High-dose platinum chemotherapy in advanced ovarian cancer: a phase II study.

Abstract:

:From September 1986 to November 1988, 38 patients with previously untreated ovarian cancer, FIGO stages III and IV, were allocated to a study testing the efficacy of high-dose platinum delivered as combined carboplatin and cisplatin. The regimen was as follows: Day 1, 250-350 mg/m2 carboplatin and 500 mg/m2 cyclophosphamide, Day 15, 100 mg/m2 cisplatin. Overall clinical response was 60%, and complete pathologic response, verified at second-look laparotomy, was 24%. Median survival was 17 months and 3-year survival 27%. The results are similar to those obtained by a standard dose of cisplatin, cyclophosphamide, and doxorubicin. Myelotoxicity was dose limiting. After receiving four cycles, 44% of patients had grade 3 or 4 leucopenia and 65% had grade 3 or 4 thrombopenia. Despite this, dose intensity of combined cisplatin and carboplatin was between 30 and 45 mg/m2/week, expressed as cisplatin by assuming that 1 mg cisplatin equals 4 mg of carboplatin. A correlation between dose intensity and response was not found. In conclusion the study showed that the regimen is feasible, but very myelotoxic. The results were not superior to those obtained by combination chemotherapy using standard doses of cisplatin.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Bertelsen K,Bastholt L

doi

10.1016/0090-8258(92)90016-c

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

79-82

issue

1

eissn

0090-8258

issn

1095-6859

journal_volume

44

pub_type

临床试验,杂志文章
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    更新日期:1997-02-01 00:00:00

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    pub_type: 杂志文章,多中心研究

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    更新日期:2014-03-01 00:00:00

  • Comparison of bevacizumab alone or with chemotherapy in recurrent ovarian cancer patients.

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    pub_type: 临床试验,杂志文章

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    pub_type: 临床试验,杂志文章

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    pub_type: 杂志文章

    doi:10.1006/gyno.1994.1009

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    更新日期:1994-01-01 00:00:00

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    pub_type: 杂志文章

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    authors: Kuhn W,Pache L,Schmalfeldt B,Dettmar P,Schmitt M,Jänicke F,Graeff H

    更新日期:1994-12-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1991-03-01 00:00:00

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    pub_type: 杂志文章,多中心研究

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    pub_type: 杂志文章,评审

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  • Fulminant course of a microinvasive vulvar carcinoma in an immunosuppressed woman.

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    pub_type: 杂志文章

    doi:10.1006/gyno.1997.4632

    authors: Volgger B,Marth C,Zeimet A,Müller-Holzner E,Ruth N,Dapunt O

    更新日期:1997-04-01 00:00:00

  • Update on novel therapeutic agents for cervical cancer.

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    pub_type: 杂志文章,评审

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    更新日期:2008-09-01 00:00:00

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    journal_title:Gynecologic oncology

    pub_type: 杂志文章

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    更新日期:1991-01-01 00:00:00

  • Endometrial clear cell carcinoma metastatic to the paranasal sinuses: a case report and review of the literature.

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    journal_title:Gynecologic oncology

    pub_type: 杂志文章,评审

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    authors: Ilvan S,Akyildiz EU,Calay Z,Celikoyar M,Sahinler I

    更新日期:2004-07-01 00:00:00

  • Myxoid leiomyosarcoma of the vulva.

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    pub_type: 杂志文章,评审

    doi:10.1016/j.ygyno.2004.10.013

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    更新日期:2005-02-01 00:00:00

  • Trastuzumab with carboplatin/paclitaxel for treatment of advanced stage and recurrent uterine papillary serous carcinoma: A cost-effectiveness analysis.

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    pub_type: 杂志文章

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    更新日期:2021-01-01 00:00:00

  • Endometrial cancer presentation is associated with social determinants of health in a public healthcare system: A population-based cohort study.

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    pub_type: 临床试验,杂志文章

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