Treatment of recurrent ovarian cancer relapsing 6-12 months post platinum-based chemotherapy

Nicoletta Colombo, Martin Gore

Research output: Contribution to journalArticlepeer-review

Abstract

Platinum-containing regimens are the mainstay of initial treatment for ovarian cancer and for platinum-sensitive recurrent disease. In recurrent ovarian cancer, the effectiveness of platinum retreatment is dependent on the relapse-free and treatment-free intervals. Platinum agents can be effectively re-administered to patients with disease that relapses >12 months after completion of a platinum regimen. Ovarian cancer that relapses 6-12 months after treatment with a platinum regimen is considered partially platinum sensitive. Phase III studies of combination regimens versus platinum monotherapy and comparing various non-platinum agents administered as monotherapy generally do not report separate data for partially platinum-sensitive patients. Studies reporting data in patients with a platinum-free interval ≥6 months demonstrate advantages for pegylated liposomal doxorubicin (PLD) versus paclitaxel and PLD versus topotecan. A platinum-taxane combination or single-agent PLD is recommended for the treatment of partially platinum-sensitive disease by the UK National Institute for Health and Clinical Excellence.

Original languageEnglish
Pages (from-to)129-138
Number of pages10
JournalCritical Reviews in Oncology/Hematology
Volume64
Issue number2
DOIs
Publication statusPublished - Nov 2007

Keywords

  • Paclitaxel
  • Pegylated liposomal doxorubicin
  • Platinum
  • Recurrent ovarian cancer
  • Topotecan

ASJC Scopus subject areas

  • Cancer Research
  • Hematology
  • Oncology

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