International Journal of Clinical Oncology

, Volume 23, Issue 4, pp 698–706 | Cite as

Efficacy of weekly administration of paclitaxel and carboplatin for advanced ovarian cancer patients with poor performance status

  • Hisamitsu Takaya
  • Hidekatsu Nakai
  • Kosuke Murakami
  • Takako Tobiume
  • Ayako Suzuki
  • Masaki Mandai
  • Noriomi Matsumura
Original Article



The aim of this study was to reveal the efficacy of weekly administration of paclitaxel and carboplatin for advanced ovarian cancer patients with poor performance status (PS).


FIGO stage III/IV ovarian cancer or fallopian tube cancer patients who underwent interval debulking surgery (IDS) followed by neoadjuvant chemotherapy (NAC) were analyzed retrospectively. Patients were divided into two groups based on NAC: weekly paclitaxel and carboplatin (W-TC) and 3 weeks of paclitaxel and carboplatin (TW-TC). Toxicity, efficacy of NAC, surgery outcome, and prognosis were assessed by comparing the two groups.


Twenty patients treated with W-TC and 18 patients treated with TW-TC were analyzed. All of the W-TC patients were poor PS (PS ≥ 2), and all of the TW-TC patients were good PS (PS ≤ 1). The overall clinical response rates were 70% in W-TC and 83.4% in TW-TC. In the W-TC group, Grade 3/4 anemia and thrombocytopenia and greater than grade 2 neuropathy were significantly reduced compared to TW-TC patients. A frequency of treatment delay greater than 7 and 14 days, G-CSF support, blood transfusion, and dose reduction or regimen change were also significantly reduced in the W-TC group. The rate of IDS, optimal debulking surgery, complications during operation, and blood transfusion were similar between the W-TC and TW-TC groups. Progression-free survival and overall survival were also similar between the two groups.


Our study suggested that NAC with W-TC for poor PS patients with non-treated ovarian cancer reduced the toxicity of chemotherapy and had the same efficacy as TW-TC.


Ovarian neoplasms Neoadjuvant therapy Antineoplastic combined chemotherapy protocols Patient acuity 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Japan Society of Clinical Oncology 2018

Authors and Affiliations

  • Hisamitsu Takaya
    • 1
  • Hidekatsu Nakai
    • 1
  • Kosuke Murakami
    • 1
  • Takako Tobiume
    • 1
  • Ayako Suzuki
    • 1
  • Masaki Mandai
    • 2
  • Noriomi Matsumura
    • 1
  1. 1.Department of Obstetrics and GynecologyKindai University Faculty of MedicineOsaka-SayamaJapan
  2. 2.Department of Gynecology and ObstetricsKyoto UniversityKyotoJapan

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