Paclitaxel, Topotecan, and Cisplatin in Treating Patients With Advanced, Persistent, or Recurrent Cervical Cancer

• Status: Completed
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: Female

Summary

RATIONALE: Drugs used in chemotherapy, such as paclitaxel, topotecan, and cisplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving paclitaxel together with topotecan and cisplatin works in treating patients with advanced, persistent, or recurrent cervical cancer.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Gynecologic Oncology Group
• Collaborator: National Cancer Institute (NCI)
• Treatments: Albumin-Bound Paclitaxel; Cisplatin; Paclitaxel; Topotecan

Criteria

DISEASE CHARACTERISTICS:

• Advanced, persistent, or recurrent squamous or nonsquamous cell carcinoma of the cervix with documented disease progression

• Histologic confirmation of the original primary tumor is required

• Disease must be measurable in at least one dimension by conventional techniques, including palpation, plain x-ray, CT scan, or MRI

• Measurable disease is defined as at least one lesion that can be accurately measured

• Each lesion must be ≥ 20 mm by conventional techniques or ≥ 10 mm by spiral CT scan

• Tumors within a previously irradiated field will be designated as "non-target" lesions unless progression is documented or a biopsy is obtained to confirm persistence ≥ 90 days after completion of radiation therapy

PATIENT CHARACTERISTICS:

• GOG performance status 0-2

• Platelet count ≥ 100,000/mm^3

• Absolute neutrophil count ≥ 1,500/mm^3

• Creatinine ≤ 1.5 times upper limit of normal (ULN)

• Bilirubin ≤ 1.5 times ULN

• SGOT and alkaline phosphatase ≤ 2.5 times ULN

• Neuropathy (sensory and motor) ≤ grade 1

• No active infection requiring antibiotics

• No evidence of more than one malignancy present within the past 5 years

• Nonmelanoma skin cancer allowed

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

• No prior therapy with cytotoxic drugs for advanced or recurrent cervical carcinoma

• Prior cisplatin as a radiosensitizer for primary treatment of disease allowed

• No previous cancer treatment that contraindicates study treatment

• No prior radiotherapy to any portion of the abdominal cavity or pelvis except for the treatment of cervical cancer

• No prior chemotherapy for any abdominal or pelvic tumor except for the treatment of cervical cancer

• Recovered from effects of recent surgery, radiotherapy, or other therapy

• At least 4 weeks since prior radiotherapy

• More than 3 years since prior radiotherapy for localized cancer of the breast, head and neck, or skin and free of recurrent or metastatic disease

• More than 3 years since prior adjuvant chemotherapy for localized breast cancer provided patient is free of recurrent or metastatic disease

• No hormonal therapy directed at the malignant tumor within the past week

• Concurrent hormone replacement therapy is permitted

• No concurrent amifostine or other protective reagents