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  • Phase II Study of Docetaxel Weekly in Combination With Carboplatin Every 3 Weeks as First-Line Chemotherapy in Stage IIB to Stage IV Epithelial Ovarian Cancer

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Ovarian Cancer
Phase II Study of Docetaxel Weekly in Combination With Carboplatin Every 3 Weeks as First-Line Chemotherapy in Stage IIB to Stage IV Epithelial Ovarian Cancer
  1. Bengt Sorbe, MD, PhD*,
  2. Marianne Graflund, MD, PhD*,
  3. György Horvath, MD, PhD†,
  4. Marie Swahn, MD†,
  5. Karin Boman, MD, PhD‡,
  6. René Bangshöj, MD§,
  7. Margareta Lood, MD§ and
  8. Henric Malmström, MD, PhD∥
  1. * Department of Gynecological Oncology, University Hospital, Örebro;
  2. † Department of Gynecological Oncology, Sahlgrenska University Hospital, Gothenburg;
  3. ‡ Department of Gynecological Oncology, University Hospital, Umeå;
  4. § Department of Gynecology and Obstetrics, Central Hospital, Karlstad; and
  5. ∥ Department of Oncology, University Hospital, Linköping, Sweden.
  1. Address correspondence and reprint requests to Bengt Sorbe, MD, PhD, Department of Gynecological Oncology, University Hospital, SE-701 85 Örebro, Sweden. E-mail: bengt.sorbe{at}orebroll.se.

Abstract

Objectives The purpose of this study was to assess the response rate, toxicity, progression-free survival, and overall survival in a series of patients with advanced-stage ovarian carcinoma treated with a first-line weekly docetaxel and 3 weekly carboplatin regimen.

Methods All eligible patients were treated with intravenous docetaxel (30 mg/m2) on days 1, 8, and 15, and carboplatin (area under the curve, 5) on day 1; every 21 days for at least 6 cycles.

Results One hundred six patients received at least one cycle of primary chemotherapy (median, 6.0; range, 1–9), and they were evaluable for toxicity assessment. Eighty-five patients had evaluable (measurable) disease and received at least 3 courses of chemotherapy and were evaluable for clinical response rate. The overall response rate was 78.8% (95% confidence interval, 70.1%–87.5%), and the biochemical response 92.8% (95% confidence interval, 87.2%–98.4%). The median progression-free survival was 12.0 months and the median overall survival was 35.3 months. Thirty-six patients (34.0%) experienced grades 3 and 4 neutropenia, which resulted in the removal of 3 patients. Six patients (5.7%) experienced grades 3 or 4 thrombocytopenia. No patients experienced grade 3 to grade 4 sensory neuropathy. Epiphora, nail changes, and fatigue were frequently recorded nonhematologic adverse effects.

Conclusions The tolerable hematologic toxicity (no need for colony-stimulating factors) and the low rate of neurotoxicity (only grades 1–2) and response rates in line with the standard 3-week paclitaxel-carboplatin regimen for advanced primary ovarian carcinoma after suboptimal cytoreductive surgery make this regimen an interesting alternative in selected patients.

  • Ovarian cancer
  • Docetaxel
  • Carboplatin
  • Weekly administration

https://doi.org/10.1097/IGC.0b013e318234fa3a

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    Footnotes

    • The authors received financial support from Sanofi-Aventis AB, Stockholm, Sweden.

    • The authors declare that there are no conflicts of interest.