Cisplatin and Ifosfamide in Patients with Advanced Squamous Cell Carcinoma of the Uterine Cervix A phase II trial

Abstract

Thirty patients with advanced squamous cell carcinoma of the cervix were included in a phase II study with cisplatin (DDP) and ifosfamide (IF)/mesna. They received a median of 4 courses of chemotherapy and were all evaluable for response and toxicity. Each cycle consisted of 2 500 mg/m² IF i.v. days 1–5; mesna 500 mg/m² i.v. at hours 0 and 2, and 1 000 mg/m² per os at hours 6 and 10, days 1–5; DDP 20 mg/m² i.v., days 1–5. Cycles were repeated every 4 weeks. One patient obtained CR and 14 PR giving an overall response rate of 50%. Mean duration of response was 21 months. Anemia grade 3 developed in 7 patients, leukopenia grade 3 in 9 patients and grade 4 in one patient; thrombopenia grade 3 in 2; creatinine clearance grade 3 in one; CNS grade 3 in one and cystitis grade 3 in one patient. Overall median survival time was about 25 + months (3–63 +); after a follow-up of 70 months, 11 patients (37%) are still alive with a median survival of 31 + months. IF plus DDP seems to be a good combination for treatment of advanced cervical cancer, with acceptable tolerance and response rate.