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Table 1 Summary and findings of neoadjuvant chemotherapy trials

From: American Society for Clinical Oncology 39thAnnual Meeting, Chicago, Illinois, USA, 31 May to 3 June 2003: Breast cancer neoadjuvant and adjuvant chemotherapy – prognostic and predictive markers

Abstract no.

Treatment

n

pCR

1

Paclitaxel weekly and FAC

24

25% (breast and lymph nodes)

32

Docetaxel 100 mg/m2 q 3 weeks × 4

24

0%

33

Doxorubicin 75 mg/m2 × 3; then docetaxel 40 mg/m2 q week × 6

70

12.5%

34

Doxyfluoridine 800 mg/m2 D1-14; docetaxel 60 mg/m2 D8 q 3 weeks

20

14%

35

Paclitaxel doxorubicin standard or DD × 6

460

ER- 26%

   

ER+ 8%

37

Paclitaxel + doxorubicin × 4 then CMF × 4

451

23%

80

Epirubicin 120 mg/m2 q 3 weeks ± tamoxifen

211

ER- 23.4%

   

ER+ 4.6%

83

Vinorelbine 25 mg/m2 D1 + 8 and epirubicin 60 mg/m2 D1 versus AC × 6

411

15% both arms

85

TAC × 2: then PR to TAC × 6 (107 patients)

151

19%

 

<PR to TAC × 4 (24 patients) or vinorelbine and xeloda × 4 (20 patients)

 

26% for clinical responders to TAC

86

Vinorelbine/herceptin

28

29%

   

cCR+PR 93%

107

Epirubicin 60 mg/m2 D1, CDDP 60 mg/m2 D1, xeloda 1000 mg/m2 BD D1-14

48

27%

131

Docetaxel 60 mg/m2 + vinorelbine 45 mg/m2 q 2 weeks + GCSF + herceptin in HER2+

33

36%

140

Gemcitabine 1 g/m2, epirubicin 90 mg/ m2, paclitaxel 175 mg/m2 q 3 weeks

22

22.7%

143

Docetaxel 100 mg/m2 q 3 weeks × 4

42

10%

160

Anthracycline SD or PD; 5FU 500 mg/m2/w + gemcitabine 100 mg/m2/w + dexamethasone 16 mg throughout radiotherapy (50 Gy +10 Gy boost)

47

28%

   

MRD (+pN0) 23%

163

Docetaxel 75 mg/m2 + doxorubicin 50 mg/m2 + cyclophosphamide 500 mg/m2 × 4 q 3 weeks

37

8%

190

Docetaxel 100 mg/m2 q 3 weeks × 6

88

19.8%

  1. CMF, cyclophosphamide, methotrexate and fluorouracil; ER, oestrogen receptor; 5FU, 5-fluorouracil; FAC, 5-fluorouracil, doxorubicin and cyclophosphamide; GCSF, granulocyte colony-stimulating factor; pCR, complete pathological response; TAC, docetaxel, doxorubicin and cyclophosphamide; PR, partial response; <PR, less than a partial response; cCR, complete clinical response; CDDP, cisplatin; DD, dose dense; SD, stable disease; PD, progessive disease; MRD, minimal residual disease; +pNO, pathological node negative.