Would you consider retrying a platinum based chemotherapy agent in a platinum resistant ovarian cancer patient?
Yes, I would consider the use of platinum agent again, especially if it has been a long time since their last platinum therapy. I could consider the use of Cisplatin in this case or Carboplatin.
The GCOG consensus statement recommends the following timelines for platinum response classifications:
(1) ...
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Yes, definitely.
There are several case series showing a good response rate of weekly carbo (AUC2) and paclitaxel (60mg/m2) (one of several refs here). Anecdotally, we have excellent responses with minimal risk of toxicity using this regimen. There is also data from MSKCC that patients with platinum ...
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Yes, I would consider retrying a platinum in combination with another agent.
In particular, I have had good anecdotal success with cis/cytoxan in this population (especially with BRCA deleterious mutation).
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