Zhang Heling, Zhang Ye
Health Examination Center, The Fourth Hospital of Shijiazhuang Shijiazhuang, Hebei, China.
Department of Epidemiology and Statistics, School of Public Health, Hebei Medical University Hebei, China.
Am J Transl Res. 2022 Jan 15;14(1):468-475. eCollection 2022.
To investigate the efficacy and safety of olaparib and paclitaxel combined with carboplatin in the treatment of ovarian cancer and its impact on disease control.
The medical data of 120 patients with ovarian cancer admitted to our hospital from February 2019 to February 2020 were retrospectively analyzed. According to different treatment methods, the enrolled patients were divided into two groups: a control group (n=60) treated with paclitaxel combined with carboplatin, and an experimental group (n=60) additionally treated with olaparib on the basis of the control group. The short-term efficacy, serum levels of carbohydrate antigen 125 (CA125), tumor necrosis factor (TNF-α), interleukin-6 (IL-6), and human epididymis protein 4 (HE4), and the incidence of adverse effects and tumor metastasis were compared between the two groups.
There was no difference in the baseline data between the two groups (P>0.05). The objective remission rate (ORR) and disease control rate (DCR) of the experimental group were higher than those of the control group (P<0.05). The experimental group had lower levels of serum CA125, TNF-α, IL-6, and HE4 than the control group after treatment (P<0.05). The two groups showed no significant difference in the incidence of adverse reactions (P>0.05). The one-year follow-up identified a lower tumor metastasis rate in the experimental group compared to the control group (P<0.05).
Olaparib and paclitaxel combined with carboplatin improve the serum indexes of patients with ovarian cancer, enhance the disease control, and reduce the recurrence rate, without extra toxic side effects.
探讨奥拉帕利与紫杉醇联合卡铂治疗卵巢癌的疗效、安全性及其对疾病控制的影响。
回顾性分析2019年2月至2020年2月我院收治的120例卵巢癌患者的医学资料。根据治疗方法不同,将入选患者分为两组:对照组(n = 60)采用紫杉醇联合卡铂治疗,试验组(n = 60)在对照组基础上额外加用奥拉帕利治疗。比较两组的短期疗效、血清糖类抗原125(CA125)、肿瘤坏死因子(TNF-α)、白细胞介素-6(IL-6)和人附睾蛋白4(HE4)水平,以及不良反应发生率和肿瘤转移情况。
两组基线数据无差异(P>0.05)。试验组的客观缓解率(ORR)和疾病控制率(DCR)高于对照组(P<0.05)。治疗后试验组血清CA125、TNF-α、IL-6和HE4水平低于对照组(P<0.05)。两组不良反应发生率无显著差异(P>0.05)。一年随访结果显示,试验组肿瘤转移率低于对照组(P<0.05)。
奥拉帕利与紫杉醇联合卡铂可改善卵巢癌患者的血清指标,增强疾病控制,降低复发率,且无额外毒副作用。