World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access |
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc |
Journal website https://www.wjon.org |
Original Article
Volume 11, Number 5, October 2020, pages 197-203
Nab-Paclitaxel Followed by 5-Fluorouracil, Epirubicin and Cyclophosphamide in Neoadjuvant Chemotherapy for Resectable Breast Cancer: A Phase II Trial
Tables
Characteristics | Patients (n = 41) | |
---|---|---|
Nab-PTX (n = 32) | Nab-PTX + trastuzumab (n = 9) | |
Data presented as n (%). Nab-PTX: nab-paclitaxel; ER: estrogen receptor; PgR: progesterone receptor; HER2: human epidermal growth factor receptor 2. | ||
Median age (range) | 55 (35 - 70) | 53 (37 - 62) |
Performance status = 0 | 32 (100) | 9 (100) |
Menopausal status | ||
Pre-menopausal | 14 (43) | 5 (56) |
Post-menopausal | 18 (57) | 4 (44) |
Clinical tumor stage | ||
T1 | 0 | 1 (10) |
T2 | 28 (88) | 5 (56) |
T3 | 2 (6) | 3 (34) |
T4 | 2 (6) | 0 |
Clinical nodal stage | ||
N0 | 13 (40) | 1 (10) |
N1 | 11 (34) | 4 (44) |
N2 | 4 (13) | 2 (23) |
N3 | 4 (13) | 2 (23) |
Clinical stage | ||
IIA | 11 (34) | 1 (10) |
IIB | 13 (40) | 3 (34) |
IIIA | 3 (10) | 3 (34) |
IIIB | 1 (3) | 0 |
IIIC | 4 (13) | 2 (23) |
Grade | ||
I | 8 (25) | 0 |
II | 8 (25) | 3 (34) |
III | 16 (50) | 6 (66) |
ER status | ||
Positive | 17 (53) | 7 (77) |
Negative | 15 (47) | 2 (23) |
PgR status | ||
Positive | 13 (40) | 6 (66) |
Negative | 19 (60) | 3 (34) |
Subtype | ||
Luminal A | 2 (6) | 0 |
Luminal B | 14 (44) | 0 |
Luminal HER2 | 0 | 7 (77) |
HER2 | 0 | 2 (23) |
Triple-negative | 16 (50) | 0 |
N (%) | |
---|---|
RR: response rate; cCR: clinical complete response; cPR: clinical partial response; pCR: pathological complete response; HER2: human epidermal growth factor receptor 2. | |
Clinical response | |
Overall RR | 37/41 (90) |
cCR | 4/41 (9) |
cPR | 33/41 (81) |
HER2-positive | 9/9 (100) |
cCR | 2/9 (22) |
cPR | 7/9 (78) |
Pathological response | |
Overall pCR rate | 10/41 (24) |
Luminal A | 0/2 (0) |
Luminal B | 1/14 (7) |
Luminal HER2 | 3/7 (42) |
Triple-negative | 4/16 (25) |
HER2 | 2/2 (100) |
Nab-PTX (n = 41) | FEC (n = 41) | ||||||
---|---|---|---|---|---|---|---|
Grade 2 | Grade 3 | Grade 4 | Grade 2 | Grade 3 | Grade 4 | Grade 5 | |
Data presented as n (%). Nab-PTX: nanoparticle albumin-bound paclitaxel; FEC: 5-fluorouracil, epirubicin and cyclophosphamide. | |||||||
Hematologic | |||||||
Neutropenia | 8 (19) | 9 (21) | 2 (4) | 10 (24) | 5 (12) | 5 (12) | |
Febrile neutropenia | 4 (9) | ||||||
Hepatic dysfunction | 3 (7) | 1 (2) | 4 (9) | ||||
Anemia | 2 (4) | 4 (9) | |||||
Non-hematologic | |||||||
Peripheral sensory neuropathy | 9 (21) | 1 (2) | 10 (24) | ||||
Joint pain | 7 (17) | 3 (7) | |||||
Hypertension | 1 (2) | ||||||
Rash | 2 (4) | ||||||
Nausea | 2 (4) | 9 (21) | 4 (9) | ||||
Vomiting | 1 (2) | ||||||
Stomatitis | 2 (4) | ||||||
Anorexia | 1 (2) | 9 (21) | 4 (9) | ||||
Dysgeusia | 1 (2) | ||||||
Death | 1 (2) |