Brief Article
Copyright ©2012 Baishideng.
World J Obstet Gynecol. Oct 10, 2012; 1(3): 35-39
Published online Oct 10, 2012. doi: 10.5317/wjog.v1.i3.35
Table 4 Commonly used systemic therapy regimens in patients with platinum-resistant or platinum-refractory ovarian cancer
Chemotherapy regimenDoseIntervalRemarks
PEG-liposomal doxorubicin40-45 mg/m2 per day ivday 1 every 4 wkNo alopecia, non-significant nausea/emesis, minor myelosuppression, significant hand-foot syndrome in 10% to 20%, respectively
Paclitaxel weekly80 mg/m2 per day iv (1-h-infusion)Once weekly for three doses followed by 2 wk restComplete alopecia, no peroral premedication with dexamethasone necessary, minor myelosuppression, less neurotoxicity compared with 3-weekly paclitaxel
Gemicitabine1000-1250 mg/m2 per day ivDays 1 + 8 every 3 wkNo alopecia, minor nausea/emesis, significant myelosuppression
Topotecan weekly4 mg/m2 per day ivDays 1, 8, 15 every 4 wkModerate myelosuppression, rarely emesis/nausea, rarely significant alopecia
Bevacizumab15 mg/kg per day ivDay 1 every 3 wkSignificant hypertension, gastrointestinal perforations in up to 11%
Tamoxifen20 mg/dDailyResponse rate around 10%, mild toxicity