Combination therapy with irinotecan and cisplatin as neoadjuvant chemotherapy in locally advanced cervical cancer
1999

Combination therapy for cervical cancer

Sample size: 23 publication Evidence: moderate

Author Information

Author(s): Sugiyama T, Nishida T, Kumagai S, Nishio S, Fujiyoshi K, Okura N, Yakushiji M, Hiura M, Umesaki N

Primary Institution: Kurume University School of Medicine

Hypothesis

The study evaluates the response rate and toxicity of irinotecan and cisplatin in neoadjuvant chemotherapy for locally advanced cervical cancer.

Conclusion

The combination of irinotecan and cisplatin is a promising and well-tolerated treatment for locally advanced cervical cancer.

Supporting Evidence

  • Three patients showed complete response (13%) and 15 showed partial response (65%).
  • The overall response rate was 78%.
  • Stable disease was observed in four cases (17%) and progressive disease in one (4%).
  • Diarrhoea and grade 3 or 4 neutropenia were observed in 10% and 75% of treatment cycles respectively.
  • There were no therapy-related deaths.

Takeaway

Doctors tested a new medicine for women with a type of cervical cancer, and it worked well for many of them without causing too many bad side effects.

Methodology

A phase II study was conducted with patients receiving irinotecan and cisplatin in a neoadjuvant setting.

Limitations

The median time to failure and median survival time have not yet been reached.

Participant Demographics

Median age of participants was 59 years, with previously untreated stage Ib2, IIb, or IIIb squamous cell carcinoma.

Statistical Information

Confidence Interval

95% confidence interval 58–90%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690656

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