Randomized phase III clinical trial evaluating weekly cisplatin for advanced epithelial ovarian cancer

Robert Fruscio, Annalisa Garbi, Gabriella Parma, Andrea Alberto Lissoni, Daniela Garavaglia, Cristina Maria Bonazzi, Tiziana Dell'Anna, Costantino Mangioni, Rodolfo Milani, Nicoletta Colombo

Research output: Contribution to journalArticle

Abstract

This randomized, open label, phase III clinical trial (1988-1992) compared the efficacy and safety of a dose-dense regimen of single-agent cisplatin with a standard 3-weekly schedule in first-line chemotherapy for advanced epithelial ovarian cancer. Two hundred eighty-five patients were randomly assigned to the experimental dose-dense arm (cisplatin 50 mg/m2 weekly × nine cycles) or to the control (standard treatment) arm (cisplatin 75 mg/m 2, administered on day 1 every 21 days × six cycles). The primary outcome was progression-free survival (PFS). Secondary outcomes were overall survival (OS), overall response to chemotherapy, and toxicity. Toxicity and response to treatment were compared with the χ2 test using trend or exact correction. PFS and OS were estimated by Kaplan-Meier analyses and treatment hazard ratios (HRs) with the Cox proportional hazards model. All statistical tests were two-sided. After a median follow-up of 16.8 years, no differences were observed between the two treatments in PFS (experimental arm: 17.2 months; control arm: 18.1 months; HR = 1.08, 95% confidence interval [CI] = 0.83 to 1.40; P =. 57) and in OS (experimental arm: 35 months; control arm: 32 months; HR = 0.97, 95% CI = 0.75 to 1.26; P =. 97). Thus, increasing dose intensity of cisplatin does not improve PFS or OS compared with standard chemotherapy.

Original languageEnglish
Pages (from-to)347-351
Number of pages5
JournalJournal of the National Cancer Institute
Volume103
Issue number4
DOIs
Publication statusPublished - Feb 16 2011

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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    Fruscio, R., Garbi, A., Parma, G., Lissoni, A. A., Garavaglia, D., Bonazzi, C. M., Dell'Anna, T., Mangioni, C., Milani, R., & Colombo, N. (2011). Randomized phase III clinical trial evaluating weekly cisplatin for advanced epithelial ovarian cancer. Journal of the National Cancer Institute, 103(4), 347-351. https://doi.org/10.1093/jnci/djq530