Abstract
Despite the completion and publication of the results of three well-designed and conducted phase III randomized trials that revealed the superiority of intraperitoneal, compared to intravenous cisplatin-based chemotherapy employed as primary chemotherapy of small-volume residual advanced ovarian cancer [1–3], there appears to be limited use of this approach outside the setting of clinical trials and major academic medical centers. While a variety of explanations can be offered to this somewhat discouraging state of affairs, it is reasonable to speculate that many clinicians do not fully appreciate the underlying rationale and basic principles supporting this method of drug delivery in the management of ovarian cancer. Such considerations actually provide strong support for the validity of the outcomes observed in the completed randomized trials.
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Alberts DS, Liu PY, Hannigan EV, O’Toole R, Williams SD, Young JA, Franklin EW, Clarke-Pearson DL, Malviya VK, DuBeshter B (1996) Intraperitoneal cisplatin plus intravenous cyclophosphamide versus intravenous cisplatin plus intravenous cyclophosphamide for stage III ovarian cancer. N Engl J Med 335:1950–1955
Armstrong DK, Bundy B, Wenzel L, Huang HQ, Baergen R, Lele S, Copeland LJ, Walker JL, Burger RA (2006) Intraperitoneal cisplatin and paclitaxel in ovarian cancer. N Engl J Med 354:34–43
Markman M, Bundy BN, Alberts DS, Fowler JM, Clark-Pearson DL, Carson LF, Wadler S, Sickel J (2001) Phase III trial of standard-dose intravenous cisplatin plus paclitaxel versus moderately high-dose carboplatin followed by intravenous paclitaxel and intraperitoneal cisplatin in small-volume stage III ovarian carcinoma: an intergroup study of the Gynecologic Oncology Group, Southwestern Oncology Group, and Eastern Cooperative Oncology Group. J Clin Oncol 19:1001–1007
Suhrland LG, Weisberger AS (1965) Intracavitary 5-fluorouracil in malignant effusions. Arch Intern Med 116:431–433
Weisberger AS, Levine B, Storaasli JP (1955) Use of nitrogen mustard in treatment of serous effusions of neoplastic origin. JAMA 159:1704–1707
Dedrick RL (1985) Theoretical and experimental bases of intraperitoneal chemotherapy. Semin Oncol 12:1–6
Dedrick RL, Myers CE, Bungay PM, DeVita VT Jr (1978) Pharmacokinetic rationale for peritoneal drug administration in the treatment of ovarian cancer. Cancer Treat Rep 62:1–11
Kraft AR, Tompkins RK, Jesseph JE (1968) Peritoneal electrolyte absorption: analysis of portal, systemic venous and lymphatic transport. Surgery 64:148–153
Lukas G, Brindle SD, Greengard P (1971) The route of absorption of intraperitoneally administered compounds. J Pharmacol Exp Ther 178:562–564
Alberts DS, Young L, Mason N, Salmon SE (1985) In vitro evaluation of anticancer drugs against ovarian cancer at concentrations achievable by intraperitoneal administration. Semin Oncol 12:38–42
Andrews PA, Velury S, Mann SC, Howell SB (1988) cis-Diamminedichloroplatinum(II) accumulation in sensitive and resistant human ovarian carcinoma cells. Cancer Res 48:68–73
Gore M, Mainwaring P, A’Hern R, MacFarlane V, Slevin M, Harper P, Osborne R, Mansi J, Blake P, Wiltshaw E, Shepherd J (1998) Randomized trial of dose-intensity with single-agent carboplatin in patients with epithelial ovarian cancer. London Gynaecological Oncology Group. J Clin Oncol 16:2426–2434
McGuire WP, Hoskins WJ, Brady MF, Homesley HD, Creasman WT, Berman ML, Ball H, Berek JS, Woodward J (1995) Assessment of dose-intensive therapy in suboptimally debulked ovarian cancer: a Gynecologic Oncology Group study. J Clin Oncol 13:1589–1599
Casper ES, Kelsen DP, Alcock NW, Lewis JL Jr (1983) Ip cisplatin in patients with malignant ascites: pharmacokinetic evaluation and comparison with the IV route. Cancer Treat Rep 67:235–238
Degregorio MW, Lum BL, Holleran WM, Wilbur BJ, Sikic BI (1986) Preliminary observations of intraperitoneal carboplatin pharmacokinetics during a phase I study of the Northern California Oncology Group. Cancer Chemother Pharmacol 18:235–238
Elferink F, van der Vijgh WJ, Klein I, ten Bokkel Huinink WW, Dubbelman R, McVie JG (1988) Pharmacokinetics of carboplatin after intraperitoneal administration. Cancer Chemother Pharmacol 21:57–60
Howell SB, Pfeifle CL, Wung WE, Olshen RA, Lucas WE, Yon JL, Green M (1982) Intraperitoneal cisplatin with systemic thiosulfate protection. Ann Intern Med 97:845–851
Lopez JA, Krikorian JG, Reich SD, Smyth RD, Lee FH, Issell BF (1985) Clinical pharmacology of intraperitoneal cisplatin. Gynecol Oncol 20:1–9
Pretorius RG, Hacker NF, Berek JS, Ford LC, Hoeschele JD, Butler TA, Lagasse LD (1983) Pharmacokinetics of Ip cisplatin in refractory ovarian carcinoma. Cancer Treat Rep 67:1085–1092
Rowinsky EK, Donehower RC (1995) Paclitaxel (taxol). N Engl J Med 332:1004–1014
Francis P, Rowinsky E, Schneider J, Hakes T, Hoskins W, Markman M (1995) Phase I feasibility and pharmacologic study of weekly intraperitoneal paclitaxel: a Gynecologic Oncology Group Pilot study. J Clin Oncol 13:2961–2967
Markman M, Rowinsky E, Hakes T, Reichman B, Jones W, Lewis JL Jr, Rubin S, Curtin J, Barakat R, Phillips M et al (1992) Phase I trial of intraperitoneal taxol: a Gynecologic Oncology Group study. J Clin Oncol 10:1485–1491
Litterst CL, Collins JM, Lowe MC, Arnold ST, Powell DM, Guarino AM (1982) Local and systemic toxicity resulting from large-volume Ip administration of doxorubicin in the rat. Cancer Treat Rep 66:157–161
Ozols RF, Locker GY, Doroshow JH, Grotzinger KR, Myers CE, Young RC (1979) Pharmacokinetics of adriamycin and tissue penetration in murine ovarian cancer. Cancer Res 39:3209–3214
Markman M, George M, Hakes T, Reichman B, Hoskins W, Rubin S, Jones W, Almadrones L, Lewis JL Jr (1990) Phase II trial of intraperitoneal mitoxantrone in the management of refractory ovarian cancer. J Clin Oncol 8:146–150
Roboz J, Jacobs AJ, Holland JF, Deppe G, Cohen CJ (1981) Intraperitoneal infusion of doxorubicin in the treatment of gynecologic carcinomas. Med Pediatr Oncol 9:245–250
Litterst CL, Torres IJ, Arnold S, McGunagle D, Furner R, Sikic BI, Guarino AM (1982) Absorption of antineoplastic drugs following large-volume Ip administration of rats. Cancer Treat Rep 66:147–155
Durand RE (1981) Flow cytometry studies of intracellular adriamycin in multicell spheroids in vitro. Cancer Res 41:3495–3498
Los G, Mutsaers PH, van der Vijgh WJ, Baldew GS, de Graaf PW, McVie JG (1989) Direct diffusion of cis-diamminedichloroplatinum(II) in intraperitoneal rat tumors after intraperitoneal chemotherapy: a comparison with systemic chemotherapy. Cancer Res 49:3380–3384
Los G, Verdegaal EM, Mutsaers PH, McVie JG (1991) Penetration of carboplatin and cisplatin into rat peritoneal tumor nodules after intraperitoneal chemotherapy. Cancer Chemother Pharmacol 28:159–165
West GW, Weichselbau R, Little JB (1980) Limited penetration of methotrexate into human osteosarcoma spheroids as a proposed model for solid tumor resistance to adjuvant chemotherapy. Cancer Res 40:3665–3668
Covens A, Carey M, Bryson P, Verma S, Fung Kee FM, Johnston M (2002) Systematic review of first-line chemotherapy for newly diagnosed postoperative patients with stage II, III, or IV epithelial ovarian cancer. Gynecol Oncol 85:71–80
Markman M (2008) Critical thinking: an essential role in both the conduct and interpretation of gynecologic cancer clinical research. Gynecol Oncol 108:462–465
Markman M, Brady MF, Spirtos NM, Hanjani P, Rubin SC (1998) A phase II trial of intraperitoneal paclitaxel in carcinoma of the ovary, tube and peritoneum: a Gynecologic Oncology Group study. J Clin Oncol 16:2620–2624
Krasner CN, Seiden MV, Fuller AF, Roche M, Verrill CL, D’Amato F, Tretyakov O, Tyburski K, Matulonis UA, Supko JG (2006) Pharmacokinetic analysis of an all intraperitoneal carboplatin and paclitaxel regimen in ovarian cancer patients demonstrates favorable systemic bioavailability of both agents. J Clin Oncol 24(18S):257
Walker JL, Armstrong D, Huang HQ, Fowler J, Webster K, Burger R, Clarke-Pearson D (2006) Intraperitoneal catheter outcomes in a phase III trial of intravenous versus intraperitoneal chemotherapy in optimal stage III ovarian and primary peritoneal cancer: a Gynecologic Oncology Group study. Gynecol Oncol 100:27–32
Bergman F (1966) Carcinoma of the ovary: a clinicopathological study of 86 autopsied cases with special reference to mode of spread. Acta Obstet Gynecol Scand 45:211–231
Dauplat J, Hacker NF, Nieberg RK, Berek JS, Rose TP, Sagae S (1987) Distant metastases in epithelial ovarian carcinoma. Cancer 60:1561–1566
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Markman, M. (2010). Principles of Intraperitoneal Chemotherapy. In: Alberts, D., Clouser, M., Hess, L. (eds) Intraperitoneal Therapy for Ovarian Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12130-2_3
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