Long Term Oral Etoposide As Second-Line Therapy In Recurrent Epithelial Carcinoma Of The Ovary

Background: The activity and toxicity of etoposide in women with recurrent ovarian cancer was evaluated in a case series of women with recurrent ovarian cancer who had measurable disease, Methods: All patients had plior platinum-based chemotherapy and developed progressive disease, Etoposide was giv...

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Bibliographic Details
Main Authors: Azam Sadat Moosavi, Afsaneh Tehranian, Nadereh Behtash, Mitra Modares Gilani, Fatemeh Ghaem-Maghami
Format: Article
Language:English
Published: Iran University of Medical Sciences 2005-01-01
Series:Medical Journal of The Islamic Republic of Iran
Subjects:
Online Access:http://mjiri.tums.ac.ir/browse.php?a_id=1602&slc_lang=en&sid=1&ftxt=1
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Summary:Background: The activity and toxicity of etoposide in women with recurrent ovarian cancer was evaluated in a case series of women with recurrent ovarian cancer who had measurable disease, Methods: All patients had plior platinum-based chemotherapy and developed progressive disease, Etoposide was given as 50mg/day for 21 days every 4 weeks until progression of disease or prohibitive toxicity, Between December 1999 and January 2004,32 patients were enrolled in this study. Results: 30 patients received a total of 133 cycles of etoposide. Median age was 49 years (range, 19 to 75). The median number of etoposide cycles was 4 (range, 1 to 12). There were 5 partial responses (16.6%). The mean response duration was 4.8 months (range, 3.5 to 6). median progression-free interval CPFI) was 7 months (range, 3 to 13), and median survival time was 12.5 months (range. 1.3 to 36). Conclusion: The major toxicity was leukopenia. One patient required red blood cell transfusions, and the main non-hematologic toxicity was nausea and vomiting. There were no treatment-related mortalities. Although etoposide appears to exhibit modest activity in recurrent ovarian cancer after platinum-based therapy, response and survival durations are short.
ISSN:1016-1430
2251-6840