Prospective Randomized Trial of Docetaxel Versus Mitomycin Plus Vinblastine in Patients With Metastatic Breast Cancer Progressing Despite Previous Anthracycline-Containing Chemotherapy

作者: J.-M. Nabholtz , H. J. Senn , W. R. Bezwoda , D. Melnychuk , L. Deschênes

DOI: 10.1200/JCO.1999.17.5.1413

关键词:

摘要: PURPOSE: This phase III study compared docetaxel with mitomycin plus vinblastine (MV) in patients metastatic breast cancer (MBC) progressing despite previous anthracycline-containing chemotherapy. PATIENTS AND METHODS: Patients (n = 392) were randomized to receive either 100 mg/m2 intravenously (IV) every 3 weeks 203) or 12 IV 6 189), for a maximum of 10 3-week cycles. RESULTS: In an intention-to-treat analysis, produced significantly higher response rates than MV overall (30.0% v 11.6%; P < .0001), as well visceral involvement (30% 11%), liver metastases (33% 7%), resistance anthracycline agents 7%). Median time progression (TTP) and survival longer (19 11 weeks, .001, 11.4 8.7 months, .0097, respectively). Neutropenia grade 3/4 was more frequent (93.1% 62.5%; .05); t...

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