PMID- 37500145 OWN - NLM STAT- MEDLINE DCOM- 20230731 LR - 20230731 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 43 IP - 8 DP - 2023 Aug TI - Relationship Between Hematological Toxicities During Maintenance Treatment and During Chemotherapy Before Maintenance Treatment in Patients With Platinum-sensitive Relapsed Ovarian Cancer. PG - 3653-3658 LID - 10.21873/anticanres.16546 [doi] AB - BACKGROUND/AIM: To determine if maintenance treatment can be performed effectively and safely in patients with platinum-sensitive relapsed ovarian cancer. PATIENTS AND METHODS: We carried out a multi-center study to investigate progression-free survival (PFS) and adverse events (AEs) in 229 patients receiving maintenance treatment for platinum-sensitive relapsed ovarian cancer. RESULTS: The median PFS in the 229 patients with maintenance treatment was 14.0 months (95% confidence interval=10.3-17.6 months). The hematological toxicities included >/=grade 3 anemia in 33.2% of cases. Anemia during maintenance treatment was significantly more common than anemia during chemotherapy given before maintenance treatment (p<0.001). Anemia during chemotherapy prior to maintenance treatment significantly increased the risk of anemia during maintenance treatment, compared with other clinical features (p<0.001). CONCLUSION: Maintenance treatment can be performed safely and effectively in patients with platinum-sensitive relapsed ovarian cancer. Anemia during chemotherapy given before maintenance treatment significantly increased the risk of developing anemia during maintenance treatment in patients with platinum-sensitive relapsed ovarian cancer. CI - Copyright (c) 2023 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Matsuoka, Hirofumi AU - Matsuoka H AD - Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. FAU - Nakamura, Keiichiro AU - Nakamura K AD - Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan; k-nakamu@cc.okayama-u.ac.jp. FAU - Yorimitsu, Masae AU - Yorimitsu M AD - Department of Obstetrics and Gynecology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan. FAU - Ogawa, Mariko AU - Ogawa M AD - Department of Obstetrics and Gynecology, National Organization Fukuyama Medical Center, Hiroshima, Japan. FAU - Kanemori, Miho AU - Kanemori M AD - Department of Obstetrics and Gynecology, Fukuyama City Hospital, Hiroshima, Japan. FAU - Sueoka, Kotaro AU - Sueoka K AD - Department of Obstetrics and Gynecology, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan. FAU - Kozai, Ayumi AU - Kozai A AD - Department of Perinatology and Gynecology, Kagawa University Graduate School of Medicine, Kagawa, Japan. FAU - Nakamura, Hiroko AU - Nakamura H AD - Department of Obstetrics and Gynecology, National Hospital Organization KURE Medical Center and Chugoku Cancer Center, Hiroshima, Japan. FAU - Haruma, Tomoko AU - Haruma T AD - Department of Obstetrics and Gynecology, Okayama Saiseikai General Hospital, Okayama, Japan. FAU - Shiroyama, Yuko AU - Shiroyama Y AD - Department of Obstetrics and Gynecology, Hiroshima Prefectural Hospital, Hiroshima, Japan. FAU - Hayata, Yuu AU - Hayata Y AD - Department of Obstetrics and Gynecology, Kagawa Prefectural Central Hospital, Kagawa, Japan. FAU - Sugii, Hirokazu AU - Sugii H AD - Department of Obstetrics and Gynecology, National Hospital Organization Iwakuni Clinical Center, Yamaguchi, Japan. FAU - Ueda, Akiko AU - Ueda A AD - Department of Obstetrics and Gynecology, JA Onomichi General Hospital, Hiroshima, Japan. FAU - Kurihara, Shuichi AU - Kurihara S AD - Department of Obstetrics and Gynecology, Japanese Red Cross Matsuyama Hospital, Ehime, Japan. FAU - Urayama, Saiko AU - Urayama S AD - Higashihiroshima Medical Center, Hiroshima, Japan. FAU - Shimizu, Miyuki AU - Shimizu M AD - Kagawa Rosai Hospital, Kagawa, Japan. FAU - Masuyama, Hisashi AU - Masuyama H AD - Department of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan. LA - eng PT - Journal Article PT - Multicenter Study PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 SB - IM MH - Humans MH - Female MH - *Ovarian Neoplasms/drug therapy MH - Carcinoma, Ovarian Epithelial/drug therapy MH - Progression-Free Survival MH - *Anemia/chemically induced MH - Neoplasm Recurrence, Local MH - Maintenance Chemotherapy MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects OTO - NOTNLM OT - Maintenance treatment OT - anemia OT - chemotherapy before maintenance treatment OT - platinum-sensitive relapsed ovarian cancer EDAT- 2023/07/28 01:08 MHDA- 2023/07/31 06:42 CRDT- 2023/07/27 20:43 PHST- 2023/06/02 00:00 [received] PHST- 2023/06/27 00:00 [revised] PHST- 2023/06/28 00:00 [accepted] PHST- 2023/07/31 06:42 [medline] PHST- 2023/07/28 01:08 [pubmed] PHST- 2023/07/27 20:43 [entrez] AID - 43/8/3653 [pii] AID - 10.21873/anticanres.16546 [doi] PST - ppublish SO - Anticancer Res. 2023 Aug;43(8):3653-3658. doi: 10.21873/anticanres.16546.