title: Phase II multicenter open-label study of carboplatin and pegylated liposomal doxorubicin in uterine and cervical malignancies.
abstract: The results of a multicenter phase II study investigating carboplatin and pegylated liposomal doxorubicin (PLD) in patients with recurrent/metastatic uterine and cervical malignancies (UCM) are presented here. Fifty-three subjects with measurable, untreated, advanced UCM were enrolled. Fifty-one were evaluable for response. Prior combined-modality treatment was permitted if a component of primary therapy. Patients received carboplatin AUC = 5 with PLD 35 mg/m(2) intravenously once every 4 weeks. Overall response rate was 33% (35% stable disease). Overall survival (OS) at six months was 86% (95% CI 76%-96%). Six-month progression-free survival (PFS) was 43% (95% CI 30%-57%). Median PFS was 22.9 weeks (range 16.0-35.3) and median OS was 49.1 weeks (range 41.4-75.1). The most frequent grade 3-4 nonhematological adverse events were: abdominal pain (n = 7), fatigue (4), vomiting (4), nausea (3), and shortness of breath (3). There was 1 report of grade 3 hand-foot syndrome and none of grade 4. Twelve patients had first infusion reactions with only 1 discontinuing treatment. Grade 3-4 neutropenia occurred in 26/230 cycles (11.3%). There were no treatment-related deaths. The combination of carboplatin and PLD is well tolerated with sufficient activity to justify additional evaluation in clinical trials and might be suited to the addition of a taxane.
authors.affiliation: Princess Margaret Hospital, Toronto, ON, Canada.
authors.forename: L H
authors.initials: LH
authors.lastname: Lê
authors.forename: K D
authors.initials: KD
authors.lastname: Swenerton
authors.forename: L
authors.initials: L
authors.lastname: Elit
authors.forename: D M
authors.initials: DM
authors.lastname: Provencher
authors.forename: G C E
authors.initials: GC
authors.lastname: Stuart
authors.forename: T
authors.initials: T
authors.lastname: LE
authors.forename: U
authors.initials: U
authors.lastname: Lee
authors.forename: A
authors.initials: A
authors.lastname: Rodgers
authors.forename: G R
authors.initials: GR
authors.lastname: Pond
authors.forename: H
authors.initials: H
authors.lastname: Hu
authors.forename: A M
authors.initials: AM
authors.lastname: Oza
mesh_terms: D000293:Adolescent; D000328:Adult; D001772:Blood Cell Count; D016190:Carboplatin / Q000009:adverse effects / Q000627:therapeutic use*; D004317:Doxorubicin / Q000009:adverse effects / Q000031:analogs & derivatives* / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D011092:Polyethylene Glycols / Q000009:adverse effects / Q000627:therapeutic use*; D015996:Survival Rate; D014594:Uterine Neoplasms / Q000188:drug therapy*
chemical_list: C506643:liposomal doxorubicin; D011092:Polyethylene Glycols; D004317:Doxorubicin; D016190:Carboplatin