Neoadjuvant Chemotherapy Followed by Surgery Versus Concurrent Chemoradiation in Carcinoma of the Cervix
NCT00193739 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 635
Last updated 2019-09-20
Summary
Carcinoma cervix is a common malignancy in women in developing countries including India. The standard treatment of locally advanced cervical cancer (Stages IB2 to IIIB)is concomitant chemoradiation (CT RT) using platinum based chemotherapy. Some studies, including a meta-analysis conducted by the Cochrane group, have indicated that few courses of neoadjuvant chemotherapy (NACT) followed by surgery may be superior to radical radiation alone for these patients. However NACT-Surgery approach has never been compared to the current standard of concomitant CT RT. The present study is undertaken to compare, in a randomized trial, NACT(3 courses of paclitaxel-carboplatin) followed by surgery to concomitant CT RT in stages IB2 to IIB squamous cell carcinoma of the uterine cervix.
Conditions
- Cancer of Cervix
Interventions
- DRUG
-
NACT
3 cycles of neoadjuvant chemotherapy
- PROCEDURE
-
Radical abdominal hysterectomy (class III), BPLND & lower para aortic lymph node sampling
NACT followed by surgery
- DRUG
-
Inj.Cisplatin
Concurrent chemo radiotherapy
- RADIATION
-
Concurrent chemo radiotherapy
Radiation therapy will be administered to the whole pelvis region followed by intracavitary brachytherapy.
Sponsors & Collaborators
-
Tata Memorial Hospital
lead OTHER_GOV
Principal Investigators
-
Sudeep Gupta, MD, DM · Tata Memorial Hospital, Mumbai-400012,India
-
Shyam K Shrivastava, MD · Tata Memorial Hospital, Mumbai-400012, India
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2003-09-04
- Primary Completion
- 2020-07-31
- Completion
- 2020-07-31
Countries
- India
Study Locations
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