The role of topotecan in cancer ginecology treatment

The high morbidity, often latent, asymptomatic disease development is not optimal therapy in the first line, causes the development of the frequent recurrence of tumors, requiring second and thirds lines of chemotherapy. The use of topotecan in standard mode is limited by myelosuppression, therefore...

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Main Authors: A. G. Kedrova, V. V. Kosyy, D. A. Astakhov
Format: Article
Language:Russian
Published: ABV-press 2017-02-01
Series:Опухоли женской репродуктивной системы
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Online Access:https://ojrs.abvpress.ru/ojrs/article/view/525
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author A. G. Kedrova
V. V. Kosyy
D. A. Astakhov
author_facet A. G. Kedrova
V. V. Kosyy
D. A. Astakhov
author_sort A. G. Kedrova
collection DOAJ
description The high morbidity, often latent, asymptomatic disease development is not optimal therapy in the first line, causes the development of the frequent recurrence of tumors, requiring second and thirds lines of chemotherapy. The use of topotecan in standard mode is limited by myelosuppression, therefore the new regimes are studied. To reduce the hematologic toxicity is recommended weekly injection of 4 mg/m2 in 1, 8, 15 days of a 28-day cycle of therapy, as its effectiveness is comparable to the effectiveness of the standard 5-day regime. We determined the toxicity and efficacy of combined weekly topotecan and bevacizumab in patients with secondary platinumresistant ovarian, peritoneal, fallopian tube, endometrium and cervix cancer. Patients were treated topotecan 3,5–4 mg/m2 and bevacizumab 7 mg/kg on days 1, 8, and 15 of a 28-day cycle until progressive disease or excessive toxicity. The primary end point was efficacy and toxicity.Combination on weekly topotecan and bevacizumab showed acceptable toxicity and encouraging efficacy in patients with platinum-resistant tumors.
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series Опухоли женской репродуктивной системы
spelling doaj-art-5cb15d5fb500443a88086086200d2f972025-08-04T14:33:40ZrusABV-pressОпухоли женской репродуктивной системы1994-40981999-86272017-02-01124525610.17650/1994-4098-2016-12-4-52-56521The role of topotecan in cancer ginecology treatmentA. G. Kedrova0V. V. Kosyy1D. A. Astakhov2Institute for Advanced Training, Federal Biomedical Agency of Russia; Federal Research and Clinical Center, Federal Biomedical Agency of RussiaFederal Research and Clinical Center, Federal Biomedical Agency of RussiaFederal Research and Clinical Center, Federal Biomedical Agency of RussiaThe high morbidity, often latent, asymptomatic disease development is not optimal therapy in the first line, causes the development of the frequent recurrence of tumors, requiring second and thirds lines of chemotherapy. The use of topotecan in standard mode is limited by myelosuppression, therefore the new regimes are studied. To reduce the hematologic toxicity is recommended weekly injection of 4 mg/m2 in 1, 8, 15 days of a 28-day cycle of therapy, as its effectiveness is comparable to the effectiveness of the standard 5-day regime. We determined the toxicity and efficacy of combined weekly topotecan and bevacizumab in patients with secondary platinumresistant ovarian, peritoneal, fallopian tube, endometrium and cervix cancer. Patients were treated topotecan 3,5–4 mg/m2 and bevacizumab 7 mg/kg on days 1, 8, and 15 of a 28-day cycle until progressive disease or excessive toxicity. The primary end point was efficacy and toxicity.Combination on weekly topotecan and bevacizumab showed acceptable toxicity and encouraging efficacy in patients with platinum-resistant tumors.https://ojrs.abvpress.ru/ojrs/article/view/525relapse of ovarian cancerendometrium cancercervix cancertopotecanbevacizumabweekly regimen
spellingShingle A. G. Kedrova
V. V. Kosyy
D. A. Astakhov
The role of topotecan in cancer ginecology treatment
Опухоли женской репродуктивной системы
relapse of ovarian cancer
endometrium cancer
cervix cancer
topotecan
bevacizumab
weekly regimen
title The role of topotecan in cancer ginecology treatment
title_full The role of topotecan in cancer ginecology treatment
title_fullStr The role of topotecan in cancer ginecology treatment
title_full_unstemmed The role of topotecan in cancer ginecology treatment
title_short The role of topotecan in cancer ginecology treatment
title_sort role of topotecan in cancer ginecology treatment
topic relapse of ovarian cancer
endometrium cancer
cervix cancer
topotecan
bevacizumab
weekly regimen
url https://ojrs.abvpress.ru/ojrs/article/view/525
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AT agkedrova roleoftopotecanincancerginecologytreatment
AT vvkosyy roleoftopotecanincancerginecologytreatment
AT daastakhov roleoftopotecanincancerginecologytreatment