Topotecan and the treatment of recurrent ovarian cancer: is there a role for granulocyte colony-stimulating factor?

Abstract:

:Topotecan (Hycamtin; SmithKline Beecham Pharmaceuticals, Philadelphia, PA) a new chemotherapeutic agent for the treatment of patients with advanced carcinoma of the ovary after failure of initial or subsequent therapy, is a specific, potent inhibitor of the enzyme topoisomerase I. Myelosuppression is the dose-limiting toxicity of topotecan, and can interfere with the administration of the recommended dose/schedule of the drug by delaying the next cycle of chemotherapy or by requiring a reduction in the dose. The results from clinical studies suggest that routine granulocyte colony-stimulating factor therapy is not needed when topotecan is administered at the recommended dose of 1.5 mg/m2/d for 5 days. However, patients should be carefully monitored, as some may benefit from hematopoietic growth factor support on subsequent cycles.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Saltz L,Janik JE

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

S5-26-S5-30

issue

1 Suppl 5

eissn

0093-7754

issn

1532-8708

journal_volume

24

pub_type

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