[Docetaxel and carboplatin for epithelial ovarian cancer]

Gan To Kagaku Ryoho. 2004 Jun;31(6):903-6.
[Article in Japanese]

Abstract

We report herein on the efficacy and toxicity of docetaxel and carboplatin in patients with epithelial ovarian cancer. Fifteen patients with FIGO stage I c-IV epithelial ovarian cancer were administered docetaxel (70 mg/m2) and carboplatin (AUC 5) every 3 weeks as 1 course. Eleven patients received this regimen as a first-time chemotherapy, and the other 4 as therapy for recurrence. Seven patients were evaluated for response. Of these, 6 achieved complete response and the other a partial response. CA 125 response was seen in 2 of 8 patients who did not have visible tumors. Our toxicity findings include the following: grade 3 and 4 neutropenia (86.7%), hypersensitive reaction (13.3%), grade 2 alopecia (13.3%), and no edema. Docetaxel and carboplatin are actively used in ovarian cancer, with the major toxicity being bone marrow suppression. But we were able to control myelosuppression with G-CSF. Hypersensitivity reactions were frequent, we thought pre-medication. This chemotherapy combination appears effective for epithelial ovarian cancer.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Alopecia / chemically induced
  • Antiemetics / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Carboplatin / administration & dosage
  • Dexamethasone / administration & dosage
  • Docetaxel
  • Drug Administration Schedule
  • Drug Evaluation
  • Drug Hypersensitivity / etiology
  • Female
  • Granulocyte Colony-Stimulating Factor / administration & dosage
  • Humans
  • Leukopenia / chemically induced
  • Middle Aged
  • Neutropenia / chemically induced
  • Ovarian Neoplasms / drug therapy*
  • Taxoids / administration & dosage

Substances

  • Antiemetics
  • Taxoids
  • Granulocyte Colony-Stimulating Factor
  • Docetaxel
  • Dexamethasone
  • Carboplatin