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2002 JUL 11 - (NewsRx.com & NewsRx.net) -- The anticancer drug combination of Taxotere (docetaxel) and carboplatin demonstrated less neurotoxicity and was equally effective as the standard treatment of paclitaxel and carboplatin when used as first-line treatment in patients with advanced ovarian cancer, according to data presented at the annual meeting of the American Society of Clinical Oncology (ASCO).
Using the ovarian-specific Quality of Life questionnaire, EORTC QLQ-OV28, patients treated with Taxotere/carboplatin reported significantly less joint pain and muscular tenderness (33% vs. 48%) than those treated with paclitaxel/carboplatin (p
In other data presented, the two-drug combinations were shown to be similarly effective. Median progression-free survival is 15.1 months in the Taxotere/carboplatin arm and 15.4 months in the paclitaxel/carboplatin arm. At 24 months, the survival rate is 65.4% for Taxotere/carboplatin patients and 69.8% for the paclitaxel/carboplatin group. This study was one of the largest international studies in advanced ovarian cancer ever conducted. Of the 1077 patients randomized at the start of the study, 1074 are available for survival comparison. The median follow-up of the surviving patients is 23 months, with 95% followed for at least 17 months.
"This analysis confirms that the Taxotere/carboplatin combination is a less neurotoxic alternative as first-line chemotherapy in ovarian cancer to the current standard of treatment, which is important because neurotoxicity can interfere with treatment in many patients" said Paul A. Vasey, MD, lead investigator for the Scottish Gynaecological Cancer Trials Group (SGCTG) and medical oncologist at the Cancer Research UK Clinical Trials Unit at Beatson Oncology Center in Glasgow. "Patients in the Taxotere/carboplatin arm received an equally effective drug with markedly less significant symptoms of neurotoxicity than those treated with paclitaxel/carboplatin and thus this combination now can be considered an alternative standard of care."
Severe neurotoxicity can impair a patient's quality of life, causing progressive pain and numbness in the extremities, leading in some ...