Complete remission of recurrent and refractory ovarian cancers using weekly administration of bevacizumab and gemcitabine/oxaliplatin: report of two cases
1Department of Obstetrics and Gynecology, National Defense Medical College, Tokorozawa, Saitama
2Department of Gynecology, Ohki Memorial Kikuchi Cancer Clinic for Women, Tokorozawa, Saitama
3Department of Obstetrics and Gynecology, Tokyo University School of Medicine, Bunkyo-ku, Tokyo
4Department of Obstetrics and Gynecology, National Hospital Organization Nishi-Saitama Chuo Hospital, Tokorozawa, Saitama
5Department of Obstetrics and Gynecology, Nara Prefectural, Nara Hospital, Nara (Japan).
DOI: 10.12892/ejgo340118 Vol.34,Issue 1,January 2013 pp.90-93
Published: 10 January 2013
Background: A combination therapy with gemcitabine and oxaliplatin (GEMOX) yielded a moderate activity in platinum-resistant ovarian cancers; however, frequent severe toxicities, such as thrombocytopenia and neurotoxicity, were observed. A certain modification of schedule might therefore facilitate the clinical application of the regimen. The authors report two cases that achieved complete response to a weekly administration of bevacizumab and GEMOX. Materials and Methods: Two patients with platinum-resistant recurrent ovarian cancers received a weekly regimen of GEMOX with bevacizumab: 2 mg/kg of bevacizumab, 300 mg/m2 of gemcitabine, and 30 mg/m2 of oxaliplatin, three weeks on and one week off, Q4 weeks. Complete remission was observed after three to four courses of therapy. Hematologic and non-hematologic toxicities more than grade 2 were not observed during chemotherapy. The patients are now without tumor progression more than 12 months after initiation of therapy. Conclusion: Weekly administration of bevacizumab and GEMOX had potential activity in recurrent and refractory ovarian carcinomas. These findings warrant necessity of further trial in such clinical settings.
Ovarian cancer; Recurrence; Weekly therapy; Bevacizumab; Gemcitabine/oxaliplatin.
M. Takano,Y. Ikeda,K. Kudoh,T. Kita,N. Sasaki,Y. Kikuchi. Complete remission of recurrent and refractory ovarian cancers using weekly administration of bevacizumab and gemcitabine/oxaliplatin: report of two cases. European Journal of Gynaecological Oncology. 2013. 34(1);90-93.
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