Evaluation of Hysterectomy After Chemoradiation Therapy for Stage IB2/II Cervical Cancer
Study Details
Study Description
Brief Summary
GYNECO 02 hypothesis is that hysterectomy reduces the possibility of local or loco-regional relapse, especially in patient with a reduced metastatic risk and who received a local chemoradiation therapy with an increase of radiotherapy doses (45 grays).
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: with hysterectomy
|
Procedure: hysterectomy
|
No Intervention: without hysterectomy
|
Outcome Measures
Primary Outcome Measures
- Relapse free survival [from randomization to relapse or last contact (up to 3 years)]
There is a follow-up period of 3 years.
Secondary Outcome Measures
- Overall Survival [From randomisation to death or last contact (up to 3 years)]
There is a follow-up period of 3 years.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
operable Stage IB2/II Cervical Cancer
-
adenocarcinoma, squamous cell or adenosquamous carcinoma
-
Patient between 18 and 70 years old
-
No lombo-aortic lymph node invasion at baseline
-
Previous 45 grays external pelvic radiation with concomitant chemotherapy (cisplatin 40 mg/m2/week corresponding to 5 cycles)
-
Followed by a 15 grays utero-vaginal brachytherapy, eventually combined with a 6th cycle of chemotherapy (cisplatin 40 mg/m2)
-
with a pelvic boost if lymph node or parametrial invasion
-
No macroscopic residual tumor after 6 to 8 weeks after brachytherapy.
Exclusion Criteria:
-
Other tumor histology (neuro-endocrine)
-
Stage > II (FIGO 1995) at baseline
-
Patient with remaining cervical cancer (after sub-total hysterectomy)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Clinique Axium | Aix-en-Provence | France | 13100 | |
2 | Polyclinique du Parc Rambot | Aix-en-Provence | France | 13100 | |
3 | Clinique Sainte Thérèse de l'enfant Jésus | Amiens | France | 80039 | |
4 | Centre Hospitalier Universitaire | Amiens | France | 80054 | |
5 | Centre Paul Papin | Angers | France | 49033 | |
6 | Centre Hospitalier de Beauvais | Beauvais | France | 60021 | |
7 | Institut Bergonié | Bordeaux | France | 33076 | |
8 | Centre Hospitalier Nord Deux-Sèvres | Bressuire Cedex | France | 79302 | |
9 | Centre Hospitalier Universitaire de Brest | Brest | France | 29609 | |
10 | Centre Hospitalier Intercommunal | Créteil | France | 94010 | |
11 | Centre Georges-François Leclerc | Dijon | France | 21034 | |
12 | Centre Hospitalier de Fontainebleau | Fontainebleau | France | 77305 | |
13 | Hôpital Hotel-Dieu | Lyon Cedex 02 | France | 69288 | |
14 | Centre Hospitalier Edouard Herriot | Lyon | France | 69437 | |
15 | Centre Hospitalier Lyon Sud | Lyon | France | 69495 | |
16 | Institut paoli Calmettes | Marseille Cedex 09 | France | 13273 | |
17 | Hôpital de la conception | Marseille cedex 5 | France | 13385 | |
18 | Centre Hospitalier Régional Universitaire La Timone | Marseille | France | 13385 | |
19 | Centre Hospitalier Régional Universitaire Hôpital Nord | Marseille | France | 13915 | |
20 | Centre Hospitalier Universitaire - Hôpital Arnaud de Villeneuve | Montpellier | France | 34295 | |
21 | Centre Val d'Aurelle-Paul Lamarque | Montpellier | France | 34298 | |
22 | Centre hospitalier des Pays de Morlaix | Morlaix | France | 29205 | |
23 | Centre René Gauducheau | Nantes | France | 44805 | |
24 | Hôpital de la Source | Orléans | France | 45067 | |
25 | Hôpital des Diaconnesses | Paris Cedex 12 | France | 75571 | |
26 | Hôpital Européen Georges Pompidou | Paris Cedex 15 | France | 75908 | |
27 | Centre Hospitalier Universitaire Jean Bernard | Poitiers Cedex | France | 86021 | |
28 | Polyclinique de Courlancy | Reims | France | 51100 | |
29 | Clinique Mutualiste de la Sagesse | Rennes Cedex | France | 35013 | |
30 | Centre Universitaire Hospitalier- Hôpital Sud | Rennes | France | 35203 | |
31 | Centre Henri Becquerel | Rouen | France | 76038 | |
32 | Centre René Huguenin | Saint-Cloud | France | 92210 | |
33 | Institut Claudius Régaud | Toulouse Cedex | France | 31052 | |
34 | Centre Hospitalier Bretonneau | Tours | France | 37044 | |
35 | Institut Gustave Roussy | Villejuif | France | 94805 |
Sponsors and Collaborators
- UNICANCER
Investigators
- Principal Investigator: Philippe MORICE, Pr, Gustave Roussy, Cancer Campus, Grand Paris
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- GYNECO 02/0108