Febrile Neutropenia, Grade 3/4 Neutropenia
Conditions
Keywords
incidence of grade 3/4 neutropenia, incidence of febrile neutropenia, time to neutropenia recovery, safety
Brief summary
To evaluate EC/TC (epirubicin and cyclophosphomide or docetaxel and cyclophosphomide) with EC/TC plus DBD (Danggui Buxue Decoction) in adjuvant treatment of breast cancer patients. The aim is to evaluate whether DBD can decrease the incidence of grade 3/4 neutropenia induced by EC/TC regimen during chemotherapy.
Interventions
DBD:one dose of medicine twice per day, orally
Epirubicin:90mg/m2, d1, q3w\*4
Cyclophosphamide:600mg/m2, d1, q3w\*4
Docetaxel:75mg/m2, d1, q3w\*4
Sponsors
Study design
Eligibility
Inclusion criteria
Women aged ≥18 years and \< 70 years; Histologically confirmed invasive breast cancer by core needle biopsy, suggested to receive EC/TC regiments for adjuvant chemotherapy by MDT; Leukocyte ≥ 3\*109/L; Neutrophil ≥ 1.5\*109/L; PLT ≥ 100\*109/L; Serum AST/SGOT or ALT/AGPT ≤ 2.5 times of upper limit of normal (UNL) range Serum creatinine/BUN ≤ upper limit of normal (UNL) range; No dysphagia, be able to take the Danggui Buxue Decoction(DBD) Written informed consent according to the local ethics committee requirements. Has ECOG Performance Score 0-1;
Exclusion criteria
Metastatic breast cancer; Family history of endometrial cancer or any other kind of gynecologic cancer; Patients with severe co-morbidity that indicate intolerant to adjuvant chemotherapy; patients with psychiatric disorder or other diseases leading to incompliance to the therapy; Known severe hypersensitivity to any drugs in this study; Prior adjuvant chemotherapy of any kind cancer; Hematologic disorders relative to aplasia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of grade 3/4 neutropenia | 3 weeks | To compare the incidence of grade 3/4 neutropenia between EC/TC arm and EC/TC plus DBD arm in breast cancer adjuvant chemotherapy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| times of grade 3/4 neutropenia per cycle of chemotherapy | 3 weeks | To compare the times of grade 3/4 neutropenia per cycle of chemotherapy between EC/TC arm and EC/TC plus DBD arm in breast cancer adjuvant chemotherapy. |
| incidence of febrile neutropenia | 3 weeks | to compare incidence of febrile neutropenia between EC/TC arm and EC/TC plus DBD arm in breast cancer adjuvant chemotherapy. |
| the time to neutropenia recovery | 2 months | to compare the time to neutropenia recovery between EC/TC arm and EC/TC plus DBD arm in breast cancer adjuvant chemotherapy. |
Countries
China