Table 8. Prospective observational studies focus on intraperitoneal chemotherapy for primary and recurrent EOC.
| First authors (ref.) | Year | Case-control or cohort | Primitive/Recurrence | FIGO (Inclusion of persistent EOC§?) | IP therapy technique | no. of pts | Chemotherapy regimen | Platinum-Sensitive pts | CC0-1 n (%) | OS (months) [5y-OS%] | DFS or PFS° (months) | Morbidity (3-4 grade/severe) % | Mortality % | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ansaloni (94) | 2012 | Cohort | pEOC | IIIC | HIPEC | 9 | CRS+HIPEC with Cis 100 mg/m2 and/or Paclitaxel 175 mg/m2 and/or Doxo 35 mg/m2 | Platinum-S: 33%, Platinum-R: 62% | CC-0: 35 (90), CC-1: 3 (7), CC-3: 1 (3) | – | Mean DFS: 14.4 | (18) | 2.5 | ||
| rEOC | 30 | ||||||||||||||
| Ansaloni (95) | 2015 | Cohort | pEOC | IIIC-IV | HIPEC | 9 | CRS+HIPEC with Cis 100 mg/m2 and Paclitaxel 175 mg/m2 | Platinum-S: 100% | CC-0: 13 (100) | – | – | 100 (61.5) | 0 | ||
| rEOC | 4 | ||||||||||||||
| Coccolini (96) | 2015 | Cohort | pEOC | IIIC-IV | HIPEC | 30 | (ev. NACT) + CRS+HIPEC with Cis 100 mg/m2 + Paclitaxel 175 mg/m2 | Platinum-S: 68.5%, Platinum-R: 31.49% | CC-0: 47 (87), CC-1: 7 (13) | 32.9 | 22 | 12.5 | 13 | 95.2 (35.2) | 5.6 | 
| rEOC | 24 | 44 | 12 | ||||||||||||
| Di Giorgio (79) | 2008 | Cohort | pEOC | IIIC-IV | HIPEC | 22 | CRS+HIPEC with Cis 75 mg/m2 | – | CC-0,1: 41 (87.2), CC-2,3: 6 (12.8) | 27 | PCI <15: 24; PCI >15: 26; CC-0: 26; CC-1: 13; CC-2,3: 12 | 25.5 | PCI <15: 21; PCI >15: 20; CC-0: 24; CC-1: 13; CC-2,3: 6 | 48.9 (21.3) | 4.2 | 
| rEOC | 25 | 22.5 | 15.5 | ||||||||||||
| Gonzalez Bayon (97) | 2013 | Cohort | pEOC | IIIC-IV | HIPEC + EPIC | 15 | NACT + CRS + HIPEC with Cis 100 mg/m2 + Doxo 30 mg/m2 + ev. EPIC with Taxol 20 mg/m2 for 5 days | – | CC-0: 11 (73.3) | 77.8 | 21.1 (72) | 26.6 | 6.6 | ||
| rEOC | 19 first recurrence, 8 second recurrence | First recur. CC-0: 14 (73.6) | First recur. 62.8 | First recur. 18.1 (62.2) | 21 | 5.2 | |||||||||
| Second or subsequent recurrence CC-0: 6 (75) | Second or subsequent recurrence: 35.7 | Second or subsequent recurrence: 5.7 (17.9) | 37.5 | 12.5 | |||||||||||
| Pomel (98) | 2010 | Cohort | cEOC+rEOC | IIIC (yes) | HIPEC | 31 | CRS + post-op IV CT with Cis 6 cycles + second-look laparotomy + HIPEC with Oxa 460 mg/m2 | – | CC-0 31 (100) | [2y-OS 67%] | [2y-DFS 27%] | (29) | 0 | ||
| Tentes (99) | 2012 | Cohort | pEOC | – | HIPEC | 23 | CRS+HIPEC with Cis 50 mg/m2 + Doxo 15 mg/m2 or Gem 1000 mg/m2 in Platinum-R | – | CC-0: 30 (69.8) | 37 | – | (14) | 4.7 | ||
| rEOC | 20 | ||||||||||||||
§EOC with sub-optimal cytoreduction at primary surgery and evidence of persistent peritoneal disease; Cis, Cisplatin; Doxo, Doxorubicin; MMC, Mitomycin C; Oxa, Oxaliplatin; Carbo, Carboplatin; Gem, Gemcitabine; CT, chemotherapy; Ca-Co, case-control; rEOC, recurrent EOC; pEOC, primary EOC; cEOC, HIPEC for consolidation; NA, not available.