© 2006 European Society for Medical Oncology
editorial |
Primary or secondary G-CSF prophylaxis to support TAC chemotherapy in breast cancer?
1 University Hospital Maastricht, Maastricht, 2 Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands
* (E-mail: V.Tjan@onco.umcn.nl)
| The first 150 words of the full text of this article appear below. |
Taxanes and anthracyclines are two of the most active agents against breast cancer. Many trials with a positive outcome have recently been reported in the adjuvant setting.
In the Cancer and Leukaemia Group B (CALGB) 9344 trial, 3121 women with node-positive breast cancer were randomly assigned to receive a combination of four cycles of AC (doxorubicin 60, 75 or 90 mg/2 and cyclophosphamide), followed by either no further therapy or four cycles of paclitaxel (Taxol) [1
]. The addition of paclitaxel improved both 5-year disease-free survival (DFS) (70% versus 65%) and overall survival (OS) (80% versus 77%). In the NSABP B-28 trial, with a comparable design in 3060 women with node-positive breast cancer, the addition of paclitaxel resulted in significant improvement in 5-year DFS (76% versus 72%), although no improvement in OS was seen [2
]. In the BCIRG 001 study, TAC (docetaxel, adriamycin, cyclophosphamide) outperformed classical FAC (5-fluorouracil, adriamycin,
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