Overview

Radiation Therapy With or Without Chemotherapy After Surgery in Treating Patients With Stage IB or Stage IIA Cervical Cancer

Status:
Completed
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
Female
Summary
RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining chemotherapy with radiation therapy may kill more tumor cells. It is not yet known whether giving radiation therapy with chemotherapy after surgery is more effective than radiation therapy alone after surgery in treating cervical cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of radiation therapy with or without chemotherapy after surgery in treating patients with stage IB or stage IIA cervical cancer.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
European Organisation for Research and Treatment of Cancer - EORTC
Collaborator:
Medical Research Council
Treatments:
Bleomycin
Fluorouracil
Ifosfamide
Methotrexate
Mitomycin
Mitomycins
Vinblastine
Vindesine
Criteria
DISEASE CHARACTERISTICS: Histologically proven stage IB or IIA cervical cancer Squamous
cell carcinoma Adenosquamous cell carcinoma Adenocarcinoma Pelvic and/or common iliac or
para-aortic lymph node involvement Undergone a radical hysterectomy, complete pelvic
lymphadenectomy, and resection of any enlarged common iliac or para-aortic lymph nodes No
clear cell carcinoma or small cell carcinoma with neuroendocrine differentiation Resectable
disease

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: Not
specified Hematopoietic: WBC at least 3500/mm3 Platelet count at least 100,000/mm3 Hepatic:
Bilirubin no greater than 14.6 mg/dL Renal: Creatinine no greater than 1.356 mg/dL
Creatinine clearance at least 60 mL/min Pulmonary: Maximum breathing capacity at least 30
L/min FEV1 at least 1.0 L No signs of respiratory insufficiency Other: No potentially
active site of infection (e.g., fistula or abscesses) No prior or concurrent second
malignancy except adequately treated basal cell carcinoma of the skin

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: Not specified
Endocrine therapy: Not specified Radiotherapy: No preoperative external radiotherapy
Surgery: See Disease Characteristics