Efficacy of gemcitabine in combination with nanoparticle albumin-bound paclitaxel in the treatment of recurrent ovarian cancer: A retrospective single institution review

Cancer Med. 2023 Apr;12(8):9434-9438. doi: 10.1002/cam4.5705. Epub 2023 Feb 21.

Abstract

Background: The objective of this study was to evaluate the efficacy of gemcitabine plus nab-paclitaxel in patients with recurrent ovarian cancer.

Methods: We performed a single institution retrospective review of patients with recurrent ovarian cancer who were treated with gemcitabine plus nab-paclitaxel from 2012 to 2018 at the Mayo Clinic in Florida.

Results: Twenty patients were identified and the median PFS for patients treated with gemcitabine plus nab-paclitaxel was 9 months (95% CI, 5.7-20.7). Overall, 17 of the 20 patients (85%) achieved a clinical benefit (complete response 5%, partial response 55%, or stable disease at 3 months 25%). For platinum-sensitive disease and platinum-resistant disease, the median OS were 38.7 months (95% CI, 5.8-63.1) and 31.2 months (95% CI, 12.8-51.8), respectively (p = 0.4306).

Conclusion: This well-tolerated regimen shows promising activity in recurrent ovarian cancer and is a viable option for patients who are intolerant to paclitaxel or carboplatin because of allergic reactions.

MeSH terms

  • Albumin-Bound Paclitaxel / adverse effects
  • Albumins / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Deoxycytidine / therapeutic use
  • Female
  • Gemcitabine
  • Humans
  • Nanoparticles*
  • Ovarian Neoplasms* / drug therapy
  • Ovarian Neoplasms* / etiology
  • Paclitaxel / adverse effects
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Gemcitabine
  • 130-nm albumin-bound paclitaxel
  • Albumin-Bound Paclitaxel
  • Deoxycytidine
  • Paclitaxel
  • Albumins