Long term follow-up of a phase II trial of multimodal therapy given in a “sandwich” method for stage III, IV, and recurrent endometrial cancer
Identifieur interne : 000E94 ( Main/Exploration ); précédent : 000E93; suivant : 000E95Long term follow-up of a phase II trial of multimodal therapy given in a “sandwich” method for stage III, IV, and recurrent endometrial cancer
Auteurs : Michelle Glasgow [États-Unis] ; Rachel Isaksson Vogel [États-Unis] ; Jennifer Burgart [États-Unis] ; Peter Argenta [États-Unis] ; Kathryn Dusenbery [États-Unis] ; Melissa A. Geller [États-Unis]Source :
- Gynecologic Oncology Research and Practice [ 2053-6844 ] ; 2016.
Abstract
Our objective was to determine if previously reported overall survival (OS) and progression-free survival (PFS) rates are maintained long term following multimodal therapy for advanced and recurrent endometrial cancer and to assess the lymphedema rates associated with this therapy.
Women with advanced-stage or recurrent endometrial cancer were recruited between 9/2004 and 6/2009 to our previously published Phase II trial. Patients received intravenous docetaxel (75 mg/m2) and carboplatin (AUC = 6) every 3 weeks for 3 cycles before and after radiation therapy. Patient outcomes were updated in July 2014. Data abstracted included presence of lymphedema, disease progression, and death. OS and PFS estimates at 5 years were calculated using Kaplan-Meier methods.
Of the 41 patients enrolled, 10 (24 %) had stage IIIA and 21 (51 %) had stage IIIC disease; 32 (78 %) had endometrioid histology; and 35 (85 %) completed the protocol. With a median follow-up of 5 years, 15 of 41 patients have died. The Kaplan–Meier estimate and 95 % CI for OS at 5 years was 70 % (53–82 %). Excluding the two patients with recurrent disease at enrollment, 15 of 39 patients progressed or died during follow-up. The Kaplan–Meier estimate and 95 % CI for PFS at 5 years was 66 % (48–78 %). Fifteen patients (37 %) had medical record documentation of lymphedema following treatment.
After additional follow-up, OS and PFS estimates remain high and in-field recurrences low following “sandwich” therapy. The “sandwich” method remains efficacious for women with stage III-IV or recurrent endometrial cancer.
Url:
DOI: 10.1186/s40661-016-0027-4
PubMed: 27408749
PubMed Central: 4940984
Affiliations:
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USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Department of Obstetrics, Gynecology and Women’s Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis</wicri:cityArea></affiliation></author><author><name sortKey="Vogel, Rachel Isaksson" sort="Vogel, Rachel Isaksson" uniqKey="Vogel R" first="Rachel Isaksson" last="Vogel">Rachel Isaksson Vogel</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Obstetrics, Gynecology and Women’s Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Department of Obstetrics, Gynecology and Women’s Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff2">Biostatistics and Bioinformatics Core, Masonic Cancer Center, University of Minnesota, Minneapolis, MN USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Biostatistics and Bioinformatics Core, Masonic Cancer Center, University of Minnesota, Minneapolis</wicri:cityArea></affiliation></author><author><name sortKey="Burgart, Jennifer" sort="Burgart, Jennifer" uniqKey="Burgart J" first="Jennifer" last="Burgart">Jennifer Burgart</name><affiliation wicri:level="2"><nlm:aff id="Aff3">Eastern Virginia Medical School, Norfolk, VA USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Eastern Virginia Medical School, Norfolk</wicri:cityArea></affiliation></author><author><name sortKey="Argenta, Peter" sort="Argenta, Peter" uniqKey="Argenta P" first="Peter" last="Argenta">Peter Argenta</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Obstetrics, Gynecology and Women’s Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Department of Obstetrics, Gynecology and Women’s Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis</wicri:cityArea></affiliation></author><author><name sortKey="Dusenbery, Kathryn" sort="Dusenbery, Kathryn" uniqKey="Dusenbery K" first="Kathryn" last="Dusenbery">Kathryn Dusenbery</name><affiliation wicri:level="2"><nlm:aff id="Aff4">Radiation Oncology, University of Minnesota, Minneapolis, MN USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Radiation Oncology, University of Minnesota, Minneapolis</wicri:cityArea></affiliation></author><author><name sortKey="Geller, Melissa A" sort="Geller, Melissa A" uniqKey="Geller M" first="Melissa A." last="Geller">Melissa A. Geller</name><affiliation wicri:level="2"><nlm:aff id="Aff1">Department of Obstetrics, Gynecology and Women’s Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN USA</nlm:aff><country>États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Department of Obstetrics, Gynecology and Women’s Health, Division of Gynecologic Oncology, University of Minnesota, Minneapolis</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff5">University of Minnesota, MMC 395, 420 Delaware St. SE, Minneapolis, MN 55445 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>University of Minnesota, MMC 395, 420 Delaware St. SE, Minneapolis</wicri:cityArea></affiliation></author></analytic><series><title level="j">Gynecologic Oncology Research and Practice</title><idno type="eISSN">2053-6844</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Our objective was to determine if previously reported overall survival (OS) and progression-free survival (PFS) rates are maintained long term following multimodal therapy for advanced and recurrent endometrial cancer and to assess the lymphedema rates associated with this therapy.</p></sec><sec><title>Methods</title><p>Women with advanced-stage or recurrent endometrial cancer were recruited between 9/2004 and 6/2009 to our previously published Phase II trial. Patients received intravenous docetaxel (75 mg/m2) and carboplatin (AUC = 6) every 3 weeks for 3 cycles before and after radiation therapy. Patient outcomes were updated in July 2014. Data abstracted included presence of lymphedema, disease progression, and death. OS and PFS estimates at 5 years were calculated using Kaplan-Meier methods.</p></sec><sec><title>Results</title><p>Of the 41 patients enrolled, 10 (24 %) had stage IIIA and 21 (51 %) had stage IIIC disease; 32 (78 %) had endometrioid histology; and 35 (85 %) completed the protocol. With a median follow-up of 5 years, 15 of 41 patients have died. The Kaplan–Meier estimate and 95 % CI for OS at 5 years was 70 % (53–82 %). Excluding the two patients with recurrent disease at enrollment, 15 of 39 patients progressed or died during follow-up. The Kaplan–Meier estimate and 95 % CI for PFS at 5 years was 66 % (48–78 %). Fifteen patients (37 %) had medical record documentation of lymphedema following treatment.</p></sec><sec><title>Conclusions</title><p>After additional follow-up, OS and PFS estimates remain high and in-field recurrences low following “sandwich” therapy. 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Fields</name></author><author><name sortKey="Einstein, Mh" uniqKey="Einstein M">MH Einstein</name></author><author><name sortKey="Novetsky, Ap" uniqKey="Novetsky A">AP Novetsky</name></author><author><name sortKey="Gebb, J" uniqKey="Gebb J">J Gebb</name></author><author><name sortKey="Goldberg, Gl" uniqKey="Goldberg G">GL Goldberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Secord, Aa" uniqKey="Secord A">AA Secord</name></author><author><name sortKey="Havrilesky, Lj" uniqKey="Havrilesky L">LJ Havrilesky</name></author><author><name sortKey="O Malley, Dm" uniqKey="O Malley D">DM O'Malley</name></author><author><name sortKey="Bae Jump, V" uniqKey="Bae Jump V">V Bae-Jump</name></author><author><name sortKey="Fleming, Nd" uniqKey="Fleming N">ND Fleming</name></author><author><name sortKey="Broadwater, G" uniqKey="Broadwater G">G Broadwater</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lan, C" uniqKey="Lan C">C Lan</name></author><author><name sortKey="Huang, X" uniqKey="Huang X">X Huang</name></author><author><name sortKey="Cao, X" uniqKey="Cao X">X Cao</name></author><author><name sortKey="Huang, H" uniqKey="Huang H">H Huang</name></author><author><name sortKey="Feng, Y" uniqKey="Feng Y">Y Feng</name></author><author><name sortKey="Huang, Y" uniqKey="Huang Y">Y Huang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Minnesota</li><li>Virginie</li></region></list><tree><country name="États-Unis"><region name="Minnesota"><name sortKey="Glasgow, Michelle" sort="Glasgow, Michelle" uniqKey="Glasgow M" first="Michelle" last="Glasgow">Michelle Glasgow</name></region><name sortKey="Argenta, Peter" sort="Argenta, Peter" uniqKey="Argenta P" first="Peter" last="Argenta">Peter Argenta</name><name sortKey="Burgart, Jennifer" sort="Burgart, Jennifer" uniqKey="Burgart J" first="Jennifer" last="Burgart">Jennifer Burgart</name><name sortKey="Dusenbery, Kathryn" sort="Dusenbery, Kathryn" uniqKey="Dusenbery K" first="Kathryn" last="Dusenbery">Kathryn Dusenbery</name><name sortKey="Geller, Melissa A" sort="Geller, Melissa A" uniqKey="Geller M" first="Melissa A." last="Geller">Melissa A. Geller</name><name sortKey="Geller, Melissa A" sort="Geller, Melissa A" uniqKey="Geller M" first="Melissa A." last="Geller">Melissa A. Geller</name><name sortKey="Vogel, Rachel Isaksson" sort="Vogel, Rachel Isaksson" uniqKey="Vogel R" first="Rachel Isaksson" last="Vogel">Rachel Isaksson Vogel</name><name sortKey="Vogel, Rachel Isaksson" sort="Vogel, Rachel Isaksson" uniqKey="Vogel R" first="Rachel Isaksson" last="Vogel">Rachel Isaksson Vogel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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