Table 2.
Study | Inclusion Criteria | Regimens assessed | n | Survival (PFS and OS) | Key points |
---|---|---|---|---|---|
GINECO [78] | >70 years Stage III/IV |
Carboplatin/Cyclophospha mide | 83 | OS 21.6 months | Post-hoc analysis. 75% patients completed planned 6 cycles ECOG PS not predictive for survival |
GINECO – Analysis of two consecutive trials [79] | >70 years Stage III/IV |
Carboplatin/Paclitaxel | 75 | OS 25.9 months | Prospective study. 68% patients completed planned 6 cycles. Depressive symptoms at baseline predictive for OS |
AGO-OVAR [40] | >70 years | Carboplatin/Paclitaxel vs. Cisplatin/Paclitaxel | 103 | Not reported | Post-hoc analysis. High proportion of PS 0/1 No difference in quality of life Older patients more likely to discontinue treatment early despite comparable reported toxicity rates |
MITO-5 [43] | >70 Stage IC-IV |
Dose-dense weekly Carboplatin/weekly Paclitaxel | 27 | OS 32 months | Prospective study. 65% patients completed planned six cycles Favorable toxicity profile |
GINECO/GVS [80] | >70 years Stage III/IV |
Carboplatin Monotherapy (AUC 5) | 109 | PFS 9.2 months OS 17.4 months |
Prospective study. 74% patients completed planned 6 cycles. Results have informed design of prospective study utilising GVS score |
GOG0273 [81] | >70 years | I: Carboplatin AUC5 and Paclitaxel 135mg/m2 or II: Carboplatin AUC 5 3 weekly for 4 cycles | 208 | Not yet reported | Prospective study. Physicians choice of regimen I or II IADL not associated with ability to complete chemotherapy without delay or dose reduction Limitation of social activities associated with decreased tolerance to chemotherapy 3rd arm of weekly Paclitaxel added; results awaited. |