Τίτλος:
Carboplatin and paclitaxel in metastatic or recurrent cervical cancer
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objectives: The purpose of this study was to evaluate the activity and toxicity of carboplatin and paclitaxel combination in advanced or recurrent carcinoma of the cervix. Methods: Fifty-one eligible patients with measurable advanced or recurrent cervical carcinoma were treated with carboplatin (area under the curve, 5) and paclitaxel 175 mg/m2 every 3 weeks for 6 to 9 cycles or until disease progression or unacceptable toxicity. Results: Eight complete (16%) and 19 partial responses (37%) occurred, for an overall response rate (RR) of 53% (95% confidence interval [CI], 39%-67%). The median progression-free survival was 6 months (95% CI, 5.4-6.5 months), and the median overall survival was 13 months (95% CI, 11.4-14.5 months). The RR was higher in patients with disease outside a previously irradiated site compared with those with disease in a previously irradiated field (68% vs 30%) (P = 0.011). Patients previously treated with chemoradiation had an RR of 28%, whereas in those previously treated with radiotherapy alone, the RR was 68% (P = 0.023). There was no statistically significant difference between histology and response to therapy. Patients with performance status of 0 or 1 had a higher RR than those with worse performance status. Toxicity was generally mild except for myelotoxicity. Neutropenia grade 3/4 was recorded in 44% of patients, and 6% experienced febrile neutropenia. Twenty-two percent of patients experienced anemia grade 3-4, whereas 14% had thrombocytopenia grade 3-4. Three patients (6%) developed grade 3 sensory neuropathy. Conclusion: The combination of carboplatin and paclitaxel seems to have activity in advanced or recurrent cervical carcinoma with an acceptable toxicity profile. Copyright © 2009 by IGCS and ESGO.
Συγγραφείς:
Pectasides, D.
Fountzilas, G.
Papaxoinis, G.
Pectasides, E.
Xiros, N.
Sykiotis, C.
Koumarianou, A.
Psyrri, A.
Panayiotides, J.
Economopoulos, T.
Περιοδικό:
International Journal of Gynecological Cancer
Εκδότης:
Lippincott Williams and Wilkins
Λέξεις-κλειδιά:
antibiotic agent; antiemetic agent; carboplatin; granulocyte colony stimulating factor; paclitaxel, adult; advanced cancer; aged; alopecia; anemia; arthralgia; article; bone marrow toxicity; cancer chemotherapy; cancer growth; cancer radiotherapy; drug activity; drug hypersensitivity; febrile neutropenia; female; granulocytopenia; histology; human; leukopenia; liver toxicity; major clinical study; metastasis; mucosa inflammation; multiple cycle treatment; myalgia; nausea and vomiting; nephrotoxicity; neutropenia; overall survival; performance; priority journal; progression free survival; recurrent cancer; sensory neuropathy; sepsis; statistical significance; stomatitis; thrombocytopenia; treatment response; uterine cervix cancer
DOI:
10.1111/IGC.0b013e3181a40a8b
