Paclitaxel (175 mg/m2 over 3 hours) with cisplatin or carboplatin in previously untreated ovarian cancer: an interim analysis.

Abstract:

:The side effects of cisplatin (75 mg/m2) in combination with paclitaxel (Taxol; Bristol-Myers Squibb Company, Princeton, NJ) (175 mg/m2 over 3 hours) are expected to be more severe and frequent than those of carboplatin (area under the concentration-time curve of 5) in combination with the same dose of paclitaxel, but the combinations are expected to be equally effective. A disadvantage of the cisplatin-based regimen is that patients need to be admitted to the hospital. The carboplatin regimen can be administered to outpatients. We tested both combinations administered every 3 weeks in a randomized phase III study in patients with previously untreated epithelial ovarian cancer. An interim analysis for toxicity was performed in 145 patients shortly after study closure. We observed a difference in the incidence of nausea, vomiting, and neurotoxicity favoring the women treated with the carboplatin regimen, but this regimen caused more myelotoxicity. Maturation of the study is awaited before survival data can be analyzed and final conclusions can be drawn.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Neijt JP,Engelholm SA,Witteveen PO,Tuxen MK,Sørensen PG,Hansen M,Hirsch F,Sessa C,de Swart C,van Houwelingen HC,Lund B,Hansen SW

subject

Has Abstract

pub_date

1997-10-01 00:00:00

pages

S15-36-S15-39

issue

5 Suppl 15

eissn

0093-7754

issn

1532-8708

journal_volume

24

pub_type

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