Review Article

Metronomic Chemotherapy: A Systematic Review of the Literature and Clinical Experience

Table 3

Table showing the studies using metronomic regimens in ovarian cancer. Bev, Bevacizumab; CP, Cyclophosphamide.

AuthorTreatmentNPatient typeSDPRCRORRTTPCBPFSOS

Chura, 2007Bev 10 mg/kg q14d
CP 50 mg qd po
15Pretreated,
recurrent
3
(20%)
6
(40%)
2
(13.3%)
53%----

Gordinier, 2007Standard regimens18Pretreated, ovarian or
primary peritoneal
60%6.7%----3.7 m-
Thalidomide 200 mg qd1853.8%5%3.8 m
None4???

Downs, 2008Topotecan 1.25 mg/ m2days 1-5, q21d30Recurrent, epithelial,
platinum refractory
-17%30%47%---19 m
Thalidomide 200 mg qd increasing to maximum tolerated
Vs.
Vs.Vs.Vs.Vs.Vs.
Topotecan 1.25 mg/ m2 days 1-5, q21d39-3%18%21%---15 m

Garcia, 2008Bev 10 mg/kg q14d
CP 50 mg qd po
17Recurrent,
platinum refractory
-17
(24%)
--7.2 m-6 m
(56%)
16.9 m

Jurado, 2008Bev 10 mg/kg q14d
CP 50 mg qd po
9Recurrent, platinum
refractory
2
(22%)
2
(22%)
2
(22%)
4
(44%)
5.5 m-6 m
(33%)
-

Hurteau, 2010Thalidomide 200 mg qd increasing to maximum tolerated or 400 mg
vs
Tamoxifen 20 mg qd po for 1 year
138Stage III/IV, disease free after 1st line,Closed early, interim analysis showed thalidomide was inferior to tamoxifen

Sanchez-Munoz, 2010Bev 10 mg/kg q14d
CP 50 mg qd po
38Pretreated, recurrent3
(8.1%)
(6 w)
12
(32.4%)
3
(8.1%)
---4.5 m10.7 m

Legge, 2011Carboplatin AUC5, q28d
Celecoxib 400 mg qd
45Pretreated, recurrent10329%--5 m13 m

McGonigle, 2011Bev 10 mg/kg days 1, 13 q28d
Topotecan 4 mg/ m2 days 1, 8, 15 q28d
40Platinum resistant,
ovarian / peritoneal / fallopian
14
(35%)
10
(25%)
----7.8 m16.6 m

Ramasubbaiah, 2011Sorafenib 400 mg qd
Topotecan 3.5 mg/ m2 days 1, 8, 15 q28d
14Platinum
resistant,
14
(46.7%)
5
(16.7%)
------

Kucukoner, 2012Etoposide 50 mg qd po days 1-14 q28d51Platinum resistant,25.5%17.6%3.9 m16.4 m

Barber, 2013Bev 10 mg/kg q14d
CP 50 mg qd po
66Pretreated, recurrent15
(22.7%)
21
(31.8%)
7
(10.6%)
42.4%5 m
responders)
20 m
responders)

Ferrandina, 2014 ®CP 50 mg qd po54Platinum resistant/sensitive-11
(20.4%)
-20.4%4 m13 m

Bhattacharyya, 2015CP 50 mg qd po
TMZ 20 mg bid days 1-14, q21d
55Platinum resistant,24N/A44%5.9 m10.1 m

Roque, 2015
®
Ixabepilone 16-20 mg/ m2 days 1, 8, 15, q28d8/3Uterine/Ovarian-fallopian-peritoneal---41.7%--3.0 m/--
Vs9.6 m
Ixabepilone 16-20 mg/ m2 days 1, 8, 15, q28d
Bev 10 mg/kg q14d
16/33------6.5 m/ --