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Patterns of Use of Docetaxel-Containing Adjuvant Chemotherapy Among Chinese Patients with Operable Breast Cancer: A Multicenter Observational Study

  • Hui Xie
  • Jinping Liu
  • Shiyou Yu
  • Yiding Chen
  • Min Zheng
  • Yongchuan Deng
  • Shu Wang
  • Jun Jiang
  • Yafen Li
  • Huiping Li
  • Hua Kang
  • Chunhui Zhang
  • Guo-Jun Zhang
  • Fengxi Su
  • Aiqun Cheng
  • Shui Wang
Original Research

Abstract

Introduction

Adjuvant docetaxel-based chemotherapy is frequently used in the treatment of operable early breast cancer (EBC). This study investigated patterns of docetaxel use in patients with EBC in real-world clinical practice in China.

Methods

This was a multicenter, prospective, observational study of Chinese women with operable breast cancer in tier 1 non-oncology-specific hospitals and other city hospitals in China. Adult Chinese female patients (≥ 18 years) with newly diagnosed breast cancer who underwent surgery and received docetaxel-containing adjuvant chemotherapy were eligible for inclusion. The primary end point of the study was to assess patterns of docetaxel use for adjuvant therapy in Chinese clinical practice. Secondary end points included factors associated with treatment selection, patterns of G-CSF use and safety.

Results

In total, 502 patients were enrolled, 475 of whom were included in the analysis. The results showed that 31.6% of patients received docetaxel and anthracyclines in combination, 47.2% received docetaxel and anthracyclines sequentially, 18.5% received docetaxel and other medication either in combination or sequentially and 2.7% received ‘other’ chemotherapy regimens. Factors influencing selection of docetaxel/anthracycline in combination versus sequentially included age, breast cancer subgroup, PR status, and preoperative neoadjuvant chemotherapy. A total of 258 (54.3%), 35 (7.4%), and 108 (22.7%) patients received G-CSF as primary prevention, secondary prevention and treatment, respectively. Treatment-emergent adverse events (TEAEs) occurred in 54.5% (259) of patients, and the most frequently reported TEAEs (≥ 5% of patients) included bone marrow failure (10.1%), granulocytopenia (9.9%), nausea (8.8%) and vomiting (6.9%). Neutropenia and febrile neutropenia were reported by 10 and 12 patients, respectively.

Conclusion

Docetaxel for adjuvant chemotherapy of operable EBC in China was most commonly given in combination or sequentially with anthracyclines. The study also showed that in China G-CSF is most frequently used as primary prophylactic, and no unexpected safety events were observed during docetaxel treatment.

Funding

Sanofi (China).

Keywords

Breast cancer Docetaxel G-CSF Oncology Real world Treatment patterns 

Notes

Acknowledgements

We thank all study participants and their families as well as all of the investigators.

Funding

This study was sponsored by Sanofi (China). The publication fees for this manuscript were funded by Sanofi. All authors had full access to all of the data in this study and take complete responsibility for the integrity of the data and accuracy of the data analysis.

Editorial Assistance

Editorial assistance for this manuscript was funded by Sanofi and provided by Tigermed and Rude Health Consulting.

Authorship

All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, take responsibility for the integrity of the work as a whole and have given their approval for this version to be published.

Disclosures

Hui Xie, Jinping Liu, Shiyou Yu, Yiding Chen, Min Zheng, Yongchuan Deng, Shu Wang, Jun Jiang, Yafen Li, Huiping Li, Hua Kang, Chunhui Zhang, Guo-Jun Zhang, Fengxi Su, Aiqun Cheng and Shui Wang have nothing to disclose.

Compliance with Ethics Guidelines

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

Data Availability

Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan and data set specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of our trial participants. Further details on Sanofi’s data sharing criteria, eligible studies and process for requesting access can be found at: https://www.clinicalstudydatarequest.com/.

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Copyright information

© Springer Healthcare Ltd., part of Springer Nature 2018

Authors and Affiliations

  • Hui Xie
    • 1
  • Jinping Liu
    • 2
  • Shiyou Yu
    • 3
  • Yiding Chen
    • 4
  • Min Zheng
    • 5
  • Yongchuan Deng
    • 6
  • Shu Wang
    • 7
  • Jun Jiang
    • 8
  • Yafen Li
    • 9
  • Huiping Li
    • 10
  • Hua Kang
    • 11
  • Chunhui Zhang
    • 12
  • Guo-Jun Zhang
    • 13
  • Fengxi Su
    • 14
  • Aiqun Cheng
    • 15
  • Shui Wang
    • 1
  1. 1.Jiangsu Province Hospital (The First Affiliated Hospital of Nanjing Medical University)NanjingChina
  2. 2.Sichuan Provincial People’s HospitalSichuan Medical Science AcademyChengduChina
  3. 3.Suzhou Municipal HospitalSuzhouChina
  4. 4.Women’s Hospital School of MedicineZhejiang UniversityHangzhouChina
  5. 5.Second Affiliated Hospital Wen Zhou Medical CollegeWenzhouChina
  6. 6.Second Affiliated Hospital of Zhejiang University School of MedicineHangzhouChina
  7. 7.People’s Hospital Peking UniversityBeijingChina
  8. 8.Southwest Hospital, Army Medical UniversityChongqingChina
  9. 9.Shanghai Ruijin Hospital, College of MedicineShanghai Jiao Tong UniversityShanghaiChina
  10. 10.Peking University Cancer HospitalBeijingChina
  11. 11.Xuanwu Hospital Capital Medical UniversityBeijingChina
  12. 12.Affiliated Hospital of Nantong UniversityNantongChina
  13. 13.Cancer Hospital of Shantou University Medical CollegeShantouChina
  14. 14.Sun Yat-sen Memorial HospitalSun Yat-sen UniversityGuangzhouChina
  15. 15.Huadong Hospital Affiliated to Fudan UniversityShanghaiChina

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