Efficacy of pegylated liposomal doxorubicin (PLD) plus carboplatin in ovarian cancer patients who recur within six to twelve months: A phase II study

ObjectivesPegylated liposomal doxorubicin is one of the preferred alternatives for ovarian cancer patients with early relapse (< 6 months) and taxane/carboplatin for late relapse (> 12 months), but the optimal therapy for the partially platinum-sensitive (6–12 months) population has not been defined. This single-arm phase II trial was designed to assess the efficacy of pegylated liposomal doxorubicin (PLD)/carboplatin in ovarian cancer patients who relapse between 6 and 12 months after initial treatment with platinum-based chemotherapy.MethodsOvarian cancer patients who previously completed a course of therapy with paclitaxel/carboplatin were administered PLD 30 mg/m2 followed by carboplatin AUC 5 mg/mL/minute every 4 weeks.ResultsFifty-eight patients were enrolled in the study and 54 were eligible for the efficacy analysis, of whom most (75%) received at least 6 cycles of PLD/carboplatin. The objective response rate was 46% (4% CR and 42% PR), with an additional 33% experiencing disease stabilization > 6 months. For those patients with measurable CA-125, the response rate was 66% (28% CR and 38% PR), with an additional 18% experiencing disease stabilization > 6 months. Median time-to-progression was 10 months (1.5–25). Median overall survival was 19.1 months (2.2–38.9). The most frequent adverse effects were neutropenia, thrombocytopenia, and constipation.ConclusionsThe combination of PLD/carboplatin is efficacious and well tolerated in women with partially platinum-sensitive ovarian cancer and represents a valuable alternative for patients who relapse within 6–12 months of completing paclitaxel/carboplatin chemotherapy.