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1.

Selected phase III trials addressing the role of chemotherapy concomitant and adjunctive to RT

Author (ref.) No. of eligible patients FIGO
stage
Histology Study arms Chemotherapy regimen Survival
FIGO, International Federation of Gynecology and Obstetrics; 1, IB2 and IIA (≥5 cm), IIB–IVA or histologically confirmed pelvic lymph node involvement; 2, I, II with histologically confirmed pelvic/paraaortic lymph node involvement; SCC, squamous cell carcinoma; ADC, adenocarcinoma; ADS, adenosquamous carcinoma; RT, radiation therapy; CCRT, concomitant chemoradiotherapy; S, surgery; ACT, adjuvant chemotherapy; CDDP, cisplatin; 5-FU, 5-fluorouracil; HU, hydroxyurea; EPI, epirubicin; *, calculated from survival curves; MMC, mitomycin C; GEM, gemcitabine; OS, overall survival; DFS, disease-free survival; PFS, progression-free survival; NS, not significant.
Keys et al.
(1999) (4)
369 IB2 SCC,
ADC,
ADS
RT
CCRT
(both arms
followed by S)
CDDP 4-year OS 74% vs.
83% (P=0.008)
Morris et al.
(1999) (5,6)
403 IB2–IVA SCC,
ADC,
ADS
RT
CCRT
CDDP+5-FU 8-year OS 41% vs.
67% (P<0.0001)
Rose et al.
(1999) (7,8)
526 IIB–IVA SCC,
ADC,
ADS
CCRT
CCRT
CCRT
HU
CDDP
CDDP+5-FU+HU
2-year OS 50% vs.
66% vs. 67%
(P=0.002)
(10-year OS 34% vs.
53% vs. 53%)
Whitney et al.
(1999) (9)
368 IIB-IVA SCC,
ADC,
ADS
CCRT
CCRT
HU
CDDP+5-FU
5-year OS 43% vs.
55% (P=0.018)
Wong et al.
(1999) (10)
220 I, II, III
“bulky”
SCC CCRT
CCRT+ACT
EPI during RT
and as ACT
5-year OS 68% vs. 79% (P=0.04)*
Pearsey et al.
(2002) (11)
253 IB–IVA1 SCC RT
CCRT
CDDP 5-year OS 62% vs.
58% (NS)
Lorvidhaya et al.
(2003) (12)
926 IIB–IVA SCC,
ADC,
ADS
RT
RT+ACT
CCRT
CCRT+ACT
MMC+oral 5-FU during RT
ACT: oral 5-FU
5-year DFS 48.2% vs. 54.1% vs.
64.5% vs. 59.7%
Duenas-Gonzalez
et al. (2011) (13)
515 IIB–IVA SCC,
ADC,
ADS,
poorly differentiated
carcinoma
CCRT
CCRT as above
+ ACT
CDDP+GEM during RT
ACT: CDDP+GEM
3-year PFS 65% vs.
74% (P=0.029)
Wang et al.
(2015) (14)
74 I, II2, III,
IVA
SCC CCRT
CCRT
CDDP
CDDP+GEM
3-year OS 74.1% vs.
85.9% (NS)