Prolonged oral etoposide as second-line therapy for platinum-resistant and platinum-sensitive ovarian carcinoma: a Gynecologic Oncology Group study.

作者: P G Rose , J A Blessing , A R Mayer , H D Homesley

DOI: 10.1200/JCO.1998.16.2.405

关键词: PaclitaxelEtoposideSurgeryChemotherapyCarcinomaOvarian carcinomaGynecologic oncologyOral administrationUrologyMedicineToxicity

摘要: PURPOSEA phase II trial was conducted to determine the activity of prolonged oral etoposide in platinum-resistant and platinum-sensitive ovarian carcinoma.PATIENTS AND METHODSPlatinum-resistant disease defined as progression on platinum-based chemotherapy or recurrence within 6 months completing therapy. The starting dose 50 mg/m2/d (30 for prior radiotherapy) 21 days, every 28 days. A escalation a maximum 60 prescribed.RESULTSOf 99 patients entered, 97 were assessable toxicity 82 response. Among 41 26.8% response rate (7.3% complete [CR] 19.5% partial [PR] rate) occurred. median duration 4.3 (range, 1.3 8.7), progression-free interval (PFI) 5.7 0.8 30.8+), survival time 10.8 1.9 45.8). Twenty-five had also previously received paclitaxel; which eight (3...

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