Pelvic External Combined With 252-Cf Neutron Intracavitary Radiotherapy With or Without Platinum in Treating Advanced Cervical Cancer
Cervical Cancer, Complications
About this trial
This is an interventional treatment trial for Cervical Cancer
Eligibility Criteria
Inclusion Criteria:
- 1. To be aged from 18 (including 18) to 65 (including 65), female patient;
- 2. Expected survival ≥6 months
- 3. Pathologically proven diagnosis of squamous carcinoma or adenocarcinoma of the cervix, according to FIGO(International Federation of Gynecology and Obstetrics) staging, appropriate stage for protocol entry, including IIA2, IIB,IIIA,IIIB;
- 4. No patients with distant metastases;
- 5. Measurable target lesions (satisfying the criteria in RECIST 1.1);
- 6. ECOG PS status of 0-2;
- 7. No prior treatment;
- 8. No
- 9. No surgery
10. Major organ function has to meet the following criteria:
- Bilirubin <1.5 times the upper limit of normal (ULN)
- ALT , AST and APL≤2.5 × ULN
- NEUT≥2.0 × 10^9 / L
- PLT ≥ 100 × 10^9 / L
- HB≥60g/L
- Serum Cr and urea nitrogen ≤ 1.5 × ULN
- 11. Favorable cardiac functions, no patients with myocardial infarction within half a year, hypertension and coronary disease are well-controlled.
Exclusion Criteria:
- 1. Serious heart disease, pulmonary disease, hepatic disease, , renal disease and metabolic disease, or with electrolyte disturbance;
- 2. Allergic to platinum;
- 3. Rejecte to join the study in other conditions.
Sites / Locations
- Daping Hospital and the Research Institute of Surgery of the Third Military Medical UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Concurrent radiochemotherapy Group
Radiotherapy Group
Concurrent radiochemotherapy with Nedaplatin Pelvic External Radiotherapy: patients received 20 Gy2.0/f, for 25-27f with 8mv-X rays (SSD) 252-Cf Neutron Intracavitary Brachytherapy: total dose of reference point A was 4400cGy, in four times Transvaginal implant sessions during Pelvic External Radiations; Chemotherapy: Nedaplatin(NDP) 30-40mg/m2 iv., on day1, 4weeks as one cycle
patients received Radiotherapy only Pelvic External Radiotherapy: patients received 20 Gy2.0/f, for 25-27f (SSD)with 8mv-X Linear Accelerator SSD 252-Cf Neutron Intracavitary Brachytherapy: total dose of reference point A was 4400cGy, in four times Transvaginal implant sessions during Pelvic External Radiations.