GEMCOL: Radiochemotherapy Followed by Adjuvant Chemotherapy Based on Gemcitabine in Uterine Cervical Cancer
Study Details
Study Description
Brief Summary
The scope of the trial is to assess the efficacy of the association gemcitabine-cisplatin + radiotherapy followed by an adjuvant chemotherapy
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: patient with cervix cancer will receive gemcitabine + cisplatin + radiotherapy |
Drug: Gemcitabine
125 mg/m² at day 1, 8, 15, 21 and 28, 2 hours before radiotherapy.
Procedure: Radiotherapy
45Gy (5 x 1,8Gy/week) on pelvic area +/- boost (10 to 15Gy)
+/- 45Gy (5 x 1,8Gy/week)on lumbo-aortic area
Drug: Cisplatin
40 mg/m² at day 1, 8, 15, 21 and J28 before Gemcitabine and with a hyperhydration
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Outcome Measures
Primary Outcome Measures
- Progression-free survival [3 years after the end of study treament]
Secondary Outcome Measures
- Global survival [5 years after the end of study treatment]
- safety [untill 5 years after study treatment]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age between 18 and 70 years old
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Cervical uterine cancer (epidermoid or adenocarcinoma, stage:from IB> or = 4 cm to IV, according to FIGO classification) histologically proven
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Measurable lesions,clinically and by MRI assessed
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PS-WHO < or = 2 ou Karnofsky Index >70 per cent
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Life expectancy > 3 months
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Hematologic function: leukocytes < or = 3 G/l, polynuclear neutrophil leukocytes > or = 1.5 G/l, platelets > or = 100 G/l, hemoglobin > or = 10 g/dl
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Hepatic function: ASAT and ALAT < 2.5 ULN
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Renal function: creatininemia < 1.5 ULN, clearance > 60 ml/min
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No prior chemotherapy or radiotherapy
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Contraception
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Written informed consent signed
Exclusion Criteria:
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Stage IB < 4 cm or IVB
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Other histology than epidermoid or adenocarcinoma
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Distant metastases, including sus-clavicular adenopathy
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Contraindication to MRI
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Pregnant or lactating woman
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Auto-immune disease
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Peripheric neuropathy, autograft or homograft, psychiatric disease
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Prior cancer (except cutaneous basocellular carcinoma and uterine cervical carcinoma in situ)
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Active infection
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Other clinical trial with an experimental drug
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Known positive serology (HIV, HbC, HbS)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Centre Leonard de Vinci | Dechy | France | 59187 | |
2 | Centre Oscar Lambret | Lille | France | 59020 |
Sponsors and Collaborators
- Centre Oscar Lambret
Investigators
- Principal Investigator: BELKACEMI Yazid, MD, Centre Oscar Lambret
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- GEMCOL 0401