Condition / Intervention Endometrial Cancer
Title GOG 0258
Study # 0258
Purpose A randomized phase III trial of cisplatin and tumor volume directed irradiation followed by carboplatin and paclitaxel vs. carboplatin and paclitaxel for optimally debulked, advanced endometrial carcinoma
Investigator Sheida Mani MD
Contact Information For more information about this study and to inquire about eligibility, 203-384-3611
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More Information View this trial on ClinicalTrials.gov
Eligibility

DISEASE CHARACTERISTICS:

  • Histologically confirmed endometrial carcinoma, including the following cell types:

    • Clear cell carcinoma
    • Serous papillary carcinoma
    • Undifferentiated carcinoma
  • Surgical stage III or IVA disease per FIGO 2009 staging criteria

    • Surgical stage III disease includes positive adnexa, tumor invading the serosa, positive pelvic and/or para-aortic nodes, or vaginal involvement
    • Surgical stage IVA disease includes bladder or bowel mucosal involvement, but no spread outside the pelvis
  • Surgical stage I or II endometrial clear cell or serous papillary carcinoma with positive peritoneal cytology per FIGO 2009 staging criteria
  • Has undergone optimal surgical debulking that included a hysterectomy and bilateral salpingo-oophorectomy within the past 8 weeks

    • Residual tumor after surgery (any single site) ≤ 2 cm in maximum dimension
  • No carcinosarcoma
  • No parenchymal liver metastases
  • No recurrent endometrial cancer or endometrioid stage I or II with positive peritoneal cytology

PATIENT CHARACTERISTICS:

  • GOG performance status 0-2
  • Life expectancy ≥ 3 months
  • WBC ≥ 3,000/mm^3
  • ANC ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • SGOT and SGPT ≤ 2.5 times upper limit of normal (ULN)
  • Alkaline phosphatase ≤ 2.5 times ULN
  • Bilirubin ≤ 1.5 times ULN
  • Creatinine ≤ ULN
  • No myocardial infarction, unstable angina, or uncontrolled arrhythmia within the past 3 months
  • No other active invasive malignancy within the past 5 years except for non-melanoma skin cancer
  • No history of serious co-morbid or uncontrolled illness that would preclude study therapy

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
  • No prior pelvic or abdominal radiotherapy
  • No prior chemotherapy for endometrial cancer
  • No prior cancer treatment that would preclude study therapy