Does paclitaxel-carboplatin chemotherapy in a dose-dense regimen enhance survival of BRCA-related ovarian cancer patients?

Int J Gynecol Cancer. 2009 Dec;19(9):1501-4. doi: 10.1111/IGC.0b013e3181bb703f.

Abstract

In a group of 6 BRCA-related ovarian cancer patients presenting with clinical relapse, paclitaxel-carboplatin (TC) in a dose-dense regimen was administered to evaluate the response and tolerability compared with those of the sporadic group and of the patients using a regimen administered every 3 weeks. All patients were carboplatin sensitive at the time of first relapse: 4 patients showed intermediate sensitivity (6-12 months), and 2 patients were truly carboplatin sensitive (>12 months) at first relapse and first administration of a TC dose-dense regimen. A total of 14 dose-dense regimens were administered in a median 5th line (range, 2nd-10th line). A median of 2 dose-dense regimens (range, 1-4) was given per patient. After first administration of the TC dose-dense regimen (median, 3rd line), this resulted in response in all patients: complete remission in 33% and partial remission in the remaining 67%. Furthermore, after another consecutive line of TC dose-dense regimen, 100% response (75% with partial remission and 25% with complete remission) was reached. The results are encouraging and support the observation of extreme carboplatin sensitivity of BRCA-related ovarian cancer. The use of a TC dose-dense regimen might be even more effective.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • BRCA1 Protein / genetics*
  • Carboplatin / administration & dosage*
  • Carboplatin / adverse effects
  • Carcinoma / drug therapy*
  • Carcinoma / genetics
  • Carcinoma / mortality
  • Cell Transformation, Neoplastic / genetics
  • Dose-Response Relationship, Drug
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Middle Aged
  • Ovarian Neoplasms / drug therapy*
  • Ovarian Neoplasms / genetics
  • Ovarian Neoplasms / mortality
  • Paclitaxel / administration & dosage*
  • Paclitaxel / adverse effects
  • Retrospective Studies
  • Survival Analysis
  • Treatment Outcome

Substances

  • BRCA1 Protein
  • BRCA1 protein, human
  • Carboplatin
  • Paclitaxel