Randomized Phase III Trial Comparing Concurrent Chemoradiation and Adjuvant Chemotherapy with Pelvic Radiation Alone in High Risk and Advanced Stage Endometrial Carcinoma. - PORTEC-3

• Conditions: High risk and advanced stage endometrial carcinoma; MedDRA version: 14.1Level: PTClassification code 10014759Term: Endometrial neoplasmSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps); Therapeutic area: Diseases [C] - Cancer [C04]

• Registration Number: EUCTR2007-004917-33-IT
• Lead Sponsor: IST. DI RICERCHE FARMACOLOG. M. NEGRI

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2008-05-06
• Last Update Posted: 7 January 2013

Recruitment & Eligibility

• Status: Authorised-recruitment may be ongoing or finished
• Sex: Female
• Target Recruitment: 500

Inclusion Criteria

Histologically confirmed endometrial carcinoma, grade of differentiation determined according to the FIGO/AFIP criteria, with one of the following postoperative FIGO stages (confirmed at pathology review, see section 8.1): a. Stage IB grade 3 with documented lymph-vascular space invasion (LVSI) b. Stage IC grade 3 c. Stage II (occult) grade 3 d. Stage IIIA* or IIIC *IIIA based on peritoneal cytology alone is only eligible if grade 3 e. Stage IB, IC, II or III with serous or clear cell histology 2. Recommended surgery is TAH-BSO (total abdominal hysterectomy and bilateral salpingooophorectomy). However, for a patient who has had lymphadenectomy and/or full surgical staging, and was found after PA diagnosis to meet the eligibility criteria, inclusion in the trial is permitted. 3. WHO-performance status 0-2 4. WBC ≥ 3.0 x 109/L. 5. Platelets ≥ 100 x 109/L.
Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1. Uterine sarcoma 2. History of any previous malignancy, except for basal cell carcinoma of the skin, within the last 10 years 3. Previous pelvic radiotherapy 4. Hormonal therapy or chemotherapy for this tumor 5. Macroscopic stage IIB for which radical (Wertheim type) hysterectomy has been performed 6. Prior diagnosis of Crohn s disease or ulcerative colitis 7. Residual macroscopic tumor after surgery 8. Impaired renal function: creatinine clearance ≤ 60 ml/min (calculated according to Cockroft) or ≤ 50 ml/min (EDTA clearance, or measured creatinine clearance) 9. Impaired cardiac function, prohibiting the infusion of large amounts of fluid during cisplatin therapy 10. Peripheral Neuropathy > grade 2

Study & Design

• Study Type: Interventional clinical trial of medicinal product
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Main Objective: The primary objective of this study is to establish overall survival and failure-free survival of patients with high-risk and advanced stage endometrial carcinoma treated after surgery with concurrent radiotherapy and chemotherapy, followed by adjuvant chemotherapy, in comparison with patients treated with pelvic radiation alone;Secondary Objective: Secondary objectives are to establish and compare the rates of pelvic and distant recurrence, severe (grades 3 and 4) treatment-related toxicity, and quality of life.;Primary end point(s): Overall survival and failure-free survival