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A multi-centre randomised trial of standard or higher targets for transfusion during chemo-radiation of cervix cancer.

Phase 3
Conditions
Cervix Cancer
Cancer - Cervical (Cervix)
Registration Number
ACTRN12606000167561
Lead Sponsor
Investigator initiated trial (name of investigator is Dr Michelle Grogan) coordinated by the University of Sydney.
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Stopped early
Sex
Female
Target Recruitment
100
Inclusion Criteria

1.Primary, previously untreated, histologically confirmed invasive squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma of the uterine cervix, FIGO Stage IB2 (equal to or greater than 4 cm diameter), II, III-B or IV-A;2.Haemoglobin level at randomization less than or equal to 125 g/l;3.No radiographic or pathologic evidence of para-aortic lymphadenopathy;4.Suitable for treatment with radical intent using concurrent cisplatin and pelvic radiation;5.Adequate bone marrow function: ANC equal to or greater than 1.5 x 10 to the power of 9 /L; platelets equal to or greater than 100 x 10to the power of 9 /L;6.Adequate renal function with serum creatinine lesss than or equal to 1.5 times the institutional upper limit of normal;7.Approved informed consent;8.Geographically accessible and suitable for long-term follow-up.

Exclusion Criteria

1.Patients who have not been or cannot be adequately clinically staged;2.Patients with cancers of the uterine cervix other than squamous cell,adenosquamous, or adenocarcinoma;3.Patients with lower one-third vaginal involvement;4.Patients with disease outside the pelvis or with known intraperitoneal disease;5.Patients who for any reason have had previously been treated with pelvic radiation or have any contraindication to pelvic radiotherapy (e.g. inflammatory bowel disease, pregnancy);6.Patients who have had a previous or concomitant invasive cancer other than basal cell carcinoma of the skin or localized squamous cell carcinoma of the skin;7.Patients who have medical contraindications to chemotherapy, in particular cisplatin;8.Patients who have had a previous hysterectomy or carcinoma of the cervical stump; 9.Patients with a medical or psychosocial problem which, in the investigators opinion, would interfere with treatment or follow-up.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Difference in average weekly haemoglobin concentrations between experimental and control groups.[Measured after each patient finishes treatment i.e. after 8 weeks, however final analysis of the primary outcome will occur after the required 100th patient has completed treatment.]
Secondary Outcome Measures
NameTimeMethod
The following will be analysed after accrual of 100 patients to assess the feasibility of the trial: rate of accrual;proportion of eligible women actually randomised and compliance with randomised treatment allocation.[This analysis is due to take place two years after recruitment start date (approx May 2008).]
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