Navneet Singh

Insights into ovarian cancer: chemo-diversity, dose depended toxicities and survival responses

Ovarian cancer has been one of the serious concerns for female health and medicinal practitioner all over the world. The wellness of over cancer patient is associated with survival responses which depends on many factors including chemotherapeutic diversity; treatment protocol; dose-dependent toxicity such as hematological toxicity and non-hematological toxicity. We found that the studied treatment regimens (TRs) (1-9) showed varying degree of hematological toxicities like moderate neutropenia ( 20%), negligible leucopenia, critical leucopenia (> 20%), moderate thrombocytopenia ( 20%), moderate anemia ( 20%). The studied TRs showed varying degree of non-hematological toxicities like moderate nausea-vomiting ( 20%), moderate alopecia ( 20%), moderate fatigue ( 20%), moderate neurotoxicity ( 20%), moderate diarrheas ( 35%), remarkable overall responses (> 60%), critical overall responses ( 20%), critical stable disease (< 20%) and moderate progressive disease (< 20%). Out of the studied TRs 1-9, in case of TR 6, moderate non-hematological toxicity (NHT) and effective survival response (SR) is being diluted by critical hematological toxicity (HT). On the other hand, TR 8, 9 is showing critical HT, NHT and SR. Our analysis revealed that the toxicity of the existing therapeutic agents can be controlled through judicious decision of drug administration cycles and combination therapies.