Yıl: 2021 Cilt: 31 Sayı: 4 Sayfa Aralığı: 239 - 245 Metin Dili: İngilizce DOI: 10.4999/uhod.215771 İndeks Tarihi: 02-06-2023

Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer

Öz:
This study aims to compare efficacy of dose dense and conventionally dosed paclitaxel-carboplatin regimens in the first-line treatment of epithelial ovarian cancer (EOC). We evaluated the medical records of women with EOC followed in Zekai Tahir Burak Women’s Health Training and Research Hospital between 2007-2019 retrospectively. The patients with Eastern Cooperative Oncology Group Performance Status of 0-1-2, and stages of IC-IV, without previous treatments, who had undergone primary cytoreductive surgery were included. All patients had received either dose dense paclitaxel-carboplatin (paclitaxel 80 mg/m2 given on days 1, 8, and 15 plus carboplatin Area Under the Curve: 5 on day 1 of the 21 day cycle) or conventionally dosed paclitaxel-carboplatin (paclitaxel 175 mg/m2 plus carboplatin Area Under the Curve: 5 on day 1 of the 21 day cycle) regimens in the first line treatment. Baseline clinicopathological features, progression-free survival, and overall survival were evaluated. This study included data of 133 patients. Forty patients had received dose dense regimen while 93 had conventionally dosed regimen. Median progression-free survival of the dose dense group [34.4 months (31.7 - 37.03)] was significantly longer than the conventional group [25.5 months (19.9-30.9)] [HR= 0. 55 (95% CI, 0.31 - 0.95), p= 0.03]. Median overall survival was 88.2 months (28.3 - 148.3) in the dose dense group and 76.5 months (63.3 - 89.7) in conventional group (p= 0.102).We have found improved progression-free survival in the first-line treatment of EOC with dose dense regimen compared to conventionally dosed regimen. Overall survival was longer in the dose dense group despite being not significant.
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  • 1. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statis- tics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68: 394-424, 2018.
  • 2. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin 70: 7-30, 2020
  • 3. Kyrgiou M, Salanti G, Pavlidis N, et al. Survival benefits with diverse chemotherapy regimens for ovarian cancer: meta- analysis of multiple treatments. J Natl Cancer Inst 98: 1655- 1663, 2006.
  • 4. Stuart GC, Kitchener H, Bacon M, et al. 2010 Gynecologic Cancer InterGroup (GCIG) consensus statement on clinical trials in ovarian cancer: report from the Fourth Ovarian Cancer Consensus Conference. Int J Gynecol Cancer 21: 750-755, 2011.
  • 5. Bookman MA, Okamoto A, Stuart G, et al. Harmonising clini- cal trials within the Gynecologic Cancer InterGroup: consen - sus and unmet needs from the Fifth Ovarian Cancer Consen- sus Conference. Ann Oncol 28: viii30-viii35, 2017.
  • 6. Bookman MA, Brady MF, McGuire WP, et al. Evaluation of new platinum-based treatment regimens in advanced-stage ovarian cancer: a Phase III Trial of the Gynecologic Cancer Intergroup. J Clin Oncol 27: 1419-25, 2009.
  • 7. du Bois A, Weber B, Rochon J, et al. Addition of epirubicin as a third drug to carboplatin-paclitaxel in first-line treatment of advanced ovarian cancer: a prospectively randomized gy - necologic cancer intergroup trial by the Arbeitsgemeinschaft Gynaekologische Onkologie Ovarian Cancer Study Group and the Groupe d’Investigateurs Nationaux pour l’Etude des Cancers Ovariens. J Clin Oncol 24: 1127-1135, 2006.
  • 8. Alberts DS, Marth C, Alvarez RD, et al. Randomized phase 3 trial of interferon gamma-1b plus standard carboplatin/pacli- taxel versus carboplatin/paclitaxel alone for first-line treatment of advanced ovarian and primary peritoneal carcinomas: re - sults from a prospectively designed analysis of progression- free survival. Gynecol Oncol 109: 174-181, 2008.
  • 9. du Bois A, Herrstedt J, Hardy-Bessard AC, et al. Phase III trial of carboplatin plus paclitaxel with or without gemcitabine in first-line treatment of epithelial ovarian cancer. J Clin Oncol 28: 4162-4169, 2010.
  • 10. Bolis G, Scarfone G, Raspagliesi F, et al. Paclitaxel/carbopl - atin versus topotecan/paclitaxel/carboplatin in patients with FIGO suboptimally resected stage III-IV epithelial ovarian can- cer a multicenter, randomized study. Eur J Cancer 46: 2905- 2912, 2010.
  • 11. Norton L. Theoretical concepts and the emerging role of taxa- nes in adjuvant therapy. Oncologist 6 Suppl 3: 30-35, 2001.
  • 12. Seidman AD, Berry D, Cirrincione C, et al. Randomized phase III trial of weekly compared with every-3-weeks paclitaxel for metastatic breast cancer, with trastuzumab for all HER-2 overexpressors and random assignment to trastuzumab or not in HER-2 nonoverexpressors: final results of Cancer and Leukemia Group B protocol 9840. J Clin Oncol 26: 1642- 1649, 2008.
  • 13. Sparano JA, Wang M, Martino S, et al. Weekly paclitaxel in the adjuvant treatment of breast cancer. N Engl J Med 358: 1663-1671, 2008.
  • 14. Markman M, Hall J, Spitz D, et al. Phase II trial of weekly single-agent paclitaxel in platinum/paclitaxel-refractory ovar- ian cancer. J Clin Oncol 20: 2365-2369, 2002.
  • 15. Rosenberg P, Andersson H, Boman K, et al. Randomized trial of single agent paclitaxel given weekly versus every three weeks and with peroral versus intravenous steroid premedi - cation to patients with ovarian cancer previously treated with platinum. Acta Oncol 41: 418-424, 2002.
  • 16. McNeish IA, Ledermann JA, Webber L, et al: A randomised, placebo-controlled trial of weekly paclitaxel and saracatinib (AZD0530) in platinum-resistant ovarian, fallopian tube or pri- mary peritoneal cancer†. Ann Oncol 25:1988-1995, 2014.
  • 17. Katsumata N, Yasuda M, Takahashi F, et al. Dose-dense pa- clitaxel once a week in combination with carboplatin every 3 weeks for advanced ovarian cancer: a phase 3, open-label, randomised controlled trial. Lancet 374:1331-1338, 2009.
  • 18. Katsumata N, Yasuda M, Isonishi S, et al. Long-term results of dose-dense paclitaxel and carboplatin versus conventional paclitaxel and carboplatin for treatment of advanced epithelial ovarian, fallopian tube, or primary peritoneal cancer (JGOG 3016): a randomised, controlled, open-label trial. Lancet On- col 14: 1020-1026, 2013.
  • 19. Pignata S, Scambia G, Katsaros D, et al. Carboplatin plus pa- clitaxel once a week versus every 3 weeks in patients with ad- vanced ovarian cancer (MITO-7): a randomised, multicentre, open-label, phase 3 trial. Lancet Oncol 15: 396-405, 2014.
  • 20. Chan JK, Brady MF, Penson RT, et al. Weekly vs. every- 3-week paclitaxel and carboplatin for ovarian cancer. N Engl J Med 374: 738-748, 2016.
  • 21. Clamp AR, James EC, McNeish IA, et al. Weekly dose-dense chemotherapy in first-line epithelial ovarian, fallopian tube, or primary peritoneal carcinoma treatment (ICON8): primary progression free survival analysis results from a GCIG phase 3 randomised controlled trial. Lancet 394: 2084-2095, 2019.
  • 22. Oken MM, Creech RH, Tormey DC, et al. Toxicity and re - sponse criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5: 649-655, 1982.
  • 23. Shepherd JH. Revised FIGO staging for gynaecological can - cer. Br J Obstet Gynaecol 96: 889-892, 1989.
  • 24. Calvert AH, Newell DR, Gumbrell LA, et al. Carboplatin dos - age: prospective evaluation of a simple formula based on re - nal function. J Clin Oncol 7: 1748-1756, 1989.
  • 25. Vergote I, Rustin GJ, Eisenhauer EA, et al. Re: new guidelines to evaluate the response to treatment in solid tumors [ovarian cancer]. Gynecologic Cancer Intergroup. J Natl Cancer Inst 92: 1534-1535, 2000.
  • 26. Eisenhauer EA, Therasse P, Bogaerts J, et al. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer 45: 228-247, 2009.
  • 27. Allen DG, Heintz AP, Touw FW. A meta-analysis of residual disease and survival in stage III and IV carcinoma of the ovary. Eur J Gynaecol Oncol 16: 349-356, 1995.
  • 28. Chi DS, Eisenhauer EL, Lang J, et al. What is the optimal goal of primary cytoreductive surgery for bulky stage IIIC epithe - lial ovarian carcinoma (EOC)? Gynecol Oncol 103: 559-564, 2006.
  • 29. Hoskins WJ, McGuire WP, Brady MF, et al. The effect of di - ameter of largest residual disease on survival after primary cytoreductive surgery in patients with suboptimal residual epithelial ovarian carcinoma. Am J Obstet Gynecol 170: 974- 979; discussion 979-980, 1994.
APA Sunar V, Çavdarlı B, ASLAN K, kose c, SARICI S, arık z, Meydanli M (2021). Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. , 239 - 245. 10.4999/uhod.215771
Chicago Sunar Veli,Çavdarlı Büşranur,ASLAN Koray,kose caner,SARICI SAIM FURKAN,arık zafer,Meydanli Mehmet Mutlu Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. (2021): 239 - 245. 10.4999/uhod.215771
MLA Sunar Veli,Çavdarlı Büşranur,ASLAN Koray,kose caner,SARICI SAIM FURKAN,arık zafer,Meydanli Mehmet Mutlu Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. , 2021, ss.239 - 245. 10.4999/uhod.215771
AMA Sunar V,Çavdarlı B,ASLAN K,kose c,SARICI S,arık z,Meydanli M Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. . 2021; 239 - 245. 10.4999/uhod.215771
Vancouver Sunar V,Çavdarlı B,ASLAN K,kose c,SARICI S,arık z,Meydanli M Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. . 2021; 239 - 245. 10.4999/uhod.215771
IEEE Sunar V,Çavdarlı B,ASLAN K,kose c,SARICI S,arık z,Meydanli M "Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer." , ss.239 - 245, 2021. 10.4999/uhod.215771
ISNAD Sunar, Veli vd. "Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer". (2021), 239-245. https://doi.org/10.4999/uhod.215771
APA Sunar V, Çavdarlı B, ASLAN K, kose c, SARICI S, arık z, Meydanli M (2021). Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. Uluslararası Hematoloji-Onkoloji Dergisi, 31(4), 239 - 245. 10.4999/uhod.215771
Chicago Sunar Veli,Çavdarlı Büşranur,ASLAN Koray,kose caner,SARICI SAIM FURKAN,arık zafer,Meydanli Mehmet Mutlu Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. Uluslararası Hematoloji-Onkoloji Dergisi 31, no.4 (2021): 239 - 245. 10.4999/uhod.215771
MLA Sunar Veli,Çavdarlı Büşranur,ASLAN Koray,kose caner,SARICI SAIM FURKAN,arık zafer,Meydanli Mehmet Mutlu Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. Uluslararası Hematoloji-Onkoloji Dergisi, vol.31, no.4, 2021, ss.239 - 245. 10.4999/uhod.215771
AMA Sunar V,Çavdarlı B,ASLAN K,kose c,SARICI S,arık z,Meydanli M Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. Uluslararası Hematoloji-Onkoloji Dergisi. 2021; 31(4): 239 - 245. 10.4999/uhod.215771
Vancouver Sunar V,Çavdarlı B,ASLAN K,kose c,SARICI S,arık z,Meydanli M Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer. Uluslararası Hematoloji-Onkoloji Dergisi. 2021; 31(4): 239 - 245. 10.4999/uhod.215771
IEEE Sunar V,Çavdarlı B,ASLAN K,kose c,SARICI S,arık z,Meydanli M "Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer." Uluslararası Hematoloji-Onkoloji Dergisi, 31, ss.239 - 245, 2021. 10.4999/uhod.215771
ISNAD Sunar, Veli vd. "Comparison of Efficacies of Dose Dense Paclitaxel Plus Carboplatin and Conventional Paclitaxel Plus Carboplatin in the Treatment of Epithelial Ovarian Cancer". Uluslararası Hematoloji-Onkoloji Dergisi 31/4 (2021), 239-245. https://doi.org/10.4999/uhod.215771