Phase I/II study of oral etoposide plus GM-CSF as second-line chemotherapy in platinum-pretreated patients with advanced ovarian cancer
2005

Oral Etoposide with GM-CSF for Ovarian Cancer

Sample size: 18 publication Evidence: moderate

Author Information

Author(s): Baur M, Schernhammer E, Gneist M, Sevelda P, Speiser P, Hudec M, Dittrich Ch

Primary Institution: Applied Cancer Research-Institute for Translational Research VIEnna (ACR-ITR VIEnna), Vienna, Austria

Hypothesis

Chronic oral administration of etoposide may result in significant killing of tumor cells in advanced ovarian cancer patients.

Conclusion

The study defined the maximum tolerated dose of oral etoposide combined with GM-CSF, showing encouraging activity for further investigation.

Supporting Evidence

  • 18 patients were treated with varying doses of oral etoposide.
  • 7 out of 16 evaluable patients showed a complete or partial response.
  • The maximum tolerated dose was determined to be 1000 mg/m2 cycle-1.

Takeaway

This study tested a new way to give a cancer medicine called etoposide to help patients with ovarian cancer feel better and live longer.

Methodology

Patients received oral etoposide for 10 days followed by GM-CSF for 8 days, with dose escalation to find the maximum tolerated dose.

Limitations

The study was nonrandomized and had a small sample size.

Participant Demographics

Median age was 58 years, with a Karnofsky performance status of 80% and 30% having visceral metastases.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6602427

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