A Pilot Study to Assess the Efficacy and Safety of Capecitabine-Based Chemoradiotherapy for Cisplatin-Ineligible Patients with Squamous Cell Carcinoma of the Uterine Cervix
摘要
Chemoradiation with cisplatin is the standard of care in locally advanced cervical cancers. There are many factors, which do not allow cisplatin to be administered concurrently with radiation. The objective of this pilot study is to evaluate the efficacy and safety of capecitabine-based chemoradiotherapy in cisplatin-ineligible cervical cancer patients.
Materials and MethodsPatients received oral capecitabine 825 mg/m2 twice daily (5 days/week) along with concurrent external beam radiation 50.4 Gy, followed by high dose rate (HDR) brachytherapy. Patients were reassessed for clinical response at 12 weeks of completion of treatment. The toxicities were assessed using common toxicity criteria.
ResultsTwelve patients with squamous cell carcinoma of uterine cervix were included in this study. Five patients were stage II, six were stage III and one patient was stage IV.A. Ten patients had a complete response. One patient had a partial response, and one patient had progressive disease with lung metastases after external radiation. There were no grade III or grade IV toxicities.
ConclusionOur study suggests that capecitabine is well tolerated along with pelvic radiation in cervical cancer patients. Simple daily convenient oral administration of drug is more likely to be accepted by the patients. Also further trials of concurrent capecitabine along with radiation therapy in cervical cancer patients are merited.