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Efficacy and toxicity of concomitant chemoradiation with weekly gemcitabine/cisplatin in comparison with weekly cisplatin in cervical cancer: a phase II, randomised trial

Completed
Conditions
Cervical cancer (FIGO stage IB, II , III, IVA)
Cancer
Cervical cancer
Registration Number
ISRCTN29976507
Lead Sponsor
Shaheed Beheshti University of Medical Science (SBMU) (Iran)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
80
Inclusion Criteria

1. Women with untreated locally advanced cervical cancer International Federation of Gynaecology and Obstetrics (FIGO) stage IB, II, III, IVA
2. Histologically confirmed Squamous Cell Carcinoma (SCC)
3. Aged between 18 - 70 years
4. Performance status less than or equal to 2 in Eastern Cooperative Oncology Group (ECOG) scale
5. No active co-morbid illness (uncontrolled infection, cardiopulmonary disease, uncontrolled diabetes mellitus)
6. Laboratory data at start of chemotherapy:
6.1. Haemoglobin (Hb) 12 g/dl or corrected to 11 g/dl before the start of therapy
6.2. Platelets (Plt) 100 x 10^9/L
6.3. Absolute Neutrophil Count (ANC) more than or equal to 1.5 x 10^9/L
6.4. Creatinine (Cr) less than or equal to 1.5 x Upper Limit of Normal (ULN)
6.5. Billirubin less than or equal to 1.5 ULN
6.6. Aspartate Aminotransferase (AST) less than or equal to 2 x ULN
6.7. Alanine Aminotransferase (ALT) less than or equal to 2 x

Exclusion Criteria

1. Any metastatic disease
2. Previous pelvic irradiation
3. History of other malignancy except non-melanoma skin cancer
4. Disease out of the pelvis and para-aortic lymph nodes

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Two year disease free survival (time from completion of chemoradiation to first pathologically documented local recurrence or distant metastasis out of pelvis).
Secondary Outcome Measures
NameTimeMethod
The following will be assessed at the end of patient accrual: <br>1. Clinical complete response rate (complete disappearance of tumor radiologically and clinically in the first evaluation after treatment) <br>2. Toxicity profile according to the World Health Organization (WHO) criteria<br>3. Overall survival (time from completion of chemoradiation to death)
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