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Cuadro 2: Resultados en pacientes con recidivas del cáncer del ovario "sensible al platino"
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Eligibilidad (mes)
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Régimen de platino
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Número de paciente
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Comparación
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Comentarios sobre resultados (mes)
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SG = supervivencia general; SSE = supervivencia sin evolución;
|
| Sensible al platino (>6) |
Carboplatino + doxorrubicina pegilada-liposomal |
104 |
Ninguna |
mediana de SSE 9; mediana de SG 31 [2] |
| Sensitivo al platino (>6) |
Carboplatino + epirubicina |
190 |
Carboplatino |
Potenciado para la diferencia de respuestas; SG 17 vs. 15 [3] |
| Sensitivo al platino (≥12) |
Cisplatino + doxorrubicina + ciclofosfamida |
97 |
Paclitaxel |
SSE 15,7 vs. 9; SG 34,7 vs. 25,8 [4] |
| Sensitivo al platino (>6) |
Carboplatino + gemcitabina |
356 |
Carboplatino |
SSE 8,6 vs. 5,8*; SG 18 vs. 17 [5] |
| Sensitivo al platino (>6) |
Cisplatino o carboplatino + paclitaxel |
802 |
Solo o nontaxano + platinos |
SSE 11 vs. 9; SG 24 vs. 19 [6] |
Bibliografía
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Ferrero JM, Weber B, Geay JF, et al.: Second-line chemotherapy with pegylated liposomal doxorubicin and carboplatin is highly effective in patients with advanced ovarian cancer in late relapse: a GINECO phase II trial. Ann Oncol 18 (2): 263-8, 2007.
[PUBMED Abstract]
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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]
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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]
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Pfisterer J, Plante M, Vergote I, et al.: Gemcitabine plus carboplatin compared with carboplatin in patients with platinum-sensitive recurrent ovarian cancer: an intergroup trial of the AGO-OVAR, the NCIC CTG, and the EORTC GCG. J Clin Oncol 24 (29): 4699-707, 2006.
[PUBMED Abstract]
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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]
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