Phase II study of docetaxel in patients with epithelial ovarian carcinoma refractory to platinum
We analyzed the efficacy and toxicity of docetaxel in patients with ovarian cancer who failed previous chemotherapy with platinum. Fifty-five patients with measurable ovarian cancer were entered in this Phase II study at The University of Texas M. D. Anderson Cancer Center. Treatment consisted of 10...
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Veröffentlicht in: | Clinical cancer research 1996-05, Vol.2 (5), p.837-842 |
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Zusammenfassung: | We analyzed the efficacy and toxicity of docetaxel in patients with ovarian cancer who failed previous chemotherapy with platinum.
Fifty-five patients with measurable ovarian cancer were entered in this Phase II study at The University of Texas M. D. Anderson
Cancer Center. Treatment consisted of 100 mg/m2 docetaxel given i.v. every 3 weeks. Because of hypersensitivity reactions,
premedication with steroids and antihistamine was initiated during the study. Twenty-two (40%) patients responded (there were
3 complete responders and 19 partial responders). Twenty-one (38%) patients had stable disease. The median survival was 10
months. The main toxicity was neutropenia (98% of patients), with 13 episodes of neutropenic fever. Cumulative fluid retention
was the main reason for dose modification and required a combination of diuretics and steroids for palliation. Other side
effects were alopecia (100%); anemia (87%); dermatitis (67%); gastrointestinal disorders (53%); stomatitis (49%); neurotoxicity
(45%); excessive lacrimation (33%); and hypersensitivity reactions (11%), which in one case were life threatening (loss of
consciousness, fluid resuscitation). Docetaxel as a single agent proved to be active in heavily pretreated ovarian cancer
patients but is associated with significant side effects. Objective toxicity consisted mainly of neutropenia and fluid retention.
Neutropenia was dose limiting and required therapy with granulocyte colony-stimulating factor. Fluid retention was improved
but not eliminated by diuretics and corticosteroids. Additional studies of docetaxel in ovarian carcinoma are indicated to
define the activity in relation to paclitaxel and in platinum combination therapy. |
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ISSN: | 1078-0432 1557-3265 |