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Journal articles
Are there candidates for high-dose chemotherapy in ovarian carcinoma?
Abstract : UNLABELLED: ABSTRACT: BACKGROUND: Prognosis of advanced ovarian carcinomas (AOC) remains poor with a 5-year survival of 30%. Benefit from high-dose chemotherapy (HDC) in this disease has not been demonstrated to date. METHODS: To evaluate the value of HDC as consolidation treatment after surgery and platinum/taxane-based therapy, we designed a monocentric retrospective comparative study. We used a subset approach to identify parameters associated with HDC efficacy. RESULTS: One hundred and three AOC patients treated with conventional chemotherapy alone (CCA) were compared to 60 patients receiving HDC plus hematopoietic stem cell support. After a median follow-up of 47.5 months there was no overall survival (OS) advantage for the HDC group in the whole population (p=0.29). Nevertheless, HDC was associated to a better outcome in young patients (≤50 years), both in term of progression-free survival (p=0.02, log-rank test) and OS (p=0.05, log-rank test). Median OS was 54.6 and 36 months in the HDC and CCA groups, respectively. CONCLUSIONS: Although randomized trials failed to demonstrate any benefit for HDC in AOC patients, this study suggests that young patients may derive a substantial advantage from receiving it after the standard treatment. Further prospective studies are warranted to confirm this gain and to search for the biological processes associated with this improvement.
Cited literature [43 references]
https://www.hal.inserm.fr/inserm-00765646
Contributor : Ed. Bmc Connect in order to contact the contributor
Submitted on : Saturday, December 15, 2012 - 5:05:28 PM
Last modification on : Tuesday, October 19, 2021 - 10:59:13 PM
Long-term archiving on: : Saturday, March 16, 2013 - 3:52:22 AM
Contributor : Ed. Bmc Connect in order to contact the contributor
Submitted on : Saturday, December 15, 2012 - 5:05:28 PM
Last modification on : Tuesday, October 19, 2021 - 10:59:13 PM
Long-term archiving on: : Saturday, March 16, 2013 - 3:52:22 AM