A phase II randomized study of two taxanes and cisplatin for metastatic breast cancer after anthracycline: a final analysis |
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Authors: | Lin Yung-Chang Chang Hsien-Kun Chen Jen-Shi Wang Hung-Ming Yang Tsai-Shen Liaw Chaung-Chi |
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Institution: | Division of Hematology/Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, LinKuo, College of Medicine, Chang Gung University, Taipei, Taiwan. yclinof@adm.cgmh.org.tw |
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Abstract: | OBJECTIVE: The purpose of the study is to compare two taxanes/cisplatin combinations for metastatic breast cancer in terms of time to disease progression, response rates and toxicity. METHODS: Between April 2000 and December 2002, 101 patients with advanced breast carcinoma, previously treated with an anthracycline but not with a taxane, were enrolled. Fifty patients were treated with docetaxel 60 mg/m2 and cisplatin 50 mg/m2, and 51 patients were treated with paclitaxel 175 mg/m2 and cisplatin 50 mg/m2. Each cycle repeated every 3 weeks. RESULTS: The overall response rate was 62.5 and 42.6% in the docetaxel and palcitaxel groups respectively (P = 0.06). Median time to disease progression was 9.8 and 6.5 months in docetaxel and paclitaxel groups respectively (P = 0.15). The median overall survival time was 22.7 months in the docetaxel arm and 22.4 months in the paclitaxel arm. Grade 3/4 arthralgia/myalgia, sensory neuropathy and anemia occurred more frequently in the paclitaxel arm, while more mucositis, fatigue and neutropenia occurred in the docetaxel arm. CONCLUSION: Taxane/cisplatin combinations were active for advanced breast cancer, while there appeared to be evidence in favor of a docetaxel/cisplatin combination. The toxicity in favor of docetaxel/cisplatin warrants future first-line clinical trials. |
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Keywords: | metastatic breast cancer taxanes platinum hemotherapy |
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