Source:http://linkedlifedata.com/resource/pubmed/id/16515569
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2006-3-6
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pubmed:abstractText |
Single-agent gemcitabine demonstrated response rates of 11-60% in platinum/paclitaxel-resistant ovarian cancer. Twenty-four patients with epithelial ovarian cancer were treated with gemcitabine 800 mg/m2 on days 1 and 8, carboplatin area under the curve 5 on day 1, and paclitaxel 175 mg/m2 over 3 h on day 1 every 3 weeks for six cycles. Median age was 54 years, and FIGO stage distribution was IIC, 1 patient, III, 18, and IV, 5. A total of 22 (92%) patients completed all the six planned courses of chemotherapy. Doses were reduced in 8 out of 24 (33%) patients. Of the 17 patients with measurable disease, 15 underwent an interval debulking surgery. Prior to interval debulking surgery, all 15 patients had a partial response according to the response evaluation criteria in solid tumors criteria. Overall in the 17 patients with measurable disease, the response rate at the end of the first-line chemotherapy (including interval debulking) was 94% (14 [82%] complete response and 2 [12%], partial response). One patient (6%) received only one cycle due to early progression. Using the CA125 criteria as defined by the Gynecologic Cancer Intergroup, all patients had at least a partial response prior to interval debulking, and the overall response rate of the whole first-line chemotherapy and interval debulking (n= 15) was observed in 21 out of 23 patients (91%). The dose-limiting toxicity was bone marrow toxicity. Median overall survival was 28 months, and the 2-year actuarial survival was 73%. The gemcitabine, carboplatin, paclitaxel triplet has an acceptable toxicity with high response rates as first-line therapy in advanced ovarian cancer.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Carboplatin,
http://linkedlifedata.com/resource/pubmed/chemical/Deoxycytidine,
http://linkedlifedata.com/resource/pubmed/chemical/Paclitaxel,
http://linkedlifedata.com/resource/pubmed/chemical/gemcitabine
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pubmed:status |
MEDLINE
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pubmed:issn |
1048-891X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
16 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
60-7
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pubmed:dateRevised |
2006-11-7
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pubmed:meshHeading |
pubmed-meshheading:16515569-Adenocarcinoma,
pubmed-meshheading:16515569-Adult,
pubmed-meshheading:16515569-Aged,
pubmed-meshheading:16515569-Antineoplastic Agents,
pubmed-meshheading:16515569-Carboplatin,
pubmed-meshheading:16515569-Deoxycytidine,
pubmed-meshheading:16515569-Feasibility Studies,
pubmed-meshheading:16515569-Female,
pubmed-meshheading:16515569-Gynecologic Surgical Procedures,
pubmed-meshheading:16515569-Humans,
pubmed-meshheading:16515569-Middle Aged,
pubmed-meshheading:16515569-Neoplasm Staging,
pubmed-meshheading:16515569-Ovarian Neoplasms,
pubmed-meshheading:16515569-Paclitaxel,
pubmed-meshheading:16515569-Survival Analysis
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pubmed:articleTitle |
Gemcitabine-carboplatin-paclitaxel combination as first-line therapy in advanced ovarian carcinoma: a single institution phase II study in 24 patients.
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pubmed:affiliation |
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University Hospitals Leuven, Katholieke Universiteit, Leuven, Belgium.
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pubmed:publicationType |
Journal Article,
Clinical Trial, Phase II
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