Journal article
A phase I trial of tailored radiation therapy with concomitant cetuximab and cisplatin in the treatment of patients with cervical cancer: A gynecologic oncology group study
Gynecologic oncology, Vol.127(3), pp.456-461
12/01/2012
DOI: 10.1016/j.ygyno.2012.08.030
PMID: 22960004
Abstract
Background: Epithelial growth factor receptor over-expression correlates with poor outcomes in cervical cancer. This study assessed the safety of chemoradiation with cetuximab in the treatment of women with newly diagnosed locally advanced cervical cancer.
Methods: Patients received weekly cisplatin 30 and 40 mg/m(2) [dose level (DL) 1 and 2] and cetuximab 400mg/m(2) loading dose and then 250 mg/m(2) for a total of six weeks with radiotherapy (RT). Patients with nodal metastases received extended field radiation therapy (EFRT). At the maximum tolerated dose, feasibility was evaluated in a 20 patient two-stage, sequential design.
Results: In patients receiving pelvic RT, seven were treated at DL 1 with one dose-limiting toxicity (DLT) (febrile neutropenia with grade 3 diarrhea) and three at DL 2 with two DLTs (grade 3 rash and delay in RT >8 weeks). The feasibility phase was opened at DL1. Of the 21 patients treated there was one DLT (grade 4 CVA). Median RT duration was 50 days (range, 42-70). In patients receiving EFRT, nine were treated at DL 1 with 1 DLT (grade 3 mucositis) and 24 in the feasibility phase with eight DLTs [delay in RT >8 weeks due to toxicity (2) and one each with grade 3 or 4 small bowel obstruction, embolism, mucositis, mucositis with hypokalemia, pain with headache, and platelets with mucositis and headache]. Median EFRT duration was 56 days (range, 36-74).
Conclusions: For patients receiving pelvic RT, cisplatin and cetuximab were feasible. For patients receiving EFRT, combination of cisplatin and cetuximab was not feasible.
Details
- Title: Subtitle
- A phase I trial of tailored radiation therapy with concomitant cetuximab and cisplatin in the treatment of patients with cervical cancer: A gynecologic oncology group study
- Creators
- David S. MillerRobert S. MannelJohn H. FarleyPaula M. FracassoRussell J. SchilderMichael W. SillCarolyn McCourtKathleen N. MooreKoen De Geest - University of IowaPeter G. RoseHiginia R. Cardenes
- Resource Type
- Journal article
- Publication Details
- Gynecologic oncology, Vol.127(3), pp.456-461
- DOI
- 10.1016/j.ygyno.2012.08.030
- PMID
- 22960004
- ISSN
- 0090-8258
- Grant note
- DOI: 10.13039/100000054, name: National Cancer Institute, award: CA 27469; name: Gynecologic Oncology Group Statistical and Data Center, award: CA 37517
- Language
- English
- Date published
- 12/01/2012
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983557426802771
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