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Cited by 538

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

Phase III Trial Comparing Doxorubicin Plus Cyclophosphamide With Docetaxel Plus Cyclophosphamide As Adjuvant Therapy for Operable Breast Cancer

Open access
Jones, Stephen E., Savin, Michael A., Holmes, Frankie Ann, O'Shaughnessy, Joyce A., Blum, Joanne L., Vukelja, Svetislava, McIntyre, Kristi J., Pippen, John E., Bordelon, James H., Kirby, Robert, Sandbach, John, Hyman, William J., Khandelwal, Pankaj, Negron, Angel G., Richards, Donald A., Anthony, Stephen P., Mennel, Robert G., Boehm, Kristi A., Meyer, Walter G., Asmar, Lina·2006·Journal of Clinical Oncology

Abstract

Purpose: The combination of doxorubicin and cyclophosphamide (AC) is a standard adjuvant chemotherapy regimen. Studies of docetaxel and cyclophosphamide (TC) in metastatic breast cancer (MBC) showed promise in MBC. In 1997, we initiated a randomized adjuvant trial of TC compared with standard-dose AC with a primary end point of disease-free survival (DFS). Patients and Methods: Patients were eligible if they had stage I to III operable invasive breast cancer with complete surgical excision of the primary tumor. Between June 1997 and December 1999, 1,016 patients were randomly assigned to four cycles of either standard-dose AC (60 and 600 mg/m 2, respectively; n = 510) or TC (75 and 600 mg/m 2, respectively; n = 506), administered intravenously every 3 weeks as adjuvant chemotherapy. Radiation therapy (as indicated) and tamoxifen, for patients with hormone receptor–positive disease, were administered after completion of chemotherapy. Results: Both treatment groups (TC and AC) were well balanced with respect to major prognostic factors. Patients were observed through 2005 for a median of 5.5 years. At 5 years, DFS rate was significantly superior for TC compared with AC (86% v 80%, respectively; hazard ratio [HR] = 0.67; 95% CI, 0.50 to 0.94; P = .015). Overall survival rates for TC and AC were 90% and 87%, respectively (HR = 0.76; 95% CI, 0.52 to 1.1; P = .13). More myalgia, arthralgia, edema, and febrile neutropenia occurred on the TC arm; more nausea and vomiting occurred on the AC arm as well as one incident of congestive heart failure. Conclusion: At 5 years, TC was associated with a superior DFS and a different toxicity profile compared with AC.

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Metadata

Authors
Jones, S. E., Savin, M. A., Holmes, F. A., O'Shaughnessy, J. A., Blum, J. L., Vukelja, S., McIntyre, K. J., Pippen, J. E., Bordelon, J. H., Kirby, R., Sandbach, J., Hyman, W. J., Khandelwal, P., Negron, A. G., Richards, D. A., Anthony, S. P., Mennel, R. G., Boehm, K. A., Meyer, W. G., & Asmar, L.
Venue
Journal of Clinical Oncology
Published
2006-12-01
Volume
24
Issue
34
Pages
5381-5387
ISSN
  • 0732-183X (ISSN-L)
  • 1527-7755
OpenAlex
W2115432999
Cited by
538
References
13
FWCI
15.33
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Phase III Trial Comparing Doxorubicin Plus Cyclophosphamide With Docetaxel Plus Cyclophosphamide As Adjuvant Therapy for Operable Breast Cancer. https://app.cochat.ai/papers/10.1200/jco.2006.06.5391
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Jones, S. E., Savin, M. A., Holmes, F. A., O'Shaughnessy, J. A., Blum, J. L., Vukelja, S., McIntyre, K. J., Pippen, J. E., Bordelon, J. H., Kirby, R., Sandbach, J., Hyman, W. J., Khandelwal, P., Negron, A. G., Richards, D. A., Anthony, S. P., Mennel, R. G., Boehm, K. A., Meyer, W. G., & Asmar, L. (2006). Phase III Trial Comparing Doxorubicin Plus Cyclophosphamide With Docetaxel Plus Cyclophosphamide As Adjuvant Therapy for Operable Breast Cancer. Journal of Clinical Oncology. https://doi.org/10.1200/jco.2006.06.5391

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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.

Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.