Table 2.
Study | Percentage with node/adnexal/distant metastases Stage 3b+ | death rate at censorship | Control arm | Comparative group | Radiotherapy dose (Gray) | Intervention arm chemotherapy | frequency of cycles |
---|---|---|---|---|---|---|---|
Hogberg | 1.6% | 23% | hysterectomy and pelvic radiotherapy | No additional treatment | > 44 | cisplatin 50mg/m2 + doxorubicin 50 mg/m2 or epirubicin 75 mg/m2 OR paclitaxel 175 mg/m2 + epirubicin 60 mg/m2 or doxorubicin 40 mg/m2 + carboplatin AUC 5 OR paclitaxel 175 mg/m2 + carboplatin AUC 5/6 |
4 cycles |
J GOG 2033 | 24% | 13% | hysterectomy and pelvic radiotherapy | No additional treatment | 50 | cyclophosphamide(333mg/m2), doxorubicin (40 mg/m2), cisplatin (50mg/m2) | every 4 weeks for 3 or more courses |
GICOG | 24% | 35% | hysterectomy and pelvic radiotherapy | No additional treatment | 45 to 50 | Cyclophosphamide 600mgm2 doxorubicin 45mgm2 and cis-platin 50mgm2 | every 28 days for five cycles |
MaNGO | 40% | 20% | hysterectomy and pelvic radiotherapy | No additional treatment | 45 | cisplatin 50mg/m2 + doxorubicin 60 mg/m2 | every 3 weeks for 3 courses |
GOG 34 | 42% | 36% | hysterectomy | 50 Gray pelvic radiotherapy | 50 | doxorubicin (45 mg/m2) up to a cumulative dose of 400 | 3 weekly |
Kuoppala 2008 | 0 | 17% | hysterectomy | 56gy pelvic radiotherapy divided into two schedules with about 4 weeks break | 56 | cisplatin 50 mg/m2, epirubicin 60 mg/m2, cyclophosphamide 500mg/m2 | there chemotherapy cycles given before, during the break in radiotherapy and after radiotherapy |
GOG 122 | 82% | 56% | hysterectomy | 30 Gray abdominal radiotherapy plus 50 Gray pelvic radiotherapy |
50 +30 to upper abdomen |
doxorubicin 60 mg/m2 plus cisplatin 50 mg/m2 | every 3 weeks for eight cycles. |
GOG 150 | Carcinosarcoma study. 56% were stage 3 and 4 | 41% | hysterectomy | 30 Gray abdominal radiotherapy plus 50 Gray pelvic radiotherapy |
50 + 30 to upper abdomen |
Cisplatin (20 mg/m2/day×4 days) followed by a 1 hour infusion of ifosfamide (1.5g/m2/day IV×4 days) with mesna | every three weeks for three cycles |