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Long-term follow-up of a phase II trial studying a weekly doxorubicin-based multiple drug adjuvant therapy for stage II node-positive carcinoma of the breast.

Publication ,  Journal Article
Kimmick, GG; Shelton, BJ; Case, LD; Cooper, MR; Muss, HB
Published in: Breast Cancer Res Treat
April 2002

BACKGROUND: Combination chemotherapy improves outcomes in women with breast cancer (BC) that involves axillary nodes. This single-arm study aimed to evaluate the effectiveness of an intensive doxorubicin-based multidrug regimen as adjuvant therapy in women with stage II, node positive breast cancer. PATIENTS AND METHODS: Between 7/80 and 8/85, 654 women, aged 25-73, who had a mastectomy for stage IIB BC were accrued. Patients with prior RT, chemotherapy, or surgical or radiation castration within 1 year of diagnosis were excluded. Treatment consisted of: 6 weekly courses of IV cyclophosphamide (C) 400 mg/m2, doxorubicin (A) 10 mg/m2, vincristine (V) I mg/m2, fluorouracil (F) 400 mg/m2, and a tapering course of prednisone followed by 12 courses of C 400 mg/m2, A 20mg/m2, V 1 mg/m2, F 400 mg/m2 given every 2 weeks. Patients with estrogen receptor positive tumors received Tamoxifen 10 mg bid between weeks 8 and 30. Treatment did not exceed 8 months. Median follow-up is 13.1 years. RESULTS: Six hundred thirty six patients are eligible. Fewer positive (+) nodes, premenopausal status, and positive progesterone receptor status are significantly (p < 0.05) associated with longer survival. At 10 years, 61% were relapse-free in the 1-3 +node group compared to 37 and 21% in the 4-9 and > or = 10 +node groups, respectively (p = 0.0001). Relapse-free survival at 10 years is 50% for premenopausal and 45% for postmenopausal patients. Severe or life-threatening hematological toxicity was seen in 6/630 (< 1%) patients. Four patients had severe (grade 3) neurotoxicity which resolved. No cardiac toxicity was observed. CONCLUSION: This adjuvant regimen compares favorably to other published adjuvant treatments with similar length of follow-up.

Duke Scholars

Published In

Breast Cancer Res Treat

DOI

ISSN

0167-6806

Publication Date

April 2002

Volume

72

Issue

3

Start / End Page

233 / 243

Location

Netherlands

Related Subject Headings

  • Time Factors
  • Survival Analysis
  • Oncology & Carcinogenesis
  • Neoplasm Staging
  • Middle Aged
  • Menopause
  • Lymphatic Metastasis
  • Humans
  • Follow-Up Studies
  • Female
 

Citation

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Kimmick, G. G., Shelton, B. J., Case, L. D., Cooper, M. R., & Muss, H. B. (2002). Long-term follow-up of a phase II trial studying a weekly doxorubicin-based multiple drug adjuvant therapy for stage II node-positive carcinoma of the breast. Breast Cancer Res Treat, 72(3), 233–243. https://doi.org/10.1023/a:1014953407098
Kimmick, Gretchen G., Brent J. Shelton, L Douglas Case, M Robert Cooper, and Hyman B. Muss. “Long-term follow-up of a phase II trial studying a weekly doxorubicin-based multiple drug adjuvant therapy for stage II node-positive carcinoma of the breast.Breast Cancer Res Treat 72, no. 3 (April 2002): 233–43. https://doi.org/10.1023/a:1014953407098.
Kimmick, Gretchen G., et al. “Long-term follow-up of a phase II trial studying a weekly doxorubicin-based multiple drug adjuvant therapy for stage II node-positive carcinoma of the breast.Breast Cancer Res Treat, vol. 72, no. 3, Apr. 2002, pp. 233–43. Pubmed, doi:10.1023/a:1014953407098.
Journal cover image

Published In

Breast Cancer Res Treat

DOI

ISSN

0167-6806

Publication Date

April 2002

Volume

72

Issue

3

Start / End Page

233 / 243

Location

Netherlands

Related Subject Headings

  • Time Factors
  • Survival Analysis
  • Oncology & Carcinogenesis
  • Neoplasm Staging
  • Middle Aged
  • Menopause
  • Lymphatic Metastasis
  • Humans
  • Follow-Up Studies
  • Female