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GINECO前瞻性非干预性PROSPECTYON研究:曲贝替定联合聚乙二醇化脂质体阿霉素治疗铂敏感复发性卵巢癌

GINECO Prospective Non-interventional PROSPECTYON Study: Trabectedin Plus Pegylated Liposomal Doxorubicin for Platinum-sensitive Recurrent Ovarian Cancer.

作者信息

Selle FrÉdÉric, Heudel Pierre-Etienne, Hardy-Bessard Anne-Claire, Pozet Astrid, Meunier Jerome, Gladieff Laurence, Lotz Jean-Pierre, Provansal Magali, Augereau Paule, Berton Dominique, Bonichon-Lamichhane Nathalie, Orfeuvre Hubert, Pautier Patricia, Kalbacher Elsa, Tazi Yousef, Spaeth Dominique

机构信息

Groupe Hospitalier Diaconesses-Croix Saint Simon, Paris, France

Centre Léon Bérard, Lyon, France.

出版信息

Anticancer Res. 2020 Jul;40(7):3939-3945. doi: 10.21873/anticanres.14385.

Abstract

BACKGROUND

Trabectedin and pegylated liposomal doxorubicin (PLD) is an effective combination therapy for platinum-sensitive recurrent ovarian cancer (ROC), particularly for disease relapsing within 6-12 months of platinum therapy. The non-interventional PROSPECTYON study evaluated trabectedin/PLD in French clinical practice.

PATIENTS AND METHODS

Patients with ROC after at least one platinum-based regimen received 1.1 mg/m trabectedin plus 30 mg/m PLD every 3 weeks. Efficacy and safety were evaluated in subgroups according to platinum-free interval [6-12 versus ≥12 months (partially or fully platinum sensitive, respectively)].

RESULTS

Recurrent disease was partially platinum-sensitive in 58 patients and fully sensitive in 33 patients treated between July 2014 and June 2016. Patients in both subgroups received a median of six cycles of trabectedin and PLD. The most common grade 3 or more toxicities were haematological. Median progression-free survival was 6 months for both subgroups.

CONCLUSION

Trabectedin/PLD is a valuable treatment option for partially or fully platinum-sensitive ROC.

摘要

背景

曲贝替定与聚乙二醇化脂质体阿霉素(PLD)联合使用是铂敏感复发性卵巢癌(ROC)的一种有效联合治疗方案,尤其是对于在铂类治疗6 - 12个月内复发的疾病。非干预性的PROSPECTYON研究在法国临床实践中评估了曲贝替定/PLD。

患者与方法

至少接受过一种铂类方案治疗的ROC患者每3周接受1.1 mg/m²曲贝替定加30 mg/m² PLD治疗。根据无铂间期[6 - 12个月与≥12个月(分别为部分或完全铂敏感)]在亚组中评估疗效和安全性。

结果

在2014年7月至2016年6月期间接受治疗的58例患者中复发疾病为部分铂敏感,33例患者为完全铂敏感。两个亚组的患者接受曲贝替定和PLD治疗的中位周期数均为6个周期。最常见的3级或更高级别的毒性为血液学毒性。两个亚组的中位无进展生存期均为6个月。

结论

曲贝替定/PLD是部分或完全铂敏感ROC的一种有价值的治疗选择。

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