Kószó Renáta, Sántha Dóra, Büdi László, Erfán József, Győrfy Károly, Horváth Zsolt, Kocsis Judit, Landherr László, Hitre Erika, Máhr Károly, Pajkos Gábor, Pápai Zsuzsanna, Kahán Zsuzsanna
Department of Oncotherapy, University of Szeged, Korányi fasor 12, Szeged, 6720, Hungary.
Borsod-Abauj-Zemplén County Hospital, Szentpéteri kapu 72-76, Miskolc, 3526, Hungary.
Pathol Oncol Res. 2017 Jul;23(3):505-511. doi: 10.1007/s12253-016-0129-7. Epub 2016 Oct 22.
Due to the limited experience with capecitabine plus docetaxel (XT) combination in the first-line treatment of metastatic breast cancer in Hungary, the main objective of the study was to analyze the effectiveness and tolerability of XT therapy. A prospective, open-label, non-randomized, single-arm, multicenter, observational study was designed. All female patients were eligible whose metastatic breast cancer could be treated with the XT protocol according to the summary of product characteristics of the drugs. The median progression free survival was 9.9 ± 3.0 months. Time to treatment failure was 4.6 ± 5.1 months on average. The overall response rate was 28.9 %, the clinical benefit rate was 73.3 %. The treatment was discontinued in 35.6 % of patients due to disease progression and in 20.0 % due to adverse events (AE). 33 patients with a total of 73 AEs have been reported, and 13 of them had serious adverse events (SAE). The efficacy and the safety profile of XT chemotherapy proven in the study are consistent with the results demonstrated in randomized trials. First-line XT chemotherapy effectively improves the PFS in metastatic breast cancer.
由于在匈牙利转移性乳腺癌一线治疗中使用卡培他滨联合多西他赛(XT)方案的经验有限,本研究的主要目的是分析XT治疗的有效性和耐受性。设计了一项前瞻性、开放标签、非随机、单臂、多中心观察性研究。所有转移性乳腺癌女性患者,若根据药物产品特性摘要可采用XT方案治疗,则符合入选条件。无进展生存期的中位数为9.9±3.0个月。平均至治疗失败时间为4.6±5.1个月。总缓解率为28.9%,临床获益率为73.3%。35.6%的患者因疾病进展而停药,20.0%的患者因不良事件(AE)停药。共报告了33例患者发生73起AE,其中13例发生严重不良事件(SAE)。本研究中证实的XT化疗的疗效和安全性与随机试验结果一致。一线XT化疗有效改善转移性乳腺癌的无进展生存期。