Background:x3A4;o evaluate the predictive value of genes involved in resistance to platinum-taxane chemotherapy in patients ith epithelial ovarian cancer EOC . Material and Methods: Microdissected formalin-fixed tumoral samples from 187 EOC patients primary tumors ere analyzed. Ninety samples correspond to the experimental and ninety seven to the validation set, and patients ere matched in clinical characteristics and pathological features. All specimens ere analyzed for ATP7b, BRCA1, BRCA2, PARP1, RAP80, HOXA9, DAXX, THIOREDOXIN-1, TSP1, TXR1 mRNA expression by quantitative real-time PCR. Most of the patients 172 out of 187 received carboplatin-paclitaxel regimen. Expression levels ere correlated ith overall survival OS and progression free survival PFS by multivariate analysis. Results: Patients ith high THIOREDOXIN-1 and TSP1 expression presented longer PFS p = 0.001 and p lt 0.001, respectively and OS p = 0.024 and p lt 0.001, respectively . High TXR1 expression as associated ith decreased PFS p lt 0.001 and OS p lt 0.001 . Multivariate analysis demonstrated that high TXR1lo TSP1 expression as an independent factor for decreased PFS HR 1.94; 95 percent CI 1.482.92; p = 0.008 and OS HR 3.89; 95 percent CI 2.166.87; p lt 0.001 , hereas lo THIOREDOXIN-1 expression as correlated ith decreased PFS HR 1.44; 95 percent CI 1.052.84; p = 0.043 and OS HR 2.38; 95 percent CI 1.782.77; p = 0.009 . Conclusions: These findings indicate that TXR1TSP1 and THIOREDOXIN-1 expression could be used for the prediction of resistance to treatment of EOC patients and, therefore merit to be further evaluated.,J Clin Oncol 34, 2016 suppl; abstr e17086 ,Publication Only Gynecologic Cancer