new study appears to be hopeful for recurring ovarian cancer

FormerMember
FormerMember
  • 28 replies
  • 33 subscribers
  • 11374 views

has anyone else read this positive news?

New drug treatment beating ovarian cancer

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."

  • FormerMember
    FormerMember

    Thanks for this, is it possible to send a link to where the article can be found .  

  • FormerMember
    FormerMember

    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

  • FormerMember
    FormerMember in reply to FormerMember
    A trawl of internet indicates research was published in 2002. I guess our oncologists should know about it. Not sure how I found the press release on the Daily Mail on line with no date of publication. Probably the archived versions.
  • FormerMember
    FormerMember in reply to FormerMember

    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

  • FormerMember
    FormerMember
    I was so excited when i read this new news then disappointed when i read it was from 2002 and a dutch study, but hopeful again to read that Suee is on the trial in britain, really good luck Suee. I have had one cycle of Carboplatin/Paxitaxel chemo and told that my tumours have shrunk, ( i have terminal ovarian/peritoneal with cancer cells in my lung ), i am on 8 weekly follow ups, some fluid building in my lung again and some pains starting lower right side abdomen, i will be printing this info off and showing my oncologist, got nothing to lose have i, will be asking if i can try this regime. Will keep you all posted to outcome. Good luck to everyone and hope this year brings good news to all :)
  • FormerMember
    FormerMember in reply to FormerMember

    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

  • FormerMember
    FormerMember in reply to FormerMember

    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   

  • FormerMember
    FormerMember in reply to FormerMember
    Hi Lucy My cancer is stage 4 high grade. My surgery has been described as 'palliative'. I had radical debulking and removal of omentum. There are still extensive deposits less than 1 cm and a 1-2 cm mass on my bowel. Hence the caelyx, which I will begin on 17 Feb. It is supposed to have fewer side effects than other treatments. I am very sorry to hear that your mother could not tolerate it. From this forum it is clear that there are so many varied responses to chemo. It would be wonderful if treatment could be tailored to individuals. I will learn the histology of my disease next week. I asked my oncologist yesterday whether the histology would inform the therapy, but she said unfortunately we are not there yet. I wish you and your mother all the very best in this uncertain journey. Maureen
  • 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 HeartPray……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