherapy. Paclitaxel and Carboplatin： Or four courses of Paclitaxel(135mg/m2) and carboplatin (AUC=5) given at 3 week intervals following completion of radiotherapy.
Intervention: Cisplatin and Doxorubicin and Cyclophosphamide
radiotherapy combined with chemotherapy
Arm Label: radiotherapy combined with chemotherapy: Radiotherapy: Pelvic radiation to 45 Gy, 1.8 Gy per day, five days per week (25 fractions) or intensive modulated pelvic radiotherapy, with brachytherapy boost to the vagina if total abdominal hysterectomy and bilateral salpingo-oophorectomy was done in surgery, or with paraaortic radiation if paraaortic lymphnode metastases were found after surgery. Cisplatin: Two courses cisplatin (50mg/m2) given on days 1 and 28 during radiotherapy. Cisplatin and Doxorubicin and Cyclophosphamide： Four courses of cisplatin (50mg/m2) and doxorubicin (60mg/m2) and cyclophosphamide (600mg/m2) given at 3 week intervals following completion of radiotherapy. Paclitaxel and Carboplatin： Or four courses of Paclitaxel(135mg/m2) and carboplatin (AUC=5) given at 3 week intervals following completion of radiotherapy.
Intervention: Paclitaxel and Carboplatin
Outcomes
Primary Outcomes
Disease Free Survival(DFS)
Time Frame: From date of randomization until the date of first documented progression, assedded up to 60 months
From date of randomization until the date of first documented progression, assessed up to 60 months.
Secondary Outcomes
- Overall Survival (OS)(From date of randomization until the date of death from any cause, assedded up to 60 months.)