Abstract
We performed a dose-escalation study of carboplatin combined with a fixed dose of intraperitoneal cisplatin and G-CSF in patients with epithelial ovarian cancer, and analyzed the progression-free and overall survival. Six of the patients who entered the study with stage IC and II disease are still alive with no evidence of disease. The five-year survival rate was 61% for the 18 patients with stage III and IV disease; progression-free survival over 5 years was 32%. Our results show this to be an effective treatment regimen for epithelial ovarian cancer. Prognosis is good with this combined carboplatin/cisplatin/G-CSF therapy, especially for those patients with microscopic or no residual disease.
Publication types
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Clinical Trial
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Clinical Trial, Phase I
MeSH terms
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Adenocarcinoma / drug therapy
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Adenocarcinoma / pathology
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Adenocarcinoma, Clear Cell / drug therapy
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Adenocarcinoma, Clear Cell / mortality
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Adenocarcinoma, Clear Cell / pathology
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Adult
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Aged
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Antineoplastic Combined Chemotherapy Protocols / adverse effects
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
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Carboplatin / administration & dosage
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Carboplatin / adverse effects
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Carcinoma, Endometrioid / drug therapy
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Carcinoma, Endometrioid / mortality
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Carcinoma, Endometrioid / pathology
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Child, Preschool
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Cisplatin / administration & dosage
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Cisplatin / adverse effects
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Cystadenocarcinoma, Mucinous / drug therapy
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Cystadenocarcinoma, Mucinous / mortality
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Cystadenocarcinoma, Mucinous / pathology
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Cystadenocarcinoma, Serous / drug therapy
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Cystadenocarcinoma, Serous / mortality
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Cystadenocarcinoma, Serous / pathology
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Disease-Free Survival
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Drug Administration Schedule
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Female
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Follow-Up Studies
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Granulocyte Colony-Stimulating Factor / therapeutic use*
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Hematologic Diseases / chemically induced
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Hematologic Diseases / drug therapy
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Hematologic Diseases / prevention & control
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Humans
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Infusions, Intravenous
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Injections, Intraperitoneal
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Japan / epidemiology
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Life Tables
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Middle Aged
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Ovarian Neoplasms / drug therapy*
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Ovarian Neoplasms / mortality
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Ovarian Neoplasms / pathology
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Prognosis
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Survival Analysis
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Treatment Outcome
Substances
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Granulocyte Colony-Stimulating Factor
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Carboplatin
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Cisplatin