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. 2008 Dec;111(3):461-6.
doi: 10.1016/j.ygyno.2008.08.011. Epub 2008 Sep 30.

Combination gemcitabine, platinum, and bevacizumab for the treatment of recurrent ovarian cancer

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V体育官网入口 - Combination gemcitabine, platinum, and bevacizumab for the treatment of recurrent ovarian cancer

Debra L Richardson et al. Gynecol Oncol. 2008 Dec.

Erratum in

  • Gynecol Oncol. 2010 Dec;119(3):603. Dosage error in article text

Abstract

Objective: To describe the response rate (RR), progression-free survival (PFS), and toxicity profile of combination gemcitabine, platinum, and bevacizumab (GPB) for the treatment of recurrent epithelial ovarian cancer (EOC) VSports手机版. .

Methods: A chart review of all patients with recurrent EOC who were treated with D1, D15 GPB in a 28-day cycle at a single institution was performed. Standard doses were gemcitabine 1000 mg/m(2), cisplatin 30 mg/m(2) or carboplatin AUC 3, and bevacizumab 10 mg/kg. All patients were analyzed for toxicity V体育安卓版. RR and PFS were assessed in all patients who received at least 2 cycles of GPB. .

Results: Thirty-five patients were identified, and 33 received at least 2 cycles of GPB. The majority of patients (80%) were platinum sensitive. Patients received a median of 6 cycles of GPB (range 1-24). Sixteen patients (48%) had a complete response (CR), and 10 patients (30%) had a partial response (PR), for a total RR of 78% V体育ios版. An additional 5 patients (15%) had stable disease, and only 2 (6%) patients had progressive disease. The median overall PFS was 12 months (95% CI 7-15), with a median follow-up time of 10 months (2-22). Two patients (6%) had bowel perforations, and both survived. Hematologic toxicities were most common, with 29% and 14% of patients experiencing grade 3 or 4 neutropenia and thrombocytopenia respectively. .

Conclusions: The combination of GPB demonstrated excellent efficacy for the treatment of recurrent EOC VSports最新版本. However, serious toxicities occurred, and the safety profile of this combination requires further study. .

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