First-line treatment of advanced ovarian cancer with paclitaxel/carboplatin with or without epirubicin (TEC versus TC)--a gynecologic cancer intergroup study of the NSGO, EORTC GCG and NCIC CTG.

TitleFirst-line treatment of advanced ovarian cancer with paclitaxel/carboplatin with or without epirubicin (TEC versus TC)--a gynecologic cancer intergroup study of the NSGO, EORTC GCG and NCIC CTG.
Publication TypeJournal Article
Year of Publication2012
AuthorsLindemann, K, Christensen, RD, Vergote, IB, Stuart, GCE, Izquierdo, MA, Kærn, J, Havsteen, H, Eisenhauer, E, Ridderheim, M, Lopez, AB, Hirte, H, Åvall-Lundqvist, E, Vrdoljak, E, Green, JA, Kristensen, GB
JournalAnn Oncol
Volume23
Issue10
Pagination2613-9
Date Published2012 Oct
ISSN1569-8041
KeywordsAdult, Aged, Antineoplastic Combined Chemotherapy Protocols, Carboplatin, Epirubicin, Female, Humans, Middle Aged, Ovarian Neoplasms, Paclitaxel, Patient Compliance, Prospective Studies, Quality of Life, Survival Analysis
Abstract

BACKGROUND: The addition of anthracyclines to platinum-based chemotherapy may provide benefit in survival in ovarian cancer patients. We evaluated the effect on survival of adding epirubicin to standard carboplatin and paclitaxel.PATIENTS AND METHODS: We carried out a prospectively randomized phase III study comparing carboplatin plus paclitaxel (TC; area under the curve 5 and 175 mg/m(2)) with the same combination and epirubicin (TEC; 75 mg/m(2) i.v.). Between March 1999 and August 2001, 887 patients with epithelial ovarian, tubal or peritoneal cancer International Federation of Gynecology and Obstetrics stages IIB-IV were randomized to receive either TC (442 patients) or TEC (445 patients).RESULTS: Median time to progression was 16.4 months in the TEC arm and 16.0 months in the TC arm (hazard ratio 0.99; 95% confidence interval [CI]: 0.9-1.2). Median overall survival time was 42.4 months for the TEC arm and 40.2 for the TC arm (hazard ratio 0.96; 95% CI: 0.8-1.1). Grade 3/4 hematologic toxic effects and most grade 3/4 non-hematologic toxic effects were more frequent in the TEC arm. Accordingly, a quality-of-life analysis showed inferiority of TEC versus TC.CONCLUSION: The addition of epirubicin to standard carboplatin and paclitaxel treatment did not improve survival in patients with advanced ovarian, tubal or peritoneal cancer.

DOI10.1093/annonc/mds060
Alternate JournalAnn. Oncol.
PubMed ID22539562