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Title:
Chemotherapy for endometrial carcinoma (GOGO-EM1 study): TEC (paclitaxel, epirubicin, and carboplatin) is an effective remission-induction and adjuvant therapy | Cancer Chemotherapy and Pharmacology
Description:
Background TAP chemotherapy (paclitaxel, doxorubicin, and cisplatin) is effective for advanced and recurrent endometrial carcinoma, but has occasional severe toxicity. TEC chemotherapy (paclitaxel, epirubicin, and carboplatin) has been suggested to have less toxicity; however, the optimal dosage has yet to be determined. Patients and methods Phase I/II prospective study for TEC therapy was performed. A retrospective comparison of the prognosis between adjuvant TEC therapy and radiation for completely resected cases with risk factors was also performed. Results The recommended dose of TEC therapy was determined to be paclitaxel 150 mg/m2, epirubicin 50 mg/m2, and carboplatin AUC 4. A TEC regimen at this dose level was shown to be tolerable. The response rate and median overall survival were 74% and 37 months for those with advanced primary disease (Group B) and 50% and 26 months for recurrent tumors (Group C), respectively. A retrospective comparison showed that adjuvant TEC therapy for completely resected stage III cases improved their prognosis when compared to an adjuvant radiation therapy. Conclusion TEC therapy was demonstrated to be a tolerable and effective treatment, not only as a remission-induction therapy for advanced and recurrent endometrial carcinomas but also as the adjuvant therapy.
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Keywords {🔍}
article, cancer, endometrial, paclitaxel, chemotherapy, google, scholar, therapy, pubmed, cas, study, osaka, oncol, carboplatin, tec, group, carcinoma, advanced, japan, epirubicin, adjuvant, doxorubicin, phase, oncology, cisplatin, gynecologic, hospital, iii, trial, clin, privacy, cookies, content, recurrent, retrospective, radiation, dose, gynecol, data, publish, search, effective, toxicity, patients, stage, access, liposomal, supplementary, material, pdf,
Topics {✒️}
month download article/chapter high-risk endometrial cancer high-risk stage iii high-grade epithelial cancers article cancer chemotherapy high-risk endometrial carcinoma surgical-pathological risk factors article egawa-takata completely resected cases iv endometrial cancer recurrent endometrial cancer advanced endometrial cancer primary peritoneal cancer refractory ovarian cancer takayuki enomoto privacy choices/manage cookies gynecologic oncology group 2-23 rinku orai-kita full article pdf remission-induction therapy cancer clinical trials chemotherapy naïve women operative oncology group adjuvant tec therapy adjuvant radiation therapy recurrent endometrial carcinomas masato yamasaki masaaki nagamatsu gogo-em1 study phase iii trial recurrent endometrial carcinoma /ii prospective study advanced endometrial carcinoma dose escalation methods ken-ichirou morishige tadashi kimura masahiro asada 1179-3 kita-kunagasone-cho phase ii study divided-dose paclitaxel advanced epithelial ovarian conditions privacy policy phase ii trial occasional severe toxicity epirubicin 50 mg/m2 retrospective comparison showed effective remission-induction paclitaxel 150 mg/m2 advanced primary disease accepting optional cookies
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headline:Chemotherapy for endometrial carcinoma (GOGO-EM1 study): TEC (paclitaxel, epirubicin, and carboplatin) is an effective remission-induction and adjuvant therapy
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datePublished:2011-05-17T00:00:00Z
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Endometrial cancer
Combination chemotherapy
TEC
Paclitaxel
Epirubicin
Carboplatin
Oncology
Pharmacology/Toxicology
Cancer Research
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headline:Chemotherapy for endometrial carcinoma (GOGO-EM1 study): TEC (paclitaxel, epirubicin, and carboplatin) is an effective remission-induction and adjuvant therapy
description:TAP chemotherapy (paclitaxel, doxorubicin, and cisplatin) is effective for advanced and recurrent endometrial carcinoma, but has occasional severe toxicity. TEC chemotherapy (paclitaxel, epirubicin, and carboplatin) has been suggested to have less toxicity; however, the optimal dosage has yet to be determined. Phase I/II prospective study for TEC therapy was performed. A retrospective comparison of the prognosis between adjuvant TEC therapy and radiation for completely resected cases with risk factors was also performed. The recommended dose of TEC therapy was determined to be paclitaxel 150 mg/m2, epirubicin 50 mg/m2, and carboplatin AUC 4. A TEC regimen at this dose level was shown to be tolerable. The response rate and median overall survival were 74% and 37 months for those with advanced primary disease (Group B) and 50% and 26 months for recurrent tumors (Group C), respectively. A retrospective comparison showed that adjuvant TEC therapy for completely resected stage III cases improved their prognosis when compared to an adjuvant radiation therapy. TEC therapy was demonstrated to be a tolerable and effective treatment, not only as a remission-induction therapy for advanced and recurrent endometrial carcinomas but also as the adjuvant therapy.
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email:[email protected]
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name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Osaka Rosai Hospital, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Kaizuka City Hospital, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
name:Osaka Rosai Hospital, Osaka, Japan
name:Suita Municipal Hospital, Osaka, Japan
name:Kaizuka City Hospital, Osaka, Japan
name:Kansai Rosai Hospital, Hyogo, Japan
name:Itami City Hospital, Hyogo, Japan
name:Rinku General Medical Center, Osaka, Japan
name:Osaka Koseinenkin Hospital, Osaka, Japan
name:Sakai Municipal Hospital, Osaka, Japan
name:Osaka Police Hospital, Osaka, Japan
name:Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan
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