Randomized Phase III Study of Docetaxel Compared With Paclitaxel in Metastatic Breast Cancer
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- S.E. Jones
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- J. Erban
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- B. Overmoyer
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- G.T. Budd
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- L. Hutchins
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- E. Lower
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- L. Laufman
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- S. Sundaram
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- W.J. Urba
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- K.I. Pritchard
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- R. Mennel
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- D. Richards
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- S. Olsen
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- M.L. Meyers
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
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- P.M. Ravdin
- From Texas Oncology, Dallas, University of Texas Health Science Center at San Antonio, San Antonio, TX; Tufts-New England Medical Center, Boston, MA; University Hospital of Cleveland, and Cleveland Clinic Foundation, Cleveland, University of Cincinnati, Cincinnati, and Hematology Oncology Consultants Inc, Columbus, OH; University of Arkansas for Medical Sciences, Little Rock, AR; Sharp Rees Steal Medical Group, San Diego, CA; Toronto Sunnybrook Regional Cancer Center, Toronto, Ontario, Canada; Providence...
説明
<jats:sec><jats:title>Purpose</jats:title><jats:p> This randomized, controlled, multicenter, open-label, phase III study compared docetaxel versus paclitaxel in patients with advanced breast cancer that had progressed after an anthracycline-containing chemotherapy regimen. </jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p> Patients (n = 449) were randomly assigned to receive either docetaxel 100 mg/m<jats:sup>2</jats:sup> (n = 225) or paclitaxel 175 mg/m<jats:sup>2</jats:sup> (n = 224) on day 1, every 21 days until tumor progression, unacceptable toxicity, or withdrawal of consent. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> In the intent-to-treat population, both the median overall survival (OS, 15.4 v 12.7 months; hazard ratio [HR], 1.41; 95% CI, 1.15 to 1.73; P = .03) and the median time to progression (TTP, 5.7 months v 3.6 months; HR, 1.64; 95% CI, 1.33 to 2.02; P < .0001) for docetaxel were significantly longer than for paclitaxel, and the overall response rate (ORR, 32% v 25%; P = .10) was higher for docetaxel. These results were confirmed by multivariate analyses. The incidence of treatment-related hematologic and nonhematologic toxicities was greater for docetaxel than for paclitaxel; however, quality-of-life scores were not statistically different between treatment groups over time. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> Docetaxel was superior to paclitaxel in terms of OS and TTP. ORR was higher for docetaxel. Hematologic and nonhematologic toxicities occurred more frequently in the docetaxel group. The global quality-of-life scores were similar for both agents over time. </jats:p></jats:sec>
収録刊行物
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- Journal of Clinical Oncology
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Journal of Clinical Oncology 23 (24), 5542-5551, 2005-08-20
American Society of Clinical Oncology (ASCO)