has anyone else read this positive news?
A new type of intensive chemotherapy is proving highly effective in treating women desperately ill with ovarian cancer, scientists announced today.
The pioneering treatment is successful in 80% of patients whose first-line chemotherapy had failed, compared to rates of less than 15% under current therapies.
The results, published in the British Journal of Cancer today, will provide fresh hope to the 7,000 women who are diagnosed with ovarian cancer each year in the UK. They have a survival rate of just 29% after five years.
Currently, women whose tumours have returned have very limited options, with less than half responding to follow-up chemotherapy.
The Dutch study involved 98 women with ovarian cancer whose first-line chemotherapy had initially been successful, but who had later relapsed.
Researchers divided the women into three groups depending on the severity of their cancer and treated them with an intensive regime of cisplatin and another drug called etoposide.
The response rates of the two groups of women who were least ill to the new treatment were 92% and 91%.
This compares to a response of 50% and 20% to 30% with standard therapies.
Among the group of women who were most seriously ill, 46% responded to treatment, compared with less than 15% for current therapies.
Overall, 80% of the women's tumours shrank and an unprecedented 43% showed a complete response, with all signs of their cancers disappearing.
Cisplatin and etoposide are already used in chemotherapy regimes for many cancers, but the new treatment used the drugs much more intensively than usual.
Usually, doctors give their patients several weeks to recover from the toxic side-effects of cisplatin, but in the new study the drug was given on a weekly basis, along with strong drugs to prevent nausea.
Study author Dr Ronald de Wit, of the Rotterdam Cancer Institute, said: "We were delighted by the success of the study. The new drug combination was highly effective at keeping women alive for longer, giving real hope to those who would otherwise have had very little.
"We were worried the women would be too ill to cope with the treatment, but in fact, they suffered relatively few side-effects. And since these drugs are readily available, there's no reason why women shouldn't start to benefit from them right away."
Professor Gordon McVie, director general of The Cancer Research Campaign, said: "While current chemotherapy regimes are effective for some women with ovarian cancer, many relapse later and overall cure rates are improving only very slowly. These old drugs in a new regime will be a useful salvage."
Sir Paul Nurse, director general of Imperial Cancer Research Fund, said: "We've been waiting for good news on ovarian cancer for some time, so the results of this study are very encouraging."
This sounds like good news, and maybe timely for me!
Has anybody on this forum had experience of Caelyx? I am booked in for radical debulking in 2 weeks, after learning just before Christmas that my cancer is progressing, 3 months after completing 6 cycles of carbo/taxol with Avastin which was supposed to be a maintenance therapy. I guess Avastin didn't do it for me. So I will be on Caelyx following the surgery.
Because of the early (less than 6 months) progression, I believe my cancer is now described as 'platinum resistant'. Anyone else been told this? And what have you been told about follow on therapies?
Hope to hear from you.
Maureen
Hi, I am halfway through this Rotterdam Regimen treatment consisting of 7 weeks of Cisplatin invtravenously, with Two week on and Two weeks off with Etopiside tablet, and then just Etopiside tablets for up to 9 months I think.
Side effects have been sore mouth and ulcers which I also suffered with with my Carboplatin/Pacitaxel chemo run 1st time round which I did not respond to at all and have been labelled Platinum resistant.
Drawback is that I have to be at hospital at 8.30am and start of with the anti sickness, acid, antihistamine and steroid drugs through the IV canula with flushes inbetween then a 1 hour infusion of stronger saline with something else in - not sure what - the a 3 hour infusion of Cisplatin followed by 8 hours of special flush saline, which means I don't get home until 11.30pm but luckily I only live 10min drive from hospital.
My Oncologist said I am the first at my hospital to use this treatment, my oncologist has just moved here from the Christie Hospital in Manchester where she had used it for at least the last 6-7 years with good results for platinum resistant patients although not as good at the people who are able to have the Carboplatinum treatment. The patients at the Christie had an overnight stay to receive the treatment but I am glad to go home to my own bed.
So I am keeping fingers crossed this time round.:-)
Regards
Sue
It is interesting to hear your experience of the 'Rotterdam Regime' and to know that it is used in this country. My cancer too is labelled platinum resistant (I did have partial response to the 6 cycles of carbo/taxol) but in spite of being given Avastin my cancer is progressing 3 months after finishing the 6 cycles of chemo. The first monitoring scan since chemo has shown this.
I have not had surgery to date but my surgeon will now do this next week. Why now and not earlier I cannot but wonder. I think it was because of a metastasis on my liver, which I think the MDT thought was in the liver. Since chemo, I have had 2 further opinions regarding surgery and both think that the mass is on the ligament and not in the liver. Their opinions were optimal debulking was possible, but neither actually recommended surgery at that point because I was feeling well and we believed that Avastin was doing the job, it would have to stop for 6 weeks before and following surgery. They did not want to interrupt my good quality of life. Now I guess its time to go for it. I am really frightened now, especially after a call from the colorectal nurse at the hospital calling me in a day early for bowel preparation in case there is a need to do bowel resection and possibly a stoma during the operation.
I presume that you have had debulking surgery before the chemo. It sounds like most on this forum have had the operation before or during chemo.
Is there anyone who has not had surgery until several months following chemotherapy? If so it would be good to hear from you.
Caelyx is proposed following my surgery, but I would also be interested to find out if 'Rotterdam Regime' may be appropriate for me. I will ask my oncologist when I next see here. It sounds like its a tough regime to go through though. I sincerely hope you have a good outcome.
Trying hard to stay positive,
Maureen
Hi Maureen
My mum had Caelyx, she is also platinum resistant , only had two cycles then stopped, its a very strong drug and they don't continue unless it is working to some degree.
can I ask what stage is you cancer? I only ask because mums has spread to lungs and liver. they wouldn't give her surgery. but I see some people on here have, even though their cancer is also advanced. it makes me unsure the hospital is actually giving the right treatment.
I wish you all the luck in the world with your treatment.
Lucy
Hi,
I’ve just recently started on the Cisplatin / Etoposide regime, having already completed 6 cycles of Carboplatin/Paclitaxel early in 2021, then having a recurrence after 3 months, and a couple of cycles of Abraxane in October/November which failed to work for me.
Found this article on the site and, although it’s quite old, it gives me some hope ……just wondering if anybody else is or has been on this regime and has a story or hints and tips to share??
Love and positive vibes to all of you fighting this horrid disease - we are stronger than we think - and we can do this !!
Bxx
Hi B, I'm sorry that I cannot help you with your specific query however I wondered if you were (or anybody else) were taking natural supplements to also help?
I have read that maintaining a healthy level of Vitamin D is advised and I do wonder which other supplements may possibly also be of benefit?
Wishing you the very best xx
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