First-line high-dose sequential chemotherapy with rG-CSF and repeated blood stem cell transplantation in untreated inflammatory breast cancer: toxicity and response (PEGASE 02 trial)
1999

High-Dose Chemotherapy for Inflammatory Breast Cancer

Sample size: 95 publication Evidence: moderate

Author Information

Author(s): Viens P, Palangié T, Janvier M, Fabbro M, Roché H, Delozier T, Labat J P, Linassier C, Audhuy B, Feuilhade F, Costa B, Delva R, Cure H, Rousseau F, Guillot A, Mousseau M, Ferrero J M, Bardou V J, Jacquemier J, Pouillart P

Primary Institution: Institut Paoli Calmettes

Hypothesis

Can high-dose sequential chemotherapy with repeated blood stem cell transplantation improve outcomes in untreated inflammatory breast cancer?

Conclusion

High-dose chemotherapy with repeated blood stem cell transplantation is feasible and shows encouraging pathological response rates in inflammatory breast cancer.

Supporting Evidence

  • Ninety-five patients received four cycles of chemotherapy.
  • Main toxicity was haematological with febrile neutropenia occurring in 26% to 51% of cycles.
  • A total of 366 cycles of chemotherapy were administered.
  • Eighty-seven patients completed the four cycles of chemotherapy.
  • Pathological complete response rate in breast was 32% ± 10%.

Takeaway

This study looked at a special type of chemotherapy for women with a serious breast cancer, and it found that it can work well and is safe.

Methodology

The study involved 100 women receiving high-dose chemotherapy and blood stem cell transplantation, with evaluations of response and toxicity.

Limitations

The study had a small sample size and the results need confirmation through final outcomes.

Participant Demographics

Median age of participants was 46 years, with a range from 26 to 56 years.

Statistical Information

Confidence Interval

90% ± 6% for clinical response rate; 32% ± 10% for pathological complete response rate.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690714

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