Skip to main content

2.

Phase III trials addressing the role of chemotherapy in the postoperative adjuvant therapy for early-stage CC with pathological risk factors

Author (ref.) No. of eligible patients FIGO stage Histology Study arms Chemotherapy regimen Survival
CC, cervival cancer; FIGO, International Federation of Gynecology and Obstetrics; 1, risk factors include pelvic lymph node metastasis and/or deep cervical invasion and/or tumor ≥4 cm and/or parametrial involvement and/or nonsquamous histology and/or positive surgical margins; 2, risk factors include pelvic lymph node metastases or parametrial involvement and/or vascular invasion; 3, risk factors include pelvic lymph node metastases and/or positive margins and/or parametrial involvement; 4, risk factors include vascular invasion and/or pelvic lymph node metastases and/or positive margins; SCC, squamous cell carcinoma; ADC, adeno-carcinoma; non-SCC, non-squamous cell carcinoma; ADS, adenosquamous carcinoma; CT, chemotherapy; RT, radiation therapy; NFT, no further therapy; CCRT, concomitant chemoradiotherapy; ACT, adjuvant chemotherapy; BLE, bleomycin; CDDP, cisplatin; CBDCA, carboplatin; PTX, paclitaxel; OS, overall survival; NS, not significant.
Curtin et al. (1996) (23) 89 IB–IIA1 SCC,
ADC,
Non-SCC
CT
CT followed by
RT and CT
BLE+CDDP 3-year OS 70% vs.
75% (NS)
Lahousen et al. (1999) (24) 76 IB–IIB2 SCC CT
RT
NFT
BLE+CBDCA 5-year OS 86% vs.
80% vs. 81% (NS)
Peters et al. (2000) (25,26) 243 IA2–IIA3 SCC,
ADC,
ADS
RT
CCRT+ACT
CDDP+5-FU
(during RT and
as ACT)
4-year OS 71% vs.
81% (P=0.007)
Sehouli et al. (2012) (27) 263 IB–IIB4 SCC,
ADC,
ADS
CCRT
CT followed by RT
PTX+CBDCA 5-year OS 78.9% vs.
85.8% (P=0.25)