Intraperitoneal administration of cisplatin plus bevacizumab for the management of malignant ascites in ovarian epithelial cancer: results of a phase III clinical trial

Bevacizumab is a humanized antihuman VEGF-A monoclonal antibody. This study aims to evaluate the efficacy and safety of intraperitoneal administration of cisplatin plus bevacizumab (Avastin) in the management of malignant ascites in ovarian epithelial cancer. Fifty-eight ovarian epithelial cancer pa...

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Veröffentlicht in:Medical oncology (Northwood, London, England) London, England), 2015-02, Vol.32 (2), p.292-292, Article 37
Hauptverfasser: Zhao, Hui, Li, Xiaosong, Chen, Dianjun, Cai, Jianhua, Fu, Yan, Kang, Huanrong, Gao, Jie, Gao, Ke, Du, Nan
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container_title Medical oncology (Northwood, London, England)
container_volume 32
creator Zhao, Hui
Li, Xiaosong
Chen, Dianjun
Cai, Jianhua
Fu, Yan
Kang, Huanrong
Gao, Jie
Gao, Ke
Du, Nan
description Bevacizumab is a humanized antihuman VEGF-A monoclonal antibody. This study aims to evaluate the efficacy and safety of intraperitoneal administration of cisplatin plus bevacizumab (Avastin) in the management of malignant ascites in ovarian epithelial cancer. Fifty-eight ovarian epithelial cancer patients with malignant ascites were randomly assigned to receive either intraperitoneal administration of cisplatin only (control group, n  = 27, cisplatin: 40 mg/m 2 every 2 weeks, for 6 weeks) or cisplatin plus bevacizumab (study group, n  = 31, cisplatin: 40 mg/m 2 , bevacizumab: 300 mg, every 2 weeks for 6 weeks). All patients regularly received TC regimen (paclitaxel 135 mg/m 2  d1 + carboplatin AUC 5 d1) every 3 weeks. The outcome, quality of life (QoL) and adverse effect of the treatment were analyzed, and VEGF and CA-125 level in ascites were detected by ELISA. After treatment with cisplatin plus bevacizumab, VEGF level in ascites was significantly decreased compared to baseline ( P  
doi_str_mv 10.1007/s12032-014-0292-1
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This study aims to evaluate the efficacy and safety of intraperitoneal administration of cisplatin plus bevacizumab (Avastin) in the management of malignant ascites in ovarian epithelial cancer. Fifty-eight ovarian epithelial cancer patients with malignant ascites were randomly assigned to receive either intraperitoneal administration of cisplatin only (control group, n  = 27, cisplatin: 40 mg/m 2 every 2 weeks, for 6 weeks) or cisplatin plus bevacizumab (study group, n  = 31, cisplatin: 40 mg/m 2 , bevacizumab: 300 mg, every 2 weeks for 6 weeks). All patients regularly received TC regimen (paclitaxel 135 mg/m 2  d1 + carboplatin AUC 5 d1) every 3 weeks. The outcome, quality of life (QoL) and adverse effect of the treatment were analyzed, and VEGF and CA-125 level in ascites were detected by ELISA. After treatment with cisplatin plus bevacizumab, VEGF level in ascites was significantly decreased compared to baseline ( P  &lt; 0.05). Meanwhile, ascites VEGF level of study group was significantly lower than that of control group ( P  &lt; 0.05). The overall response rate (ORR) of study group was significantly higher than that of control group (ORR 90.32 vs. 59.26 %, P  &lt; 0.05). QoL improvement rate of study group was also significantly higher than that of control group (93.55 vs. 48.15 %, P  &lt; 0.05). All patients were well tolerated, and no serious adverse effect occurred. 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This study aims to evaluate the efficacy and safety of intraperitoneal administration of cisplatin plus bevacizumab (Avastin) in the management of malignant ascites in ovarian epithelial cancer. Fifty-eight ovarian epithelial cancer patients with malignant ascites were randomly assigned to receive either intraperitoneal administration of cisplatin only (control group, n  = 27, cisplatin: 40 mg/m 2 every 2 weeks, for 6 weeks) or cisplatin plus bevacizumab (study group, n  = 31, cisplatin: 40 mg/m 2 , bevacizumab: 300 mg, every 2 weeks for 6 weeks). All patients regularly received TC regimen (paclitaxel 135 mg/m 2  d1 + carboplatin AUC 5 d1) every 3 weeks. The outcome, quality of life (QoL) and adverse effect of the treatment were analyzed, and VEGF and CA-125 level in ascites were detected by ELISA. After treatment with cisplatin plus bevacizumab, VEGF level in ascites was significantly decreased compared to baseline ( P  &lt; 0.05). Meanwhile, ascites VEGF level of study group was significantly lower than that of control group ( P  &lt; 0.05). The overall response rate (ORR) of study group was significantly higher than that of control group (ORR 90.32 vs. 59.26 %, P  &lt; 0.05). QoL improvement rate of study group was also significantly higher than that of control group (93.55 vs. 48.15 %, P  &lt; 0.05). All patients were well tolerated, and no serious adverse effect occurred. Intraperitoneal administration of cisplatin plus bevacizumab is effective and safe for the management of malignant ascites in ovarian epithelial cancer.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25609006</pmid><doi>10.1007/s12032-014-0292-1</doi><tpages>1</tpages></addata></record>
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subjects Aged
Antibodies, Monoclonal, Humanized - administration & dosage
Antibodies, Monoclonal, Humanized - adverse effects
Antineoplastic Combined Chemotherapy Protocols - administration & dosage
Antineoplastic Combined Chemotherapy Protocols - adverse effects
Ascites - drug therapy
Ascites - etiology
Bevacizumab
CA-125 Antigen - analysis
Carcinoma, Ovarian Epithelial
Cisplatin - administration & dosage
Cisplatin - adverse effects
Enzyme-Linked Immunosorbent Assay
Female
Hematology
Humans
Injections, Intraperitoneal
Internal Medicine
Medicine
Medicine & Public Health
Middle Aged
Neoplasms, Glandular and Epithelial - complications
Neoplasms, Glandular and Epithelial - drug therapy
Oncology
Original Paper
Ovarian Neoplasms - complications
Ovarian Neoplasms - drug therapy
Pathology
Quality of Life
Vascular Endothelial Growth Factor A - analysis
title Intraperitoneal administration of cisplatin plus bevacizumab for the management of malignant ascites in ovarian epithelial cancer: results of a phase III clinical trial
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