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) |