Docetaxel and carboplatin chemotherapy for treating patients with stage IVB or recurrent non-squamous cell carcinoma of the uterine cervix: a phase II study.


Journal

International journal of clinical oncology
ISSN: 1437-7772
Titre abrégé: Int J Clin Oncol
Pays: Japan
ID NLM: 9616295

Informations de publication

Date de publication:
Jul 2021
Historique:
received: 11 08 2020
accepted: 20 03 2021
pubmed: 8 4 2021
medline: 23 6 2021
entrez: 7 4 2021
Statut: ppublish

Résumé

This phase II study evaluated the efficacy and safety of docetaxel/carboplatin chemotherapy for treating patients with stage IVB or recurrent non-squamous cell carcinoma of the uterine cervix. A total of 50 patients with International Federation of Gynecology and Obstetrics stage IVB or recurrent non-squamous cell carcinoma of the uterine cervix were enrolled and administered docetaxel at a dose of 60 mg/m The response rate was 47.9% with 5 patients achieving complete response, 18 partial response, 14 stable disease, and 6 progressive disease. The disease control rate was 77.1%. With a median follow-up duration of 368 days, the median progression-free survival and overall survival were 6.1 months (95% CI 5.5-8.6) and 15.8 months (95% CI 18.2-28.3), respectively. The most frequent grade 3 and grade 4 hematological toxicity was neutropenia, with 38 patients (81%) having grade 4 and 4 (9%) having grade 3 neutropenia. The non-hematological toxicities were mainly grade 1 or 2 in severity. Docetaxel/carboplatin chemotherapy was effective, with a higher disease control rate and well-tolerated chemotherapeutic regimen for patients with stage IVB or recurrent non-squamous cell carcinoma of the uterine cervix.

Sections du résumé

BACKGROUND BACKGROUND
This phase II study evaluated the efficacy and safety of docetaxel/carboplatin chemotherapy for treating patients with stage IVB or recurrent non-squamous cell carcinoma of the uterine cervix.
METHODS METHODS
A total of 50 patients with International Federation of Gynecology and Obstetrics stage IVB or recurrent non-squamous cell carcinoma of the uterine cervix were enrolled and administered docetaxel at a dose of 60 mg/m
RESULTS RESULTS
The response rate was 47.9% with 5 patients achieving complete response, 18 partial response, 14 stable disease, and 6 progressive disease. The disease control rate was 77.1%. With a median follow-up duration of 368 days, the median progression-free survival and overall survival were 6.1 months (95% CI 5.5-8.6) and 15.8 months (95% CI 18.2-28.3), respectively. The most frequent grade 3 and grade 4 hematological toxicity was neutropenia, with 38 patients (81%) having grade 4 and 4 (9%) having grade 3 neutropenia. The non-hematological toxicities were mainly grade 1 or 2 in severity.
CONCLUSION CONCLUSIONS
Docetaxel/carboplatin chemotherapy was effective, with a higher disease control rate and well-tolerated chemotherapeutic regimen for patients with stage IVB or recurrent non-squamous cell carcinoma of the uterine cervix.

Identifiants

pubmed: 33826028
doi: 10.1007/s10147-021-01903-1
pii: 10.1007/s10147-021-01903-1
doi:

Substances chimiques

Docetaxel 15H5577CQD
Carboplatin BG3F62OND5

Types de publication

Clinical Trial, Phase II Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1314-1321

Références

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Auteurs

Muneaki Shimada (M)

Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan. muneaki.shimada.b7@tohoku.ac.jp.

Shinya Sato (S)

Department of Obstetrics and Gynecology, Tottori University School of Medicine, 36-1, Nishi-cho, Yonago, Tottori, 683-8504, Japan.

Tadahiro Shoji (T)

Department of Obstetrics and Gynecology, Iwate Medical University, 2-1-1, Idaidori, Yahaba-cho, Shiwa-gun, Morioka, Iwate, 020-8505, Japan.

Shoji Nagao (S)

Department of Gynecologic Oncology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama, 350-1298, Japan.
Department of Gynecology, Hyogo Cancer Center, 13-70, Kitaoji-cho, Akashi, Hyogo, 673-8558, Japan.

Hideki Tokunaga (H)

Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan.

Kotaro Sueoka (K)

Department of Obstetrics and Gynecology, Yamaguchi University Graduate School of Medicine, 1-1-1, Minamikogushi, Ube, Yamaguchi, 755-8505, Japan.

Kazuhiro Takehara (K)

Department of Obstetrics and Gynecology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, 3-1, Aoyama-cho, Kure, Hiroshima, 737-0023, Japan.
Department of Gynecologic Oncology, National Hospital Organization Shikoku Cancer Center, 160, Minami-Umenomoto, Matsuyama, Ehime, 791-0280, Japan.

Keiichiro Nakamura (K)

Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1, Sikada-cho, Kita-ku, Okayama, 700-8558, Japan.

Satoshi Yamaguchi (S)

Department of Gynecology, Hyogo Cancer Center, 13-70, Kitaoji-cho, Akashi, Hyogo, 673-8558, Japan.

Junzo Kigawa (J)

Matsue City Hospital, 32-1, Noshira-cho, Matsue, Shimane, 690-8509, Japan.

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