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Weekly dose-dense paclitaxel and carboplatin in recurrent ovarian carcinoma: A phase II trialWeekly dose-dense paclitaxel and carboplatin in recurrent ovarian carcinoma

Authors
Journal
Journal of the Egyptian National Cancer Institute
1110-0362
Publisher
Elsevier
Identifiers
DOI: 10.1016/j.jnci.2014.05.001
Keywords
  • Recurrent Ovarian Cancer
  • Weekly Paclitaxel/Carboplatin

Abstract

Abstract Purpose The aim of this study was to investigate efficacy and toxicity of the dose-dense weekly paclitaxel (T) and carboplatin (C) in the management of platinum-resistant/sensitive recurrent epithelial ovarian cancer (EOC) previously treated with 3 weekly paclitaxel/carboplatin. Methods Thirty two patients with recurrent EOC who had received 3 weekly TC before were enrolled. Nine patients relapsed within 6months (platinum-resistant), 13 patients relapsed after 12months (platinum-sensitive) and in 10 patients recurrence occurred between 6 and 12months (intermediate platinum-sensitive). Weekly (T) at a dose of 80mg/m2, followed by weekly (C) AUC 2 on day 1, 8, and 15 of a 28-day cycle for 6 planned cycles were administrated. End-points were overall response rate (ORR), progression free survival (PFS), overall survival (OS) and toxicity. Results The ORR was 62.5%. For the platinum-resistant, intermediate platinum-sensitive and platinum-sensitive patients the ORR was 44.4% (4/9), 60% (6/10) and 76.9% (10/13), respectively, and 1 (11.1%), 2 (20%) and 5 (38.46%) patients, respectively had CR. PFS was 9.1months (6.13, 9.1 and 12.17months, for the 3 groups, respectively) (P<0.001). OS was 14months (9.17, 15.2, and 19.23months, for the 3 groups, respectively) (P<0.001). Treatment-related adverse events were manageable with only 1 patient (3.1%) suffering from grade 4 neutropenia. Grade 3 hematological and non-hematological toxicities were neutropenia in 8 (25%), and peripheral neuropathy in 4 (12.5%) patients, respectively. Conclusion Weekly TC is active and well-tolerated in platinum-resistant and platinum-sensitive patients with recurrent EOC previously treated with TC given every 3weeks.

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