First results of triple-modality treatment combining radiotherapy, chemotherapy, and hyperthermia for the treatment of patients with Stage IIB, III, and IVA cervical carcinoma

Autor: Peter Koper, Anneke M. Westermann, Elzbieta M. van der Steen-Banasik, Leonard R. Prosnitz, Baard-Christian Schem, Apollonia L. J. Uitterhoeve, Jacoba van der Zee, Clasina L. van der Wilt, Olav Dahl, Curt W. Burger, Jacobus van der Velden, Ellen L. Jones, Ronald de Wit, Olav Mella
Přispěvatelé: Radiation Oncology, Medical Oncology, Cancer Center Amsterdam, Oncology, Radiotherapy, Obstetrics and Gynaecology, VU University medical center
Rok vydání: 2005
Předmět:
Zdroj: Cancer, 104(4), 763-770. John Wiley & Sons Inc.
Westermann, A M, Jones, E L, Schem, B C, van der Steen-Banasik, E M, Koper, P, Mella, O, Uitterhoeve, A L, de Wit, R, van, DV, Burger, C, van der Wilt, C L & Dahl, O 2005, ' First results of triple-modality treatment combining radiotherapy, chemotherapy, and hyperthermia for the treatment of patients with stage IIB, III, and IVA cervical carcinoma ', Cancer, vol. 104, no. 4, pp. 763-770 . https://doi.org/10.1002/cncr.21128
Cancer, 104(4), 763-770. John Wiley and Sons Inc.
ISSN: 1097-0142
0008-543X
Popis: BACKGROUND. Patients with advanced cervical carcinoma are treated routinely with radiotherapy and cisplatin-containing chemotherapy. It has been shown that hyperthermia can improve the results of both radiotherapy and cisplatin. In the current study, the feasibility and efficacy of the combination of all three modalities was studied in previously untreated patients with cervical carcinoma. METHODS. Patients with advanced cervical carcinoma were registered prospectively in the U.S., Norway, and the Netherlands. External-beam radiotherapy and brachytherapy were administered for a biologically effective dose ! 86.7 gray. At least 4 courses of weekly cisplatin (40 mg/m 2 ) and 4 sessions of weekly locoregional hyperthermia were added to radiotherapy. RESULTS. Sixty-eight patients with a median age of 45 years were enrolled. Fulldose radiotherapy was delivered to all patients according to plan. At least 4 courses of chemotherapy were received by 97% of patients, and at least 4 courses of hyperthermia treatment were received by 93% of patients. Toxicity was fully comparable to that described for chemoradiotherapy alone, and the median total treatment time was 45 days. Complete remission was achieved by 61 patients (90%). After a median follow-up of 538 days, 74% of patients remained alive without signs of recurrence, and the overall survival rate was 84%. CONCLUSIONS. The combination of full-dose radiotherapy, chemotherapy, and hyperthermia was feasible and effective in a multicenter international setting among patients with advanced cervical carcinoma. A Phase III study comparing this novel triplet with standard chemoradiation, designed to show at least a 15% improvement in overall survival, has been launched. Cancer 2005;104:763‐70. © 2005 American Cancer Society.
Databáze: OpenAIRE
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