Comparing Study Between Concurrent Chemoradiation and New Combination Treatment in Cervical Cancer Patients

NCT ID: NCT01000415

Last Updated: 2010-06-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

824 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2018-06-30

Brief Summary

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The purpose of this study is:

* to compare the effectiveness between the new strategy of treatment (given cis-platinum plus gemcitabine-neoadjuvant chemotherapy followed by surgery),and standard treatment (given cis-platinum/carboplatin during radiation-concurrent chemoradiation)in specific group of cervical cancer patients (stage Ib2-early IIb)
* to evaluate quality of life in both group of patients(standard treatment vs.experimental group)

Detailed Description

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According to FIGO classification of cervical cancer, stage Ib2 was classified as clinically visible lesion more than 4.0 cm in greatest dimension and stage IIb was classified tumor invades parametrium must not to pelvic wall. These were the common stages in Thai cervical cancer patients,and made a troublesome effect to Thai women. According to this study,stage early IIb with 1/3 of parametrium involvement. Mostly these two stage was treated with concurrent chemoradiation, challenging the possibility of late sequelae of radiation effect. This specific group of patients can be avoid the referred side effect by using neoadjuvant chemotherapy followed by radical hysterectomy with pelvic lymphadenectomy and para-aortic node sampling in operable cases (at least partial response- PR) and concurrent chemoradiation (CCR) in inoperable cases (less than PR). Due to high risk type of these subspecific group, combination chemotherapy instead of single chemotherapy was used as CCR. However in operable cases with identified poor prognostic factor should be receive post operative radiation as the usual manner.

Conditions

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Cervical Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cisplatin plus gemcitabine

Experimental arm: neoadjuvant chemotherapy (cisplatin plus gemcitabine) followed by surgery Control arm: concurrent chemoradiation (cisplatin/carboplatin)during standard radiation

Group Type EXPERIMENTAL

Neoadjuvant chemotherapy followed by surgery

Intervention Type OTHER

Cisplatin 50 mg/m2 (in the vein)on day 1 of each 23 day cycle plus gemcitabine 1000 mg/m2 (in the vein) on day 1 and day 8, for 3 cycles: until progression or unacceptable toxicity develops.

Interventions

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Neoadjuvant chemotherapy followed by surgery

Cisplatin 50 mg/m2 (in the vein)on day 1 of each 23 day cycle plus gemcitabine 1000 mg/m2 (in the vein) on day 1 and day 8, for 3 cycles: until progression or unacceptable toxicity develops.

Intervention Type OTHER

Other Intervention Names

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Platinol,Platinol-AQ Gemzar

Eligibility Criteria

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Inclusion Criteria

* Cervical cancer patients with FIGO stage Ib2-early IIb
* Pathological proven squamous cell carcinoma or adenocarcinoma or adenosquamous cell carcinoma
* ECOG performance status 0-1
* No previous treatment for cervical cancer
* Acceptable hematological,renal,liver function

Exclusion Criteria

* Previous history of cancer
* Underlying disease not fit for surgery
* Psychological problem
* Obvious pelvic/para-aortic node involvement
* Pregnancy
* HIV positive
* History of bowel obstruction
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Research Council of Thailand

OTHER_GOV

Sponsor Role collaborator

Clinical Research Collaborative Network

NETWORK

Sponsor Role collaborator

Thai Gynecologic Oncology Collaborative Group

NETWORK

Sponsor Role lead

Responsible Party

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Thai Gynecologic Oncology Collaborative Group

Principal Investigators

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Saibua B. Chichareon, MD.

Role: PRINCIPAL_INVESTIGATOR

Thai Gynecologic Oncology Collaborative Group (TGOC)

Locations

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Gynecologic Oncology Unit, Department of Obstertrics and Gynecology, Faculty of medicine, Prince of Songkla University

Hat Yai, Changwat Songkhla, Thailand

Site Status RECRUITING

Countries

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Thailand

Central Contacts

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Saibua B. Chichareon, MD.

Role: CONTACT

66 74 451201

Chutaporn - Dampan, BSc

Role: CONTACT

66 74 451201

Facility Contacts

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Rakchai - Buhachat, MD.

Role: primary

66 74 451201

Chutaporn - Dampan, BSc.

Role: backup

66 74 451201

References

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Termrungruanglert W, Tresukosol D, Vasuratna A, Sittisomwong T, Lertkhachonsuk R, Sirisabya N. Neoadjuvant gemcitabine and cisplatin followed by radical surgery in (bulky) squamous cell carcinoma of cervix stage IB2. Gynecol Oncol. 2005 May;97(2):576-81. doi: 10.1016/j.ygyno.2005.01.048.

Reference Type BACKGROUND
PMID: 15863162 (View on PubMed)

Other Identifiers

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ECPSU-522231012

Identifier Type: -

Identifier Source: secondary_id

TGOC-03

Identifier Type: -

Identifier Source: org_study_id

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