Article Text

Combination therapy with leuprolide acetate and tamoxifen in refractory ovarian cancer
  1. A. Lopez,
  2. A. Tessadrelli,
  3. A. P. Kudelka,
  4. C. L. Edwards,
  5. R. S. Freedman,
  6. M. Hord and
  7. J. J. Kavanagh
  1. Department of Gynecologic Medical Oncology and Department of Gynecologic Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
  1. Address for correspondence: Dr A. P. Kudelka, Department of Gynecologic Medical Oncology, PO Box 39, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030, USA.


To determine the activity of combination hormonal therapy for platinum-resistant ovarian carcinoma, we treated 20 patients with leuprolide acetate 7.5 mg intramuscularly once a month and tamoxifen 20 mg orally twice a day. Among the 17 evaluable patients, two patients (12%; 95% CI: 0-27) had a partial response, each lasting 7 months. An additional five patients(29%; 95% CI: 8-51) experienced disease stabilization with a median duration of 5 months. This response rate is not significantly different from previously published studies using either leuprolide acetate or tamoxifen alone. The median survival duration was 14.4 months and this was not significantly different from that of our previous study with high-dose Taxol(P = 0.0668). The treatment was well-tolerated, with minimal toxicity. Combination hormone therapy with leuprolide acetate and tamoxifen does not result in increased activity compared with either drug used alone for platinum-refractory ovarian carcinoma. However, hormonal therapy should remain an important consideration for this disease since it has documented activity with minimal associated toxicity.

  • hormonal therapy
  • leuprolide acetate
  • ovarian carcinoma
  • platinum-resistance
  • tamoxifen
  • Taxol

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.