Table 2.
Study | Regimen | n | Median PFS (m) |
Median OS (m) |
Adverse effects | Comments |
---|---|---|---|---|---|---|
Katsumata et al., 2009 [21] Katsumata et al., 2013 [22] Harano et al., 2014 [23] |
JGOG 3016 | 631 |
(i) Haematological toxicity higher in dose dense-21.1 versus 9.4% |
Lower treatment completion in dose-dense 63 versus 48% Frequent episodes of delay in dose-dense 76 versus 67% Dose reductions in dose-dense 48 versus 35% No significant difference in overall QOL between both groups (p = 0.46) |
||
Paclitaxel 80 mg/m2 D1, 8, 15 + carboplatin AUC 6, 3 weekly versus Paclitaxel 180 mg/m2 + carboplatin AUC 6, 3 weekly |
312 | 28.2 | 100.5 | |||
Both given for 6–9 cycles | 319 | 17.5 | 62.2 | |||
| ||||||
Chan et al., 2013 [24] |
GOG-262 |
(i) Higher frequency of grade 3 anaemia (40.8 versus 15.7%, p < 0.001), grade 2 sensory neuropathy (25.9 versus 17.8%, p = 0.012) but lower incidence of neutropenia (72 versus 83%, p < 0.001) |
||||
Paclitaxel 80 mg/m2 D1, 8, 15 + carboplatin AUC 6, 3 weekly versus Paclitaxel 175 mg/m2 + carboplatin AUC 6, 3 weekly |
346 | 14.8 | NR | |||
Both given for 6 cycles | 346 | 14.3 | NR | |||
Bevacizumab given optionally | 112 (did not receive bevazicumab) |
14.2 vs 10.3 | ||||
| ||||||
Pignata et al., 2014 [25] |
MITO-7 | 810 | (i) Lower incidence of grade 3-4 neutropenia (42 versus 50%), febrile neutropenia (<1 versus 3%, p = 0.02), thrombocytopenia (1 versus 7%, p < 0.001), and other nonhaematological toxicities such as alopecia, vomiting, renal dysfunction, and neuropathy |
Quality of life better in dose dense arm (p < 0.0001) |
||
Paclitaxel 60 mg/m2, weekly + carboplatin AUC 2, weekly versus Paclitaxel 175 mg/m2 + carboplatin AUC 6, 3 weekly |
406 404 |
18.3 17.3 |
77∗
79∗ |
n: number of patients, m: months, D: day PFS: progression free survival, OS: overall survival, NA: not available in paper or abstract, and NR: not yet reached.
∗Survival rate at 2 years.