» Articles » PMID: 36118075

Successful Nedaplatin Desensitization Therapy in a Patient with Platinum-sensitive Recurrent Ovarian Cancer: A Case Report and Literature Review

Overview
Publisher Elsevier
Date 2022 Sep 19
PMID 36118075
Authors
Affiliations
Soon will be listed here.
Abstract

Desensitization protocols of platinum-based agents are recommended for patients with a history of hypersensitivity reaction (HSR). Herein, we report the first case of a successful desensitization therapy with nedaplatin after HSR to carboplatin and nedaplatin for platinum-sensitive recurrent ovarian cancer. A 53 year-old woman was diagnosed with stage IIIC serous carcinoma of the ovary and underwent primary debulking surgery followed by an adjuvant chemotherapy. The tumor relapsed 4 times in 10 years after the initial treatment, and platinum-based chemotherapy was performed on each occasion. HSR to carboplatin without and with desensitization protocol occurred during the 9th cycle of treatment and 2nd cycle of retreatment, respectively. Additionally, HSR to nedaplatin occurred during the 16th cycle of nedaplatin treatment. A four-step desensitization protocol with nedaplatin was conducted without occurrence of any severe adverse event. Nedaplatin desensitization regimen could be a new alternation for HSR to platinum-based agents.

Citing Articles

Platinum desensitization therapy and its impact on the prognosis of ovary high-grade serous adenocarcinoma: a real world-data.

Li K, Yin R Front Immunol. 2024; 15:1346464.

PMID: 38312839 PMC: 10834667. DOI: 10.3389/fimmu.2024.1346464.


Cisplatin in Ovarian Cancer Treatment-Known Limitations in Therapy Force New Solutions.

Zon A, Bednarek I Int J Mol Sci. 2023; 24(8).

PMID: 37108749 PMC: 10146189. DOI: 10.3390/ijms24087585.

References
1.
Patil S, Long A, Ling M, Wilson M, Hesterberg P, Wong J . A protocol for risk stratification of patients with carboplatin-induced hypersensitivity reactions. J Allergy Clin Immunol. 2011; 129(2):443-7. DOI: 10.1016/j.jaci.2011.10.010. View

2.
Rose P, Fusco N, Smrekar M, Mossbruger K, Rodriguez M . Successful administration of carboplatin in patients with clinically documented carboplatin hypersensitivity. Gynecol Oncol. 2003; 89(3):429-33. DOI: 10.1016/s0090-8258(03)00178-1. View

3.
Onda T, Satoh T, Ogawa G, Saito T, Kasamatsu T, Nakanishi T . Comparison of survival between primary debulking surgery and neoadjuvant chemotherapy for stage III/IV ovarian, tubal and peritoneal cancers in phase III randomised trial. Eur J Cancer. 2020; 130:114-125. DOI: 10.1016/j.ejca.2020.02.020. View

4.
Confino-Cohen R, Fishman A, Altaras M, Goldberg A . Successful carboplatin desensitization in patients with proven carboplatin allergy. Cancer. 2005; 104(3):640-3. DOI: 10.1002/cncr.21168. View

5.
Hesterberg P, Banerji A, Oren E, Penson R, Krasner C, Seiden M . Risk stratification for desensitization of patients with carboplatin hypersensitivity: clinical presentation and management. J Allergy Clin Immunol. 2009; 123(6):1262-7.e1. DOI: 10.1016/j.jaci.2009.02.042. View