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Clinical Trials/NCT00184093
NCT00184093
Completed
Phase 1

Phase I/II Study of Gemcitabine and Concurrent Radiation Followed by Adjuvant Hysterectomy in Bulky Stage Ib and IIa Cervical Carcinoma: Analysis of Prognostic Factors and Determinants of Response: A Pilot Study

University of Southern California1 site in 1 country35 target enrollmentJune 1999

Overview

Phase
Phase 1
Intervention
Gemcitabine
Conditions
Uterine Cervical Cancer
Sponsor
University of Southern California
Enrollment
35
Locations
1
Primary Endpoint
Toxicity (Number of Participants With Serious Adverse Events)
Status
Completed
Last Updated
8 years ago

Overview

Brief Summary

The purpose of this study is first to establish what is the ideal dose of gemcitabine, a chemotherapy agent, when given in combination with radiation. In addition, the investigators want to determine the side effects and the effectiveness of this combination. The investigators will also study several markers to try to identify markers or tests that will predict which patients will benefit more from this treatment.

Registry
clinicaltrials.gov
Start Date
June 1999
End Date
May 2009
Last Updated
8 years ago
Study Type
Interventional
Study Design
Single Group
Sex
Female

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Patients with histologically confirmed bulky stage Ib or stage IIa cervical cancer. Bulky stage Ib disease is defined as tumor mass greater than 4 cms in diameter.
  • Cervical lesion which is measurable by physical examination.
  • No prior therapy for invasive cervical cancer.
  • GOG performance status 0-2
  • Signed informed consent
  • Patients must have adequate:
  • Bone marrow function: absolute granulocyte count \> or = to 1500, platelet count \> 100,
  • Renal function: creatinine \< or = to 1.8 mg/dl
  • Hepatic function: bilirubin \< or = to 1.5 x normal, SGOT and alkaline phosphatase \< or = to 3 x normal

Exclusion Criteria

  • Patients with a history of prior malignancy, except adequately treated basal cell or squamous cell carcinoma of the skin, or other cancer for which the patient has been disease free for at least five years.
  • Pregnant or lactating women. Women of reproductive age may not participate unless they have agreed to use an effective method of birth control.
  • Patients with uncontrolled infection.
  • Patients who are HIV positive
  • Patients with psychiatric or social conditions that would interfere with consent or follow-up.
  • Patients with any other severe concurrent disease, which, in the judgment of the investigator, would make the patient inappropriate for entry into this study.

Arms & Interventions

Gemcitabine weekly x 6 wks with concurrent external radiation

Gemcitabine 350 mg/m2 IV weekly x 6 weeks with concurrent external radiation

Intervention: Gemcitabine

Outcomes

Primary Outcomes

Toxicity (Number of Participants With Serious Adverse Events)

Time Frame: Every 3 weeks from start of study until 30 days after the last dose of treatment

Summary of grade 3 or higher toxicities as per Common Toxicity Criteria version 2.0. Phase 1 and 2 Combined (N=35)

Secondary Outcomes

  • Best Overall Response of Either a Complete Response (CR) or Partial Response (PR)(Baseline to response (up to 24 months))

Study Sites (1)

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