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Ergebnisse beim Endometrium-Karzinom |
allgemeines |
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Operation |
MRC ASTEC Trial |
pelvine Lymphonodektomie beim Stadium FIGO I: kein
Benefit |
ILIADE Trial |
Piver II oder Piver II-Hystektomie beim Stadium
FIGO I: kein signifikanter Unterschied |
GOG LAP2 |
Laparotomie v. Laparoskopie |
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GOG 33 |
FIGO I ,II: Hysterektomie mit Adnexen und pelviner
Lymphonodektomie, Spülzytologie |
EORTC 55962 |
A randomized phase III trial for evaluation of
usefullness of pelvic drains after radical hysterectomy and node dissection
(RHND) |
LSK-Studie |
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RT post OP |
PORTEC-1 |
operiertes Endometrium - Ca FIGO IB/C |
RT des pelvinen LA versus keine RT |
PORTEC-2 |
operiertes Endometrium - Ca FIGO I/IIa high/intermediate risk |
3x7Gy vaginale Brachytherapie versus 46 Gy perkutan |
GOG 99 |
OP +- Nachbestrahlung (4) |
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RTOG 12-03, TIME-C |
IMRT |
A Randomized Phase III Study Of Standard Vs. IMRT Pelvic
Radiation For Post-Operative Treatment Of Endometrial And Cervical Cancer
(TIME-C)--RTOG CCOP Study Open Phase III |
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Chemotherapie post OP |
EORTC 55102 | OP +- Paclitaxel-Carboplatin |
A phase III Trial of postoperative chemotherapy or no further
treatment for patients with stage I-II medium or high risk endometrial cancer.
offene Studie |
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RCh post OP |
PORTEC-3 |
Bei Frauen mit operiertem Hochrisiko - Endometrium
- Karzinom kann mit einer postoperativen Radio -Chemotherapie das Gesamtüberleben (nicht signifikant) und das rezidivfreie Überleben (p=0,022) gegenüber einer alleinigen Strahlentherapie verbessert werden. |
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EORTC 55991 |
postoperativ RT versus Radiochemotherapie |
A randomised trial of adjuvant treatment with radiation plus
chemotherapy versus radiation alone in high risk endometrial carcinoma. |
RTOG0973-GOG0238 |
postoperativ RT versus Radiochemotherapie |
0973 GOG-0238/Endorsed Study: "A Randomized Trial of Pelvic
Irradiation With or Without Concurrent Weekly Cisplatin in Patients With
Pelvic-Only Recurrence of Carcinoma of the Uterine Corpus" Open II R. |
RTOG1073 -GOG0258 |
postoperativ Carboplatin - Paclitaxel versus
Radiochemotherapie |
1073 GOG-0258/Endorsed Study: "A Randomized Phase III Trial of
Cisplatin and Tumor Volume Directed Irradiation Followed by Carboplatin and
Paclitaxel vs. Carboplatin and Paclitaxel for Optimally Debulked, Advanced
Endometrial Carcinoma" Open III |
RTOG 09-21 |
IMRT - Cisplatin-Bevacizumab, Carboplatin-Paclitaxel |
A Phase II Study of Postoperative Intensity Modulated Radiation
Therapy (IMRT) With Concurrent Cisplatin and Bevacizumab Followed By
Carboplatin and Paclitaxel For Patients with Endometrial Cancer Closed Phase
II |
RTOG 04-18 |
IMRT +- Chemotherapie |
0418 A Phase II Study of Intensity Modulated Radiation Therapy
(IMRT) to the Pelvis +/ Chemotherapy for Postoperative Patients with either
Endometrial or Cervical Carcinoma Closed Phase II |
RTOG 97-08 |
RT + Cisplatin/Taxol |
9708 A Phase II Study of Adjuvant Postoperative Irradiation
Combined with Cisplatin/Taxol chemotherapy Following TAH/BSO for Patients with
High-Risk Endometrial Cancer Terminated II |
NSABP 99-05 |
RT +- Cisplatin-Paclitaxel |
9905 A Phase III Study of Adjuvant Postoperative Irradiation
With or Without Cisplatin/Paclitaxel Chemotherapy Following TAH/BSO for
Patients With Endometrial Cancer Terminated III |
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primäre RCh |
RTOG 0417 |
primäre Radiochemotherapie mit Cisplatin und Bevacizumab |
A Phase II Study of Bevacizumab in Combination with Definitive
Radiotherapy and Cisplatin Chemotherapy in Untreated Patients with Locally
Advanced Cervical Carcinoma. Schefter T, Moughan J, Kwon JS, Stuhr K, Rotman
M, Yaremo BP, Small W, Gaffney D, ASCO 2010 |
GOG 258 |
primäre Radiochemotherapie versus Chemotherapie im Stadium III
und IV |
Bei Endometriumkarzinom im Stadium III oder IV erzielte eine
Radiochemotherapie kein längeres rezidivfreies Überleben als eine alleinige
Chemotherapie. (6) |
nur Chemotherapie |
AGO Uterus-4 |
Docetaxel beim rezidivierten oder metastasierten Endometrium -
Ca |
Phase II study of weekly docetaxel in patients with recurrent
or metastatic endometrial cancer. Nicht randomisiert, daher kein Nachweis
einer Wirksamkeit. |
EORTC 55984 |
AP versus TAP - Chemotherapie beim metastasierten,
rezidivierten und inoperablen Endometrium - Karzinom. |
A randomized trial of adriamycin (A), cisplatin(P) versus
paclitaxel (T), adriamycin (A) and cisplatin (P) in patients with
metastatic/relapsed or locally advanced inoperable endometrial cancer. |
GOG 184 |
Advanced Stage III-IV |
Doxorubicin und Cisplatin +- Paclitaxel |
GOG 122 |
Advanced Stage III-IV (1) |
randomized to whole abdominal XRT vs doxorubicin-cisplatin. o
ASCO Abstract 2003 - "Whole abdominal radiotherapy versus combination
doxorubicin-cisplatin chemotherapy in advanced endometrial carcinoma: A
randomized phase III trial of the Gynecologic Oncology Group" Randall ME et
al. |
GOG 0086-M |
liposomales Doxorubicin |
liposomales Doxorubicin: geringe Wirksamkeit, hohe
Haematotoxizität |
GOG-209 |
|
GOG-209 Randomized phase III noninferiority trial of first
line chemotherapy for metastatic or recurrent endometrial carcinoma: a
Gynecologic Oncology Group study. Gynecol Oncol 125: 771-3, 2012. (Abstract)
Miller D, Filiaci V, Fleming G, Mannel R, Cohn D, Matsumoto T, Tewari K,
DiSilvestro P, Pearl M, Zaino R |
EORTC 55872 |
adriamycin +- Cisplatin |
Randomized phase II protocol to study adriamycin/Cisplatin in
combination and adriamycin alone in patients with advanced and/or recurrent
endometrial carcinoma |
EORTC 55873 |
Cyclophosphamide oder Ifosfamide |
Randomized phase II protocol to study cyclophosphamide or
Ifosfamide in patients with advanced and/or recurrent endometrial carcinoma |
EORTC 55853 |
Carboplatin |
Phase II trial of carboplatin in advanced/recurrent
endometrial carcinoma |
EORTC 55839 |
Mitoxantrone |
Phase II Chemotherapy with Mitoxantrone for Recurrent and/or
Disseminated Endometrial Carcinoma |
EORTC 55112 |
Aromatase IH |
Efficacy of inhibitors in primary advanced or recurrent endometrial stromal
sarcoma : a phase II trial. |
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endokrine Therapie |
Gestagene |
GOG-211 |
GOG-211 Histologic effects of short term progestins on
endometrioid adenocarcinoma: a Gynecologic Oncology Group study. Mod Pathol
23: 270A, 2010. (Abstract) Not Available Not Available Zaino RJ, Brady W, Todd
W, Leslie K, Fischer E, Ball H |
Fulvestrant |
GOG-188 |
GOG-188 Phase II study of fulvestrant in recurrent/metastatic
endometrial carcinoma: a Gynecologic Oncology Group study. Gynecol Oncol
120(2): 185-8, 2011. Click Here Click Here Covens AL, Filiaci V, Gersell D,
Lutman CV, Bonebrake A, Lee YC |
Target - Therapie |
Gefitinib |
GOG-229C |
GOG-229C A phase II evaluation of gefitinib in the treatment
of persistent or recurrent endometrial cancer: a Gynecologic Oncology Group
study. Gynecol Oncol 129(3): 486-94, 2013. Leslie KK, Sill MW, Fischer E,
Darcy KM, Mannel RS, Tewari KS, Hanjani P, Wilken JA, Baron AT, Schilder RJ,
Singh M, Maihle NJ |
Lapatinib |
GOG-229D |
GOG-229D Lapatinib and potential prognostic value of EGFR
mutations in a Gynecologic Oncology Group phase II trial of persistent or
recurrent endometrial cancer. Gynecol Oncol 127(2): 345-50, 2012. Leslie KK,
Sill MW, Lankes HA, Fischer EG, Godwin AK, Gray H, Walker JL, Tewari K,
Hanjani P, Abulafia O, Rose PG |
Bevacizumab |
GOG-229E |
GOG-229E Phase II trial of bevacizumab in recurrent or
persistent endometrial cancer: a Gynecologic Oncology Group study. J Clin
Oncol 29(16): 2259-65, 2011. Aghajanian C, Sill MW, Darcy KM, Greer B,
McMeekin DS, Rose PG, Rotmensch J, Barnes MN, Hanjani P, Leslie KK |
Aflibercept |
GOG-229F |
GOG-229F A phase II evaluation of aflibercept in the treatment
of recurrent or persistent endometrial carcinoma: a Gynecologic Oncology Group
study. Gynecol Oncol 127(3): 538-43, 2012. Click Here Click Here Coleman RL,
Sill MW, Lankes HA, Nickles Fader A, Finkler NJ, Hoffman JS, Rose PG, Sutton
GP, Drescher CW, McMeekin DS, Hu W, Deavers M, Godwin AK, Alpaugh K, Sood AK |
Bevacizumab und Temsirolimus |
GOG-229G |
GOG-229G Phase II trial of combination bevacizumab and
temsirolimus in the treatment of recurrent or persistent endometrial cancer: a
Gynecologic Oncology Group study. Gynecol Oncol 129(1): 22-7, 2013. Alvarez
EA, Brady WE, Walker JL, Rotmensch J, Zhou XC, Kendrick JE, Yamada SD,
Schilder JM, Cohn D, Harrison CR, Moore K, Aghajanian C |
MEK-1/2 inhibitor |
GOG-229H |
GOG-229H A phase II evaluation of AZD6244, a selective
MEK-1/2 inhibitor in the treatment of recurrent or persistent
endometrial cancer: a Gynecologic Oncology Group study. Gynecol Oncol :
, 2012. (Abstract) (In Press) Coleman RL, Sill MW, Thaker P, Bender
DP,De Geest K, Street D, McGuire W, Rotmensch J |
Brivanib |
GOG-229I |
GOG-229I A phase II trial of brivanib in recurrent or
persistent endometrial cancer: a Gynecologic Oncology Group study. Int J
Gynecol Cancer 22(8); s3: E115, 2012. (Abstract) Powell MA, Sill MW,
Goodfellow PJ, Jeske YW, Leslie KK, Lankes HA, Pollock PM |
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Immun - Therapie |
Temsirolimus |
GOG-248 (5) |
Hormonal therapy plus temsirolimus for endometrial carcinoma |
Thalidomid |
GOG-229B |
GOG-229B A phase II trial of thalidomide in patients with
persistent or recurrent endometrial cancer with translational research: a
Gynecologic Oncology Group study. Gynecol Oncol 105(2): 508-16, 2007. Here
McMeekin DS, Sill MW, Benbrook D, Darcy KM, Stearns-Kurosawa DJ, Eaton L,
Yamada SD |
Pembrolizumab |
KEYNOTE-158 |
Pembrolizumab in Patients With
Microsatellite Instability–High
Advanced Endometrial Cancer: Results
From the KEYNOTE-158 Study (7) |
KEYNOTE-775 |
Fortgeschrittenes Endometriumkarzinom: Multikinase-IH (Lenvatinib) plus Checkpoint-Hemmer (Pembrolizumab) ist effektiver als Doxorubicin- oder platinbasierte Chemotherapie |
|
Histologie |
serös-papilläres und klarzelliges Endometrium - Ca |
GOG 94 |
Bestrahlung des Abdomens, maximales Debulking |
EORTC 55961 |
55961 EORTC 55961,Phase II study on Paclitaxel in recurrent
uterine papillary serous carcinoma (UPSC) |
GOG 210 |
Molecular Staging Study of Endometrial Cancer |
Uterine serous carcinoma: Increased familial risk for
Lynch-associated malignancies. Can Prev Res 5(3): 435-43, 2012. Dewdney SB,
Kizer NT, Andaya AA, Babb SA, Luo LJ, Mutch DG, Schmidt AP, Brinton LA,
Broaddus RR, Ramirez NC, Huettner PC, McMeekin DS, Darcy K, Ali S, Judson PL,
Mannel RS, Lele SB, O'Malley DM, Goodfellow PJ A GOG210 ACGH study of gain at
1q23 in endometrioid endometrial cancer in the context of racial disparity and
outcome. Genes Chromosomes Cancer 49: 791-802, 2010. Morrison C, Miecznikowski
J, Darcy KM, Dolce JM, Kandel E, Erwin DO, Liu S, Shepherd L, Cohn D, McMeekin
DS, Block AW, Nowak NJ, Maxwell L Etiologic heterogeneity in endometrial
cancer: Evidence from a Gynecologic Oncology Group trial. Gynecol Oncol 129:
277-84, 2013. Here Brinton LA, Felix AS, McMeekin DS, Creasman WT, Sherman ME,
Mutch D, Cohn DE, Walker JL, Moore RG, Downs, LS, Soslow RA, Zaino R |
Teil von |
Endometrium-Karzinom |
Gynäkologische Onkologie |
Onkologie |
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1.) Randall ME, Filiaci VL, Muss H, Spirtos NM, Mannel RS, Fowler J, Thigpen
JT, Benda JA.
Randomized phase III trial of whole-abdominal irradiation versus doxorubicin
and cisplatin chemotherapy in advanced endometrial carcinoma: a Gynecologic
Oncology Group study.
J Clin Oncol 24 (2006): 36-44
2. Creutzberg CL, van Putten WLJ, Koper PCM, Lybeert MLM, Jobsen JJ,
Wárlám-Rodenhuis CC, De Winter KAJ, Lutgens LCHW, van den Bergh ACM, van de
Steen-Banasik E, Beerman H, van Lent M, for the PORTEC Study Group.
Surgery and postoperative radiotherapy versus surgery alone for patients with
stage-1 endometrial carcinoma: multicentre randomised trial. The Lancet
2000; 355: 1404-1411
3. Scholten AN, van Putten WL, Beerman H, Smit VT, Koper PC, Lybeert ML, Jobsen
JJ, Warlam-Rodenhuis CC, De Winter KA, Lutgens LC, van Lent M, Creutzberg CL;
PORTEC Study Group.
Postoperative radiotherapy for Stage 1 endometrial carcinoma: long-term outcome
of the randomized PORTEC trial with central pathology review.
Int J Radiat Oncol Biol Phys 2005; 63: 834-838
4.) Keys HM, Roberts JA, Brunetto VL, et al:
A phase III trial of surgery with or without adjunctive external pelvic
radiation therapy in intermediate risk endometrial adenocarcinoma: A
Gynecologic Oncology Group study.
Gynecol Oncol 92(2004):744-751
5.) Fleming GF, et al.:
Hormonal therapy plus temsirolimus for endometrial carcinoma (EC): Gynecologic
Oncology Group trial #248.
J Clin Oncol 29(2011): 15s, ASCO #5014: 335s (Abstract)
6.) Matei D, et al.:
Adjuvant Chemotherapy plus Radiation for Locally Advanced Endometrial Cancer
N Engl J Med 2019;380:2317-26.
DOI: 10.1056/NEJMoa1813181
7.) O’Malley D M, et al.:
Pembrolizumab in Patients With Microsatellite Instability–High Advanced Endometrial Cancer: Results From the KEYNOTE-158 Study.
J Clin Oncol 2022;40:752-761
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