Literature DB >> 10600304

Lack of efficacy of 24-h infusional topotecan in platinum-refractory ovarian cancer: A Gynecologic Oncology Group trial.

M Markman1, J A Blessing, K DeGeest, M Morgan, K Y Look, T J Herzog, P G Rose.   

Abstract

BACKGROUND: The aim of this study was to evaluate the efficacy of a more convenient topotecan administration schedule in the second-line treatment of advanced platinum-refractory ovarian cancer. METHODS AND MATERIALS: The Gynecologic Oncology Group conducted a Phase II trial of 24-h infusional topotecan (8.5 mg/m(2)), repeated every 3 weeks in 26 patients with platinum-refractory ovarian cancer (failure to respond to initial platinum-based treatment or development of recurrent disease within 6 months of completion of chemotherapy).
RESULTS: Grade 4 neutropenia (85% of patients) and thrombocytopenia (12%) were the major toxicities encountered. Of the 25 patients evaluable for response, only a single patient experienced an objective response (4%).
CONCLUSIONS: When employed at this dose and schedule (24-h infusion every 3 weeks), topotecan has minimal second-line activity in platinum-refractory ovarian cancer. Copyright 1999 Academic Press.

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Year:  1999        PMID: 10600304     DOI: 10.1006/gyno.1999.5640

Source DB:  PubMed          Journal:  Gynecol Oncol        ISSN: 0090-8258            Impact factor:   5.482


  6 in total

1.  Phase II trial of the mTOR inhibitor, temsirolimus and evaluation of circulating tumor cells and tumor biomarkers in persistent and recurrent epithelial ovarian and primary peritoneal malignancies: a Gynecologic Oncology Group study.

Authors:  Kian Behbakht; Michael W Sill; Kathleen M Darcy; Stephen C Rubin; Robert S Mannel; Steven Waggoner; Russell J Schilder; Kathy Q Cai; Andrew K Godwin; R Katherine Alpaugh
Journal:  Gynecol Oncol       Date:  2011-07-12       Impact factor: 5.482

Review 2.  Management strategies for recurrent platinum-resistant ovarian cancer.

Authors:  R Wendel Naumann; Robert L Coleman
Journal:  Drugs       Date:  2011-07-30       Impact factor: 9.546

3.  A Gynecologic Oncology Group phase II trial of the protein kinase C-beta inhibitor, enzastaurin and evaluation of markers with potential predictive and prognostic value in persistent or recurrent epithelial ovarian and primary peritoneal malignancies.

Authors:  Lydia Usha; Michael W Sill; Kathleen M Darcy; Doris M Benbrook; Jean A Hurteau; David P Michelin; Robert S Mannel; Parviz Hanjani; Koen De Geest; Andrew K Godwin
Journal:  Gynecol Oncol       Date:  2011-03-17       Impact factor: 5.482

4.  Prognostic significance of the mitochondrial scoring system in ovarian cancer.

Authors:  Ryuma Matsumoto; Seiji Isonishi; Kazuhiko Ochiai; Tomomi Hamada; Takako Kiyokawa; Toshiaki Tachibana; Hiroshi Ishikawa
Journal:  Exp Ther Med       Date:  2010-07-20       Impact factor: 2.447

Review 5.  Topotecan for ovarian cancer.

Authors:  P Lihua; X Y Chen; T X Wu
Journal:  Cochrane Database Syst Rev       Date:  2008-04-16

6.  Phase II evaluation of pemetrexed in the treatment of recurrent or persistent platinum-resistant ovarian or primary peritoneal carcinoma: a study of the Gynecologic Oncology Group.

Authors:  David S Miller; John A Blessing; Carolyn N Krasner; Robert S Mannel; Parviz Hanjani; Michael L Pearl; Steven E Waggoner; Cecelia H Boardman
Journal:  J Clin Oncol       Date:  2009-03-30       Impact factor: 44.544

  6 in total

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