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Alternate Title Phase III Randomized Study of Neoadjuvant Cisplatin-Based Chemotherapy Followed By Radical Hysterectomy Versus Standard Therapy With Concurrent Radiotherapy and Cisplatin-Based Chemotherapy in Patients With Stage IB2, IIA, or IIB Cervical Cancer
Trial Description Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving chemotherapy drugs before surgery may shrink the tumor so that it can be removed during surgery. Radiation therapy uses high-energy x-rays to kill tumor cells. Combining radiation therapy with chemotherapy may kill more tumor cells. It is not yet known whether chemotherapy is more effective followed by surgery or combined with radiation therapy in treating cervical cancer. Randomized phase III trial to compare the effectiveness of chemotherapy followed by radical hysterectomy with that of chemotherapy plus radiation therapy in treating patients who have stage IB or stage II cervical cancer. Eligibility criteria include the following:
Final eligibility for a clinical trial is determined by the health professionals conducting the trial. Patients will be randomly assigned to one of two groups. Patients in group one will receive chemotherapy every 3 weeks for as long as benefit is shown. Within 6 weeks after the last course, patients will undergo surgery to remove the uterus, pelvic lymph nodes, and surrounding tissue. Some patients may then undergo radiation therapy 5 days a week for 5-6 weeks. Patients in group two will undergo radiation therapy as in group one. At the same time they will receive chemotherapy once a week for up to 6 weeks. Quality of life will be assessed periodically. Patients will be evaluated every 3 months for 1 year, every 6 months for 4 years, and once a year thereafter. Important: For more details about this trial, refer to the Health Professional version of the trial summary. If you are interested in participating in a clinical trial, contact your doctor for a referral or call a trial contact person listed below. You may see the same contact person listed at more than one site, however, if you call the number listed you can ask to speak to the study coordinator or person involved with the specific trial you are interested in. If you have questions about cancer or clinical trials, call the Cancer Information Service at 1-800-4-CANCER (1-800-422-6237). General information about clinical trials, including risks, benefits, and costs, can be found on NCI's Web site. Trial Lead Organizations European Organization for Research and Treatment of Cancer
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