Reduction of toxicity by reversing the order of infusion of docetaxel and cyclophosphamide

Chemotherapy. 2013;59(2):93-8. doi: 10.1159/000351112. Epub 2013 Aug 31.

Abstract

Background: This retrospective study aimed to determine whether adverse events are more common in docetaxel followed by cyclophosphamide (TC) as compared to the reverse infusion order (rTC).

Methods: A retrospective analysis was undertaken at a single institution for 92 consecutive cases treated with TC or rTC for stage I-III breast cancer in a neoadjuvant/adjuvant setting between December 2006 and June 2011. TC was administered during the first 2.5 years and rTC in the latter 2 years.

Results: Among the 92 cases, 50 were in the TC arm and 42 in the rTC arm. Fatigue (72.0 vs. 23.8%), edema (48.0 vs. 16.7%), peripheral neuropathy (66.0 vs. 14.3%), myalgia (48.0 vs. 9.5%) and stomatitis (48.0 vs. 16.7%) occurred significantly more often in cases receiving TC compared to rTC, respectively.

Conclusion: Nonhematological toxicities are less common in cases receiving rTC in comparison to those receiving TC.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antineoplastic Combined Chemotherapy Protocols / adverse effects
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
  • Breast Neoplasms / drug therapy*
  • Breast Neoplasms / pathology
  • Chemotherapy, Adjuvant
  • Cyclophosphamide / administration & dosage*
  • Docetaxel
  • Female
  • Follow-Up Studies
  • Hematologic Diseases / etiology
  • Humans
  • Middle Aged
  • Neoadjuvant Therapy
  • Neoplasm Staging
  • Retrospective Studies
  • Taxoids / administration & dosage*
  • Young Adult

Substances

  • Taxoids
  • Docetaxel
  • Cyclophosphamide