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Docetaxel versus docetaxel alternating with gemcitabine as treatments of advanced breast cancer: final analysis of a randomised trial
Annals of Oncology, 10/13/09
Joensuu H et al. – Alternating administration of docetaxel and gemcitabine might result in improved time-to-treatment failure (TTF) and fewer adverse events compared with single-agent docetaxel as treatment of advanced breast cancer. The alternating regimen was associated with a similar TTF as single-agent docetaxel but with fewer adverse effects during gemcitabine cycles.
Methods- Women diagnosed with advanced breast cancer randomly allocated to receive 3-weekly docetaxel (group D) or 3-weekly docetaxel alternating with 3-weekly gemcitabine (group D/G) until treatment failure as first-line chemotherapy
- Primary end point was TTF
- 237 subjects assigned to treatment (group D, 115; group D/G, 122)
- Median TTF 5.6 and 6.2 months in groups D and D/G, respectively
- No significant difference in time-to-disease progression, survival, and response rate
- When adverse events evaluated for worst toxicity encountered during treatment, was little difference between the groups, but when assessed per cycle, alternating treatment associated with fewer severe (grade 3 or 4) adverse effects , and the difference was highly significant for cycles when gemcitabine was administered in group D/G
Today in Breast...keeping you current
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Cancer Letters, 11/20/09
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Today in Pharmacology/Therapy...keeping you current
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