TY - JOUR T1 - Carboplatin and Paclitaxel in Metastatic or Recurrent Cervical Cancer JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 777-781 LP - 777-781 DO - 10.1111/IGC.0b013e3181a40a8b VL - 19 IS - 4 AU - Dimitrios Pectasides AU - George Fountzilas AU - George Papaxoinis AU - Eirini Pectasides AU - Nicolaos Xiros AU - Constantinos Sykiotis AU - Anna Koumarianou AU - Amanda Psyrri AU - John Panayiotides AU - Theofanis Economopoulos Y1 - 2009/04/01 UR - http://ijgc.bmj.com/content/19/4/777-781.abstract N2 - Objectives: The purpose of this study was to evaluate the activity and toxicity of carboplatin and paclitaxel combination in advanced or recurrent carcinoma of the cervix.Methods: Fifty-one eligible patients with measurable advanced or recurrent cervical carcinoma were treated with carboplatin (area under the curve, 5) and paclitaxel 175 mg/m2 every 3 weeks for 6 to 9 cycles or until disease progression or unacceptable toxicity.Results: Eight complete (16%) and 19 partial responses (37%) occurred, for an overall response rate (RR) of 53% (95% confidence interval [CI], 39%-67%). The median progression-free survival was 6 months (95% CI, 5.4-6.5 months), and the median overall survival was 13 months (95% CI, 11.4-14.5 months). The RR was higher in patients with disease outside a previously irradiated site compared with those with disease in a previously irradiated field (68% vs 30%) (P = 0.011). Patients previously treated with chemoradiation had an RR of 28%, whereas in those previously treated with radiotherapy alone, the RR was 68% (P = 0.023). There was no statistically significant difference between histology and response to therapy. Patients with performance status of 0 or 1 had a higher RR than those with worse performance status. Toxicity was generally mild except for myelotoxicity. Neutropenia grade 3/4 was recorded in 44% of patients, and 6% experienced febrile neutropenia. Twenty-two percent of patients experienced anemia grade 3-4, whereas 14% had thrombocytopenia grade 3-4. Three patients (6%) developed grade 3 sensory neuropathy.Conclusion: The combination of carboplatin and paclitaxel seems to have activity in advanced or recurrent cervical carcinoma with an acceptable toxicity profile. ER -