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Published Online:https://doi.org/10.2217/fon-2017-0319

Trabectedin + pegylated liposomal doxorubicin (PLD) offers a well tolerated and effective nonplatinum, nontaxane alternative for treatment of ovarian cancer patients with a treatment-free interval after platinum beyond 6 months, especially for those relapsing between 6 and 12 months and those who are not candidates to receive platinum-based therapy. Using the nonplatinum trabectedin + PLD combination gives patients time to recover from platinum-related toxicities and may restore platinum sensitivity in tumor cells. The sequence effect, by which intercalation of trabectedin + PLD between platinum regimens may enhance the activity of next platinum and improve survival, is currently under investigation in the Phase III prospective INternational OVArian cancer patients Trial with YONdelis.

References

  • 1 Wilson MK, Pujade-Lauraine E, Aoki D et al. Fifth Ovarian Cancer Consensus Conference of the Gynecologic Cancer InterGroup: recurrent disease. Ann. Oncol. 28(4), 727–732 (2017).
  • 2 Pignata S, De Placido S, Biamonte R et al. Residual neurotoxicity in ovarian cancer patients in clinical remission after first-line chemotherapy with carboplatin and paclitaxel: the Multicenter Italian Trial in Ovarian cancer (MITO-4) retrospective study. BMC Cancer 6, 5 (2006).
  • 3 Markman M, Kennedy A, Webster K et al. Clinical features of hypersensitivity reactions to carboplatin. J. Clin. Oncol. 17(4), 1141 (1999).
  • 4 Gadducci A, Tana R, Teti G et al. Analysis of the pattern of hypersensitivity reactions in patients receiving carboplatin retreatment for recurrent ovarian cancer. Int. J. Gynecol. Cancer 18(4), 615–620 (2008).
  • 5 Gomez R, Harter P, Lück HJ et al. Carboplatin hypersensitivity: does introduction of skin test and desensitization reliably predict and avoid the problem? A prospective single-center study. Int. J. Gynecol. Cancer 19(7), 1284–1287 (2009).
  • 6 O'Cearbhaill R, Zhou Q, Iasonos A et al. The prophylactic conversion to an extended infusion schedule and use of premedication to prevent hypersensitivity reactions in ovarian cancer patients during carboplatin retreatment. Gynecol. Oncol. 116(3), 326–331 (2010).
  • 7 Joly F, Ray-Coquard I, Fabbro M et al. Decreased hypersensitivity reactions with carboplatin-pegylated liposomal doxorubicin compared with carboplatin-paclitaxel combination: analysis from the GCIG CALYPSO relapsing ovarian cancer trial. Gynecol. Oncol. 122(2), 226–232 (2011).
  • 8 Moon DH, Lee JM, Noonan AM et al. Deleterious BRCA1/2 mutation is an independent risk factor for carboplatin hypersensitivity reactions. Br. J. Cancer 109(4), 1072–1078 (2013).
  • 9 Monk BJ, Herzog TJ, Kaye SB et al. Trabectedin plus pegylated liposomal doxorubicin in recurrent ovarian cancer. J. Clin. Oncol. 28(19), 3107–3114 (2010).
  • 10 Monk BJ, Ghatage P, Parekh T et al. Effect of BRCA1 and XPG mutations on treatment response to trabectedin and pegylated liposomal doxorubicin in patients with advanced ovarian cancer: exploratory analysis of the Phase III OVA-301 study. Ann. Oncol. 26(5), 914–920 (2015).
  • 11 European Medicines Agency (EMA). Assessment report for Yondelis (EPAR) (2009). www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Assessment_Report_-_Variation/human/000773/WC500059175.pdf.
  • 12 Krasner CN, Poveda A, Herzog TJ et al. Patient-reported outcomes in relapsed ovarian cancer: results from a randomized Phase III study of trabectedin with pegylated liposomal doxorubicin (PLD) versus PLD alone. Gynecol. Oncol. 127(1), 161–167 (2012).
  • 13 González Martín A. Safety profile of trabectedin in combination with liposomal pegylated doxorubicin in relapsed ovarian carcinoma: considerations for optimal management. Int. J. Gynecol. Cancer 21(Suppl. 1), S6–S8 (2011).
  • 14 Sehouli J, Alfaro V, González-Martín A. Trabectedin plus pegylated liposomal doxorubicin in the treatment of patients with partially platinum-sensitive ovarian cancer: current evidence and future perspectives. Ann. Oncol. 23(3), 556–562 (2012).
  • 15 Romero I, Colombo N, Kaye SB et al. Tolerability of long-term use of trabectedin in combination with pegylated liposomal doxorubicin (PLD) in patients with relapsed ovarian cancer (ROC). J. Clin. Oncol. 28(Suppl. 15), 5121 (2010).
  • 16 Vergote I, Vermorken J, Pujade Lauraine E et al. Safety analysis of trabectedin in combination with pegylated liposomal doxorubicin (PLD) vs PLD alone in ovarian cancer patients 65 years of age and older. Eur. J. Cancer Suppl. 7(2), 458 (2009).
  • 17 Nicoletto MO, Baldoni A, Casarin A et al. Trabectedin plus pegylated liposomal doxorubicin: retrospective analysis in heavily pretreated platinum-sensitive ovarian cancer. Tumori 101(5), 506–510 (2015).
  • 18 Gounaris I, Hatcher HM, Davidson D et al. Trabectedin for advanced soft tissue sarcomas: a single institution experience. Future Oncol. 10(11), 1843–1851 (2014).
  • 19 Leporini C, Patanè M, Saullo F et al. A comprehensive safety evaluation of trabectedin and drug–drug interactions of trabectedin-based combinations. BioDrugs 28(6), 499–511 (2014).
  • 20 Vergote I, Meerpohl HG, Boman K et al. Exploratory study of platinum-sensitive (ps) patients who did not achieve a complete response after first-line platinum-based treatment before ova-301 trial. Int. J. Gynecol. Cancer 22(8 Suppl. 3), 225 (2012).
  • 21 Pignata S, Cannella L, Leopardo D et al. Chemotherapy in epithelial ovarian cancer. Cancer Lett. 303(2), 73–83 (2011).
  • 22 Monk BJ, Herzog TJ, Kaye SB et al. Trabectedin plus pegylated liposomal doxorubicin (PLD) versus PLD in recurrent ovarian cancer: overall survival analysis. Eur. J. Cancer 48(15), 2361–2368 (2012).
  • 23 Poveda A, Ray-Coquard I, Romero I et al. Emerging treatment strategies in recurrent platinum-sensitive ovarian cancer: focus on trabectedin. Cancer Treat. Rev. 40(3), 366–375 (2014).
  • 24 Larsen AK, Galmarini CM, D'Incalci M. Unique features of trabectedin mechanism of action. Cancer Chemother. Pharmacol. 77(4), 663–671 (2016).
  • 25 Colmegna B, Uboldi S, Erba E et al. Resistance to minor groove binders. Drug Discov. Today Technol. 11, 73–79 (2014).
  • 26 Colmegna B, Uboldi S, Frapolli R et al. Increased sensitivity to platinum drugs of cancer cells with acquired resistance to trabectedin. Br. J. Cancer 113(12), 1687–1693 (2015).
  • 27 Horowitz N, Hua J, Gibb RK et al. The role of topotecan for extending the platinum-free interval in recurrent ovarian cancer: an in vitro model. Gynecol. Oncol. 94(1), 67–73 (2004).
  • 28 Cohen S, Bruchim I, Graiver D et al. Platinum-resistance in ovarian cancer cells is mediated by IL-6 secretion via the increased expression of its target cIAP-2. J. Mol. Med. (Berl.) 91(3), 357–368 (2013).
  • 29 Wang Y, Niu XL, Qu Y et al. Autocrine production of interleukin-6 confers cisplatin and paclitaxel resistance in ovarian cancer cells. Cancer Lett. 295(1), 110–123 (2010).
  • 30 Allavena P, Signorelli M, Chieppa M et al. Anti-inflammatory properties of the novel antitumor agent Yondelis (trabectedin): inhibition of macrophage differentiation and cytokine production. Cancer Res. 65(7), 2964–2971 (2005).
  • 31 Germano G, Frapolli R, Simone M et al. Antitumor and anti-inflammatory effects of trabectedin on human myxoid liposarcoma cells. Cancer Res. 70(6), 2235–2244 (2010).
  • 32 Kaye SB, Colombo N, Monk BJ et al. Trabectedin plus pegylated liposomal doxorubicin in relapsed ovarian cancer delays third-line chemotherapy and prolongs the platinum-free interval. Ann. Oncol. 22(1), 49–58 (2011).
  • 33 ClinicalTrials database: NCT01379989. https://clinicaltrials.gov/ct2/show/NCT01379989.