Endometrial Serous Adenocarcinoma Clinical Trial
Official title:
Phase I Trial of the Treatment of Advanced Endometrial Cancer With Concurrent Weekly Paclitaxel and Cisplatin and Whole Abdominal Radiation Therapy
This phase I trial is studying the side effects and best dose of combination chemotherapy when given with radiation therapy in treating patients with stage III or stage IV endometrial cancer. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells.
OBJECTIVES:
I. Determine the safety and maximum tolerated doses of paclitaxel and cisplatin when
administered with radiotherapy in patients with stage III or IV endometrial cancer.
II. Assess the time to disease progression and overall survival of patients treated with
this regimen.
OUTLINE: This is a dose-escalation study of paclitaxel and cisplatin.
Patients receive paclitaxel IV over 1 hour and cisplatin IV on days 1, 8, 15, 22, 29, and
36. Patients also undergo whole abdominal radiotherapy for 5 consecutive days weekly for 6
weeks.
Cohorts of 3-6 patients receive escalating doses of paclitaxel and cisplatin until the
maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at
which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is
determined, additional patients are treated at that dose level.
Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then
annually thereafter.
PROJECTED ACCRUAL: A total of 3-48 patients will be accrued for part I and 14-20 patients
will be accrued for part II of this study.
;
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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