Unique ID issued by UMIN | UMIN000008390 |
---|---|
Receipt number | R000009864 |
Scientific Title | Paclitaxel plus carboplatin for advanced or recurrent carcinosarcoma of the uterus in Japan. |
Date of disclosure of the study information | 2012/07/09 |
Last modified on | 2012/07/09 17:46:56 |
Paclitaxel plus carboplatin for advanced or recurrent carcinosarcoma of the uterus in Japan.
TC combination chemotherapy for advanced or recurrent carcinosarcoma.
Paclitaxel plus carboplatin for advanced or recurrent carcinosarcoma of the uterus in Japan.
TC combination chemotherapy for advanced or recurrent carcinosarcoma.
Japan |
advanced or recurrent carcinosarcoma
Obstetrics and Gynecology |
Malignancy
NO
The purpose of this prospective multi-institutional study was to determine the response rate (RR), progression-free survival (PFS) and overall survival (OS), and to assess the toxicity of paclitaxel and carboplatin in uterine carcinosarcoma.
Safety,Efficacy
Confirmatory
Response rate
Progression-free survival
Overall Survival
Adverse events
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine |
Paclitaxel 175 mg/m2 was delivered over three hours followed by carboplatin dosed to an area under the serum concentration-time curve (AUC) = 6 intravenously over 30 minutes, on day 1, every 3 weeks (one treatment cycle), until disease progression or adverse effects prohibited further therapy. The dosing of carboplatin was calculated to reach a target AUC of concentration multiplied by time according to the Calvert formula using an estimated glomerular filtration rate from the Cockgroft-Gault equation, and a minimum creatinine value of 0.6 was stipulated. A maximum body surface area used for paclitaxel dose calculations was set at 2.0 m2. The number of cycles given beyond a clinical complete response (CR) was at the discretion of the principal physician. Patients with a partial response or stable disease were encouraged to continue unless adverse effects prohibited further therapy.
20 | years-old | <= |
Not applicable |
Female
Eligible patients had histologically confirmed, advanced stage III, IV, or recurrent CS with a measureable target lesion of ≥ 20 mm when measured by computed tomography (CT) and magnetic resonance imaging, or ≥ 10mm when measured by spiral CT.
Patients had to have at least one target lesion to assess response on this protocol as defined by the Response Evaluation Criteria in Solid Tumors (RECIST) criteria .
Two gynecologic pathologists performed a pathological slide review of the primary malignancy for all patients.
Patients of childbearing potential had to have a negative serum pregnancy test before entry onto the study and had to be practicing an effective form of contraception.
A minimum ECOG performance status of 0 to 2, granulocytes ≥ 1500/microL, platelets ≥ 100,000/microL, serum creatinine ≤ 1.5 X institutional upper limit of normal (ULN), adequate liver function with bilirubin ≤ 1.5 X institutional ULN, and AST and alkaline phosphatase ≤ 2.5 X the institutional ULN were also required. Patients were to have recovered from previous treatments and have no evidence of infection. Patients with neuropathy (sensory or motor) grade ≥ 1, according to the Common Terminology Criteria for Adverse Events (CTCAE) v3.0 were excluded. Patients provided written informed consent consistent with institutional review board regulations before study entry.
Patients with prior cytotoxic chemotherapy were ineligible. Patients with a history of another invasive malignancy within the previous five years other than a non-melanoma skin cancer were excluded.
35
1st name | |
Middle name | |
Last name | Nobuo Yaegashi |
Tohoku University Hospital
Gynecology
1-1 Seiryo-machi, Aoba ward, Sendai, Miyagi, 9808574, Japan
022-717-7254
1st name | |
Middle name | |
Last name | Tadao Takano |
Tohooku University Hospital
Gynecology
1-1 Seiryo-machi, Aoba ward, Sendai, Miyagi, 9808574, Japan
022-717-7254
ttakano@med.tohoku.ac.jp
Gynecology, Tohoku University Hospital
The Ministry of Education, Culture, Sports, Science and Technology, and by a grant-in-aid from the Ministry of Health, Labor and Welfare, Japan.
Japan
Japanese Uterine Sarcoma Group and Tohoku Gynecologic Cancer Unit
NO
Department of Obstetrics and Gynecology, Tohoku University, Sendai
Department of Gynecology, Miyagi Cancer Center, Miyagi
Department of Obstetrics and Gynecology, Iwate Medical University, Morioka
Department of Obstetrics and Gynecology, Akita University, Akita
Department of Obstetrics and Gynecology, Yamagata University, Yamagata
Department of Obstetrics and Gynecology, Hirosaki University
Department of Obstetrics and Gynecology, Fukushima Medical University
Department of Gynecology, Shikoku Cancer Center, Matsuyama
Department of Obstetrics and Gynecology, Tottori University, Yonago, Japan
2012 | Year | 07 | Month | 09 | Day |
Unpublished
Completed
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2012 | Year | 07 | Month | 01 | Day |
2012 | Year | 07 | Month | 09 | Day |
2012 | Year | 07 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000009864