Cervix Cancer A GCIG Perspective Keiichi Fujiwara, MD, PhD Saitama - - PowerPoint PPT Presentation

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Cervix Cancer A GCIG Perspective Keiichi Fujiwara, MD, PhD Saitama - - PowerPoint PPT Presentation

Gynecologic Cancer InterGroup Cervix Cancer Research Network Cervix Cancer A GCIG Perspective Keiichi Fujiwara, MD, PhD Saitama Medical University International Medical Center, Japan GCIG Chair Cervix Cancer Education Symposium, January


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Cervix Cancer A GCIG Perspective

Keiichi Fujiwara, MD, PhD

Saitama Medical University International Medical Center, Japan GCIG Chair

Cervix Cancer Education Symposium, January 2019, South Africa

Gynecologic Cancer InterGroup Cervix Cancer Research Network

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

Cervical Cancer

  • Second most common cancer among women worldwide.
  • Second most common cause of cancer-related mortality

in women globally.

  • Human papillomavirus (HPV) infections are the cause of

nearly all cervical cancers.

  • Preventable through screening and vaccination

Cervix Cancer Education Symposium, January 2019, South Africa

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Estimated Age-Standardised rates per 100,000 ✓ Globocan 2012 - WHO

A Prototype: Estimated Cervical Cancer Mortality Worldwide

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

Cervix Cancer Education Symposium, January 2019, South Africa

GLOBOCAN 2018, WHO

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

Cervical Cancer

  • Second most common cancer among women worldwide.
  • Second most common cause of cancer-related mortality

in women globally.

  • Human papillomavirus (HPV) infections are the cause of

nearly all cervical cancers.

  • Preventable through screening and vaccination
  • If not prevented

– Early Stage Disease: Surgery – Locally Advanced Disease: Chemoradiation – Metastatic Disease: Chemotehrapy

Cervix Cancer Education Symposium, January 2019, South Africa

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

Research Questions for Cervical Cancer

  • For Early Stage Disease

– ? Less invasive surgery improves QOL without compromise survival

  • For Locally Advanced Disease

– ? Addition of Adjuvant Chemotherapy to CRT improves survival – ? Combination of Immunotherapy improves survival

  • For Metastatic Disease

– ? Combination of antiangiogenics improves survival – ? Combination of Immunotherapy improves survival

Cervix Cancer Education Symposium, January 2019, South Africa

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

To Obtain Answers to the Research Questions for Cervical Cancer

  • Clinical Trials is inevitable!

Cervix Cancer Education Symposium, January 2019, South Africa

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bradley.monk@chw.edu

Progress in Survival in Advanced and Recurrent Cervical Cancer

Months Year

GOG 64 Cisplatin

  

GOG 179 Cisplatin + Palcitaxel + Bevacizumab

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

To Obtain Answers to the Research Questions for Cervical Cancer

  • Clinical Trials is inevitable with

– Multidisciplinary – Multicenter – International

Collaboration

GCIG

Cervix Cancer Education Symposium, January 2019, South Africa

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

Cervix Cancer Education Symposium, January 2019, South Africa

https://gciggroup.com/

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

Cervix Cancer Education Symposium, January 2019, South Africa

  • Mission Statement:

– The Gynecological Cancer InterGroup aims to promote and facilitate high quality clinical trials in order to improve outcomes for women with gynecological cancer.

https://gciggroup.com/

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

Cervix Cancer Education Symposium, January 2019, South Africa

  • Vision Statement:

– Improving quality and duration of life for women with gynecologic cancers will be accomplished through a focused common purpose, shared expertise, and mutual respect among members, and with recognition and accommodation of cultural, geographic, and clinical diversities amongst and between members and patients.

https://gciggroup.com/

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GCIG

Current Situation

  • Currently 32 groups are GCIG members.

– 16 Europe – 7 US and Canada – 6 ASIA – 1 Australia/New Zealand – 2 Latin America – 0 Africa

www.gciggroup.com

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  • r many others

Countries represented in the GCIG future?

www.gciggroup.com

640 million people >1.800 million

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

Summary

  • Incidence of cervical cancer is extremely higher

in developing countries.

  • Therefore, it is strategically important to get the

involvement of those countries for the development of new therapies.

  • GCIG is now playing an major role to conduct

clinical trials for cervical cancer in those countries in collaboration with CCRN.

Cervix Cancer Education Symposium, January 2019, South Africa

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Gynecologic Cancer InterGroup Cervix Cancer Research Network

Cervix Cancer Education Symposium, January 2019, South Africa