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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2007-3-16
pubmed:abstractText
Gemcitabine and oxaliplatin have shown single-agent activity in relapsed ovarian cancer. This combination was used to determine response rates, time-to-event efficacy measures, and toxicity in patients with recurrent ovarian cancer. Patients with prior platinum-based chemotherapy who had measurable lesions and/or elevated CA-125 levels were identified as group A (platinum-refractory/platinum-resistant patients) and group B (platinum-sensitive patients). All patients received gemcitabine 1000 mg/m(2) on days 1 and 8 and oxaliplatin 130 mg/m(2) on day 8 every 21 days for up to eight cycles. Seventy-five patients (21 in group A and 54 in group B), with a median age of 58 years (range, 37-78), were enrolled. A median of six cycles (range, 1-8) was administered. By intent-to-treat analysis, 15 patients with measurable disease achieved partial response for an overall best response rate of 20.0% (9.5% in group A and 24.1% in group B). CA-125 response was observed in 48.4% patients (30.0% in group A and 57.1% in group B). Median time to progressive disease was 7.1 months (95% CI, 5.6-9.0 months) with 5.0 months in group A and 8.3 months in group B. Median overall survival was 17.8 months (95% CI, 12.9-21.3 months) with 9.2 months for group A and 20.0 months for group B. Major grade 3/4 toxicities were neutropenia (61.3%), leukopenia (24.0%), nausea (16.0%), and vomiting (22.7%). We conclude that the combination of oxaliplatin and gemcitabine is active in patients with recurrent ovarian cancer, but the regimen is unsatisfactory for further study due to modest response and relatively high toxicity.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1048-891X
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
359-66
pubmed:meshHeading
pubmed-meshheading:17362313-Adult, pubmed-meshheading:17362313-Aged, pubmed-meshheading:17362313-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:17362313-Australia, pubmed-meshheading:17362313-CA-125 Antigen, pubmed-meshheading:17362313-Carcinoma, pubmed-meshheading:17362313-Deoxycytidine, pubmed-meshheading:17362313-Disease Progression, pubmed-meshheading:17362313-Dose-Response Relationship, Drug, pubmed-meshheading:17362313-Drug Resistance, Neoplasm, pubmed-meshheading:17362313-Female, pubmed-meshheading:17362313-Humans, pubmed-meshheading:17362313-Middle Aged, pubmed-meshheading:17362313-Neoplasm Recurrence, Local, pubmed-meshheading:17362313-New Zealand, pubmed-meshheading:17362313-Organoplatinum Compounds, pubmed-meshheading:17362313-Ovarian Neoplasms, pubmed-meshheading:17362313-Salvage Therapy, pubmed-meshheading:17362313-Survival Analysis
pubmed:articleTitle
Phase II study of gemcitabine and oxaliplatin in patients with recurrent ovarian cancer: an Australian and New Zealand Gynaecological Oncology Group study.
pubmed:affiliation
Department of Medical Oncology, Westmead Hospital, Westmead, New South Wales, Australia. harnettpr@westgate.wh.usyd.edu.au
pubmed:publicationType
Journal Article, Multicenter Study, Clinical Trial, Phase II