Cochrane · systematic review · CD008766

Taxane monotherapy regimens for the treatment of recurrent epithelial ovarian cancer

Patel, A, Kalachand, R, Busschots, S, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
25
current version
GRADE rated
19
No studies
6
Included studies
NR
No studies 6 · 24%Ungraded 0 · 0%Very low 8 · 32%Low 10 · 40%Moderate 1 · 4%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Weekly paclitaxel compared to three‐weekly paclitaxel for the treatment of recurrent epithelial ovarian cancer

Population: women with recurrent epithelial ovarian cancer
9 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
Weekly paclitaxel vs three‐weekly paclitaxel
HR 0.94 [0.66, 1.33]2 studies · 263 participantsVery low
Downgraded: imprecision
Response rate
Weekly paclitaxel vs three‐weekly paclitaxel
RR 1.07 [0.78, 1.48]2 studies · 263 participantsVery low
Downgraded: imprecision
Response rate ‐ platinum‐sensitive
Weekly paclitaxel vs three‐weekly paclitaxel
RR 1.13 [0.77, 1.65]2 studies · 100 participantsVery low
Downgraded: imprecision
Response rate ‐ platinum‐resistant
Weekly paclitaxel vs three‐weekly paclitaxel
RR 1.01 [0.55, 2.12]2 studies · 163 participantsVery low
Downgraded: imprecision
Quality of Life ‐ not reported
Weekly paclitaxel vs three‐weekly paclitaxel
no estimate extractedNRNo studies
Progression‐free survival
Weekly paclitaxel vs three‐weekly paclitaxel
HR 0.83 [0.46, 1.52]2 studies · 263 participantsVery low
Downgraded: imprecision
Neurotoxicity
Weekly paclitaxel vs three‐weekly paclitaxel
RR 0.53 [0.19, 1.48]2 studies · 260 participantsVery low
Downgraded: imprecision, inconsistency
Neutropenia
Weekly paclitaxel vs three‐weekly paclitaxel
RR 0.51 [0.27, 0.95]2 studies · 260 participantsLow
Downgraded: imprecision, inconsistency
Alopecia
Weekly paclitaxel vs three‐weekly paclitaxel
RR 0.58 [0.46, 0.73]1 study · 205 participantsLow
Downgraded: imprecision, inconsistency

175 mg/m2 paclitaxel compared to 250 mg/m2 paclitaxel for the treatment of recurrent epithelial ovarian cancer

Population: women with recurrent epithelial ovarian cancer
9 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
175 mg/m2 paclitaxel vs 250 mg/m2 paclitaxel
HR 0.97 [0.77, 1.23]1 study · 330 participantsLow
Downgraded: imprecision
Response rate
175 mg/m2 paclitaxel vs 250 mg/m2 paclitaxel
RR 0.86 [0.4, 1.89]1 study · 265 participantsVery low
Downgraded: imprecision
Response rate ‐ platinum‐sensitive
175 mg/m2 paclitaxel vs 250 mg/m2 paclitaxel
RR 0.6 [0.39, 0.93]1 study · 213 participantsLow
Downgraded: imprecision
Response rate ‐ platinum‐resistant
175 mg/m2 paclitaxel vs 250 mg/m2 paclitaxel
RR 1.34 [0.7, 2.57]1 study · 52 participantsVery low
Downgraded: imprecision
Quality of Life ‐ not measured
175 mg/m2 paclitaxel vs 250 mg/m2 paclitaxel
no estimate extractedNRNo studies
Progression‐free survival
175 mg/m2 paclitaxel vs 250 mg/m2 paclitaxel
HR 1.07 [0.88, 1.3]1 study · 330 participantsLow
Downgraded: imprecision
Neurotoxicity
175 mg/m2 paclitaxel vs 250 mg/m2 paclitaxel
RR 0.41 [0.21, 0.8]1 study · 330 participantsModerate
Downgraded: imprecision
Neutropenia
175 mg/m2 paclitaxel vs 250 mg/m2 paclitaxel
RR 1.14 [0.74, 1.74]1 study · 330 participantsLow
Downgraded: imprecision
Alopecia ‐ not reported
175 mg/m2 paclitaxel vs 250 mg/m2 paclitaxel
no estimate extractedNRNo studies

135 mg/m2 paclitaxel compared to 175 mg/m2 paclitaxel for the treatment of recurrent epithelial ovarian cancer

Population: women with recurrent epithelial ovarian cancer
7 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival
135 mg/m2 paclitaxel vs 175 mg/m2 paclitaxel
HR 0.96 [0.77, 1.19]1 study · 407 participantsLow
Downgraded: imprecision
Response rate
135 mg/m2 paclitaxel vs 175 mg/m2 paclitaxel
RR 0.75 [0.48, 1.17]1 study · 382 participantsLow
Downgraded: imprecision
Quality of Life ‐ not measured
135 mg/m2 paclitaxel vs 175 mg/m2 paclitaxel
no estimate extractedNRNo studies
Progression‐free survival
135 mg/m2 paclitaxel vs 175 mg/m2 paclitaxel
HR 1.09 [0.94, 1.28]1 study · 407 participantsLow
Downgraded: imprecision
Neurotoxicity
135 mg/m2 paclitaxel vs 175 mg/m2 paclitaxel
RR 0.19 [0.01, 3.99]1 study · 391 participantsLow
Downgraded: imprecision
Neutropenia ‐ not reported
135 mg/m2 paclitaxel vs 175 mg/m2 paclitaxel
no estimate extractedNRNo studies
Alopecia ‐ not measured
135 mg/m2 paclitaxel vs 175 mg/m2 paclitaxel
no estimate extractedNRNo studies