Dose-Dense Epirubicin and Cyclophosphamide Followed by Docetaxel as Adjuvant Chemotherapy in Node-Positive Breast Cancer
Joint Authors
Nasrollahi, Fatemeh
Moein, Hamid Reza
Hajian, Parastoo
Akbari Tirabad, Zahra
Sabet Rasekh, Parto
Sabet Rasekh, Parisa
Ghaffari Pour, Taban
Mirzaei, Hamid Reza
Source
International Journal of Breast Cancer
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-25
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Adding taxanes to anthracycline-based adjuvant chemotherapy has shown significant improvement particularly in node-positive patients, but optimal dose and schedule remain undetermined.
Objectives.
This study aimed to assess the feasibility of dose-dense epirubicin and cyclophosphamide followed by docetaxel in node-positive breast cancer.
Methods.
All Patients first received 4 cycles of epirubicin (100 mg/m2) and cyclophosphamide (600 mg/m2) at 2-week interval then followed by docetaxel (100 mg/m2) at 2-week interval for 4 cycles, with daily Pegfilgrastim (G-CSF) that was administered in all patients on days 3–10 after each cycle of epirubicin and cyclophosphamide infusion.
Results.
Fifty-eight patients with axillary lymph node-positive breast cancer were enrolled in the study, of whom 42 (72.4%) completed the regimen.
There were two toxicity-related deaths, one patient due to grade 4 febrile neutropenia and the other due to congestive heart failure.
Grade 3/4 neutropenia and febrile neutropenia were 13.8% and 5.1%.
The most common grade 3/4 nonhematological complications were as follows: skin-nail disorders (48.3%), hand-foot syndrome (34.4%), paresthesia (38%), arthralgia (27.5%), and paresis (24.1%).
Conclusions.
Dose-dense epirubicin and cyclophosphamide followed by docetaxel with G-CSF support are not feasible, and it is not recommended for further investigation.
American Psychological Association (APA)
Mirzaei, Hamid Reza& Sabet Rasekh, Parisa& Nasrollahi, Fatemeh& Sabet Rasekh, Parto& Akbari Tirabad, Zahra& Moein, Hamid Reza…[et al.]. 2013. Dose-Dense Epirubicin and Cyclophosphamide Followed by Docetaxel as Adjuvant Chemotherapy in Node-Positive Breast Cancer. International Journal of Breast Cancer،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-469375
Modern Language Association (MLA)
Mirzaei, Hamid Reza…[et al.]. Dose-Dense Epirubicin and Cyclophosphamide Followed by Docetaxel as Adjuvant Chemotherapy in Node-Positive Breast Cancer. International Journal of Breast Cancer No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-469375
American Medical Association (AMA)
Mirzaei, Hamid Reza& Sabet Rasekh, Parisa& Nasrollahi, Fatemeh& Sabet Rasekh, Parto& Akbari Tirabad, Zahra& Moein, Hamid Reza…[et al.]. Dose-Dense Epirubicin and Cyclophosphamide Followed by Docetaxel as Adjuvant Chemotherapy in Node-Positive Breast Cancer. International Journal of Breast Cancer. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-469375
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-469375