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Table 2. Platinums and Platinum-based Drug Combinations Studied in Second-line Randomized Trials

Drug regimen Comparator Comments
Cisplatin + doxorubicin + cyclophosphamide Paclitaxel Combination superior survival and PFS.[4]
Carboplatin + epirubicin Carboplatin No difference in PFS and OS.[5]
Carboplatin + gemcitabine Carboplatin Combination superior PFS; not powered to determine OS differences.[6]
Cisplatin or carboplatin + paclitaxel Single platinums or nontaxane combinations Combination with paclitaxel superior in PFS, OS. See text above.[3]

References

  1. Parmar MK, Ledermann JA, Colombo N, et al.: Paclitaxel plus platinum-based chemotherapy versus conventional platinum-based chemotherapy in women with relapsed ovarian cancer: the ICON4/AGO-OVAR-2.2 trial. Lancet 361 (9375): 2099-106, 2003.  [PUBMED Abstract]

  2. Cantù MG, Buda A, Parma G, et al.: Randomized controlled trial of single-agent paclitaxel versus cyclophosphamide, doxorubicin, and cisplatin in patients with recurrent ovarian cancer who responded to first-line platinum-based regimens. J Clin Oncol 20 (5): 1232-7, 2002.  [PUBMED Abstract]

  3. Bolis G, Scarfone G, Giardina G, et al.: Carboplatin alone vs carboplatin plus epidoxorubicin as second-line therapy for cisplatin- or carboplatin-sensitive ovarian cancer. Gynecol Oncol 81 (1): 3-9, 2001.  [PUBMED Abstract]

  4. Pfisterer J, Vergote I, Du Bois A, et al.: Combination therapy with gemcitabine and carboplatin in recurrent ovarian cancer. Int J Gynecol Cancer 15 (Suppl 1): 36-41, 2005 May-Jun.  [PUBMED Abstract]


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