Real world effectiveness and safety of pegylated liposomal doxorubicin in platinum-sensitive recurrent ovarian, fallopian, or primary peritoneal cancer: a Korean multicenter retrospective cohort study
- Author:
Soo Jin PARK
1
;
Jihye KIM
;
Hee Seung KIM
;
Jeong Won LEE
;
Ha Kyun CHANG
;
Keun Ho LEE
;
Dae Yeon KIM
;
Sunghoon KIM
;
Suk Joon CHANG
;
Seung Su HAN
;
Sang Yoon PARK
;
Seung Hyuk SHIM
Author Information
- Publication Type:Multicenter Study
- Keywords: Ovarian Cancer; Recurrence; Platinum; Prognosis; Chemotherapy
- MeSH: Alopecia; Carboplatin; Cohort Studies; Disease-Free Survival; Doxorubicin; Drug Therapy; Follow-Up Studies; Hand-Foot Syndrome; Humans; Korea; Ovarian Neoplasms; Paclitaxel; Peripheral Nervous System Diseases; Platinum; Prognosis; Recurrence; Retrospective Studies
- From:Journal of Gynecologic Oncology 2020;31(2):15-
- CountryRepublic of Korea
- Language:English
- Abstract: OBJECTIVE: To evaluate the effectiveness and safety of the combination of pegylated liposomal doxorubicin with carboplatin (CD) compared with those of carboplatin and paclitaxel (CP) for platinum-sensitive recurrent ovarian, fallopian, or primary peritoneal cancer in a real-world setting in Korea.METHODS: We enrolled relevant patients from 9 institutions. All patients received CD or CP as the second- or third-line chemotherapy in routine clinical practice during 2013–2018. The primary endpoints were progression-free survival (PFS) and toxicity. The secondary endpoint included the objective response rate (ORR).RESULTS: Overall, 432 patients (224 and 208 in the CD and CP groups, respectively) were included. With a median follow-up of 18.9 months, the median PFS was not different between the groups (12.7 vs. 13.6 months; hazard ratio, 1.161; 95% confidence interval, 0.923–1.460; p=0.202). The ORR was 74.6% and 80.1% in the CD and CP group, respectively (p=0.556). Age and surgery at relapse were independent prognostic factors. More patients in the CD group significantly experienced a grade 3 to 4 hematologic toxicity and hand-foot syndrome (13.8% vs. 6.3%), whereas grade 2 or more alopecia (6.2% vs. 36.1%), peripheral neuropathy (4.4% vs. 11.4%), and allergic/hypersensitivity reaction (0.4% vs. 8.5%) developed more often in the CP group.CONCLUSIONS: The safety and effectiveness of chemotherapy with CD in a real-world setting were consistent with the results from a randomized controlled study. The different toxicity profiles between the 2 chemotherapy (CD and CP) regimens should be considered in the clinical practice.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03562533
