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Original Research

Open Access

Retrospective study comparing irinotecan and pegylated liposomal doxorubicin in treatment of recurrent platinumrefractory/resistant epithelial ovarian cancer

  • H. Nomura1
  • H. Tsuda1,*,
  • F. Kataoka1
  • T. Chiyoda1
  • W. Yamagami1
  • E. Tominaga1
  • N. Susumu1
  • D. Aoki1

1Department of Obstetrics and Gynecology, School of Medicine, Keio University, Tokyo, Japan

DOI: 10.12892/ejgo20120186 Vol.33,Issue 1,January 2012 pp.86-89

Published: 10 January 2012

*Corresponding Author(s): H. Tsuda E-mail:


Purpose: The standard regimen for platinum-resistant/refractory recurrent epithelial ovarian cancer (EOC) remains to be determined. In this study, we retrospectively compared the effect of irinotecan (CPT-11) and pegylated liposomal doxorubicin (PLD) in the treatment of platinum-resistant recurrent EOC. Methods: Thirty patients who received salvage chemotherapy with CPT-11 or PLD were included in the study. CPT-11 (100 mg/m(2)) was administered intravenously on days I, 8 and 15 every four weeks. PLD (50 mg/m2) was administered on day 1 every four weeks. Treatment was repeated, provided that no disease progression or intolerable toxicity occurred. Results: Response rate in the CPT-11 group and PLD group showed no difference at 26.7% (p = 0.66) in both, while non-PD rate was 73.3% vs 33.3% (p < 0.05). respectively. Progression-free survival after CPT-11 treatment and PLD treatment was 28.4 weeks and 16.8 weeks (p = 0.07), respectively. Hand-foot syndrome and mucositis were more common in the PLD group than in the CPT-II group (p < 0.05). Conclusions: The results indicate that CPT-11 is a promising drug for the treatment of platinum-resistant recurrent EOC.


Ovarian cancer; Recurrence; Platinum-resistant; Irinotecan; Liposomal doxorubicin

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H. Nomura,H. Tsuda,F. Kataoka,T. Chiyoda,W. Yamagami,E. Tominaga,N. Susumu,D. Aoki. Retrospective study comparing irinotecan and pegylated liposomal doxorubicin in treatment of recurrent platinumrefractory/resistant epithelial ovarian cancer. European Journal of Gynaecological Oncology. 2012. 33(1);86-89.


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