Carboplatin and pegylated liposomal doxorubicin versus carboplatin and paclitaxel in partially platinum-sensitive ovarian cancer patients: results from a subset analysis of the CALYPSO phase III trial
Identifieur interne : 005E15 ( Main/Exploration ); précédent : 005E14; suivant : 005E16Carboplatin and pegylated liposomal doxorubicin versus carboplatin and paclitaxel in partially platinum-sensitive ovarian cancer patients: results from a subset analysis of the CALYPSO phase III trial
Auteurs : L. Gladieff [France] ; A. Ferrero [Italie] ; G. De Rauglaudre [France] ; C. Brown [Australie] ; P. Vasey [Australie] ; A. Reinthaller [Autriche] ; E. Pujade-Lauraine [France] ; N. Reed [Royaume-Uni] ; D. Lorusso [Italie] ; S. Siena [Italie] ; H. Helland [Norvège] ; L. Elit [Canada] ; S. Mahner [Allemagne]Source :
- Annals of oncology [ 0923-7534 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Background: To perform a subset analysis of patients with partially platinum-sensitive recurrent ovarian cancer (ROC) who received either CD [carboplatin-pegylated liposomal doxorubicin (PLD)] or CP (carboplatin-paclitaxel) in the CALYPSO trial. Patients and methods: CALYPSO, an international phase III, non-inferiority trial, enrolled women with ROC that relapsed >6 months following first- or second-line therapy. Patients were randomized to CD or CP. Patients with a treatment-free interval of >6 and ≤12 months were evaluated for progression-free survival (PFS), the primary end point of CALYPSO trial, and safety. Results: A total of 344 partially platinum-sensitive patients were included (N = 161, CD and N = 183, CP). The hazard ratio for PFS was 0.73 (95% confidence interval: 0.58-0.90; P = 0.004 for superiority) in favor of CD. Median PFS times were 9.4 months (CD) and 8.8 months (CP). Toxicities more common with CP versus CD included grade 3/4 neutropenia (50% versus 39%; P = 0.015), grade 2 alopecia (86% versus 9%; P < 0.001), neuropathy and hypersensitivity reactions. Hand-foot syndrome was more common with CD; however, grade 3/4 reactions were low (one patient in each arm). Conclusion: Carboplatin-PLD has a more favorable risk-benefit profile than CP in patients with partially platinum-sensitive ROC and should be considered an effective treatment option for these patients.
Affiliations:
- Allemagne, Australie, Autriche, Canada, France, Italie, Norvège, Royaume-Uni
- Hambourg, Latium, Midi-Pyrénées, Nouvelle-Galles du Sud, Occitanie (région administrative), Piémont, Provence-Alpes-Côte d'Azur, Vienne (Autriche), Île-de-France
- Avignon, Hambourg, Paris, Rome, Sydney, Toulouse, Turin, Vienne (Autriche)
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 001389
- to stream PascalFrancis, to step Curation: 004B24
- to stream PascalFrancis, to step Checkpoint: 001301
- to stream Main, to step Merge: 006136
- to stream Main, to step Curation: 005E15
Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Carboplatin and pegylated liposomal doxorubicin versus carboplatin and paclitaxel in partially platinum-sensitive ovarian cancer patients: results from a subset analysis of the CALYPSO phase III trial</title>
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<author><name sortKey="Pujade Lauraine, E" sort="Pujade Lauraine, E" uniqKey="Pujade Lauraine E" first="E." last="Pujade-Lauraine">E. Pujade-Lauraine</name>
<affiliation wicri:level="3"><inist:fA14 i1="07"><s1>Department of Medical Oncology, Medicale Hopital Hotel-Dieu and Universite Paris Descartes</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
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<author><name sortKey="Reed, N" sort="Reed, N" uniqKey="Reed N" first="N." last="Reed">N. Reed</name>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Gartnavel General Hospital, Beatson Oncology Centre</s1>
<s2>Glasgow</s2>
<s3>GBR</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<wicri:noRegion>Glasgow</wicri:noRegion>
</affiliation>
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<author><name sortKey="Lorusso, D" sort="Lorusso, D" uniqKey="Lorusso D" first="D." last="Lorusso">D. Lorusso</name>
<affiliation wicri:level="3"><inist:fA14 i1="09"><s1>Department of Obstetrics and Gynecology, University of Sacred Heart</s1>
<s2>Roma</s2>
<s3>ITA</s3>
<sZ>9 aut.</sZ>
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<placeName><settlement type="city">Rome</settlement>
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<author><name sortKey="Siena, S" sort="Siena, S" uniqKey="Siena S" first="S." last="Siena">S. Siena</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Department of Oncology, Ospedale Niguarda Ca' Granda</s1>
<s2>Milano</s2>
<s3>ITA</s3>
<sZ>10 aut.</sZ>
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<wicri:noRegion>Milano</wicri:noRegion>
</affiliation>
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<author><name sortKey="Helland, H" sort="Helland, H" uniqKey="Helland H" first="H." last="Helland">H. Helland</name>
<affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Department of Obstetrics and Gynecology, Haukeland University Hospital</s1>
<s2>Bergen</s2>
<s3>NOR</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Norvège</country>
<wicri:noRegion>Bergen</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Elit, L" sort="Elit, L" uniqKey="Elit L" first="L." last="Elit">L. Elit</name>
<affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Gynecologic Oncology, Juravinski Cancer Centre</s1>
<s2>Hamilton</s2>
<s3>CAN</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<wicri:noRegion>Hamilton</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Mahner, S" sort="Mahner, S" uniqKey="Mahner S" first="S." last="Mahner">S. Mahner</name>
<affiliation wicri:level="3"><inist:fA14 i1="13"><s1>Department of Gynecology and Gynecologic Oncology, University Medical Center Hamburg-Eppendorf</s1>
<s2>Hamburg</s2>
<s3>DEU</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<placeName><settlement type="city">Hambourg</settlement>
<region type="land" nuts="2">Hambourg</region>
</placeName>
</affiliation>
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<series><title level="j" type="main">Annals of oncology</title>
<title level="j" type="abbreviated">Ann. oncol.</title>
<idno type="ISSN">0923-7534</idno>
<imprint><date when="2012">2012</date>
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<seriesStmt><title level="j" type="main">Annals of oncology</title>
<title level="j" type="abbreviated">Ann. oncol.</title>
<idno type="ISSN">0923-7534</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Analysis</term>
<term>Antineoplastic agent</term>
<term>Carboplatin</term>
<term>Chemotherapy</term>
<term>Comparative study</term>
<term>Doxorubicin</term>
<term>Human</term>
<term>Liposome</term>
<term>Ovary cancer</term>
<term>Paclitaxel</term>
<term>Patient</term>
<term>Pegylated form</term>
<term>Phase III trial</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Carboplatine</term>
<term>Forme pégylée</term>
<term>Liposome</term>
<term>Doxorubicine</term>
<term>Etude comparative</term>
<term>Paclitaxel</term>
<term>Cancer de l'ovaire</term>
<term>Homme</term>
<term>Malade</term>
<term>Analyse</term>
<term>Essai clinique phase III</term>
<term>Chimiothérapie</term>
<term>Anticancéreux</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term>
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<front><div type="abstract" xml:lang="en">Background: To perform a subset analysis of patients with partially platinum-sensitive recurrent ovarian cancer (ROC) who received either CD [carboplatin-pegylated liposomal doxorubicin (PLD)] or CP (carboplatin-paclitaxel) in the CALYPSO trial. Patients and methods: CALYPSO, an international phase III, non-inferiority trial, enrolled women with ROC that relapsed >6 months following first- or second-line therapy. Patients were randomized to CD or CP. Patients with a treatment-free interval of >6 and ≤12 months were evaluated for progression-free survival (PFS), the primary end point of CALYPSO trial, and safety. Results: A total of 344 partially platinum-sensitive patients were included (N = 161, CD and N = <sub>183</sub>
, CP). The hazard ratio for PFS was 0.73 (95% confidence interval: 0.58-0.90; P = 0.004 for superiority) in favor of CD. Median PFS times were 9.4 months (CD) and 8.8 months (CP). Toxicities more common with CP versus CD included grade 3/4 neutropenia (50% versus 39%; P = 0.015), grade 2 alopecia (86% versus 9%; P < 0.001), neuropathy and hypersensitivity reactions. Hand-foot syndrome was more common with CD; however, grade 3/4 reactions were low (one patient in each arm). Conclusion: Carboplatin-PLD has a more favorable risk-benefit profile than CP in patients with partially platinum-sensitive ROC and should be considered an effective treatment option for these patients.</div>
</front>
</TEI>
<affiliations><list><country><li>Allemagne</li>
<li>Australie</li>
<li>Autriche</li>
<li>Canada</li>
<li>France</li>
<li>Italie</li>
<li>Norvège</li>
<li>Royaume-Uni</li>
</country>
<region><li>Hambourg</li>
<li>Latium</li>
<li>Midi-Pyrénées</li>
<li>Nouvelle-Galles du Sud</li>
<li>Occitanie (région administrative)</li>
<li>Piémont</li>
<li>Provence-Alpes-Côte d'Azur</li>
<li>Vienne (Autriche)</li>
<li>Île-de-France</li>
</region>
<settlement><li>Avignon</li>
<li>Hambourg</li>
<li>Paris</li>
<li>Rome</li>
<li>Sydney</li>
<li>Toulouse</li>
<li>Turin</li>
<li>Vienne (Autriche)</li>
</settlement>
</list>
<tree><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Gladieff, L" sort="Gladieff, L" uniqKey="Gladieff L" first="L." last="Gladieff">L. Gladieff</name>
</region>
<name sortKey="De Rauglaudre, G" sort="De Rauglaudre, G" uniqKey="De Rauglaudre G" first="G." last="De Rauglaudre">G. De Rauglaudre</name>
<name sortKey="Pujade Lauraine, E" sort="Pujade Lauraine, E" uniqKey="Pujade Lauraine E" first="E." last="Pujade-Lauraine">E. Pujade-Lauraine</name>
</country>
<country name="Italie"><region name="Piémont"><name sortKey="Ferrero, A" sort="Ferrero, A" uniqKey="Ferrero A" first="A." last="Ferrero">A. Ferrero</name>
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<name sortKey="Lorusso, D" sort="Lorusso, D" uniqKey="Lorusso D" first="D." last="Lorusso">D. Lorusso</name>
<name sortKey="Siena, S" sort="Siena, S" uniqKey="Siena S" first="S." last="Siena">S. Siena</name>
</country>
<country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Brown, C" sort="Brown, C" uniqKey="Brown C" first="C." last="Brown">C. Brown</name>
</region>
<name sortKey="Vasey, P" sort="Vasey, P" uniqKey="Vasey P" first="P." last="Vasey">P. Vasey</name>
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<country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Reinthaller, A" sort="Reinthaller, A" uniqKey="Reinthaller A" first="A." last="Reinthaller">A. Reinthaller</name>
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<country name="Royaume-Uni"><noRegion><name sortKey="Reed, N" sort="Reed, N" uniqKey="Reed N" first="N." last="Reed">N. Reed</name>
</noRegion>
</country>
<country name="Norvège"><noRegion><name sortKey="Helland, H" sort="Helland, H" uniqKey="Helland H" first="H." last="Helland">H. Helland</name>
</noRegion>
</country>
<country name="Canada"><noRegion><name sortKey="Elit, L" sort="Elit, L" uniqKey="Elit L" first="L." last="Elit">L. Elit</name>
</noRegion>
</country>
<country name="Allemagne"><region name="Hambourg"><name sortKey="Mahner, S" sort="Mahner, S" uniqKey="Mahner S" first="S." last="Mahner">S. Mahner</name>
</region>
</country>
</tree>
</affiliations>
</record>
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