Trial Outcomes & Findings for S0221 Adjuvant Doxorubicin, Cyclophosphamide, and Paclitaxel in Treating Patients With Breast Cancer (NCT NCT00070564)

NCT ID: NCT00070564

Last Updated: 2025-07-31

Results Overview

Disease-free survival (DFS) defined as time from registration (randomization assignment) to first instance of disease recurrence (local, regional, or distant), new breast primary tumor, or death as a result of any cause. The results are entered as disease free survival at year 5.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE3

Target enrollment

3294 participants

Primary outcome timeframe

every 6 months (annually for mammograms) for 5 years

Results posted on

2025-07-31

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Overall Study
STARTED
678
693
697
648
282
296
Overall Study
COMPLETED
478
490
526
481
203
244
Overall Study
NOT COMPLETED
200
203
171
167
79
52

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm I
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Overall Study
Progression
2
4
7
7
1
0
Overall Study
Delinquent
1
4
2
0
0
0
Overall Study
Adverse Event
150
142
120
108
63
36
Overall Study
Death
4
1
5
3
0
1
Overall Study
Other, not protocol specified
17
15
14
19
6
7
Overall Study
Withdrawal by Subject
26
37
23
30
8
8
Overall Study
Not reported
0
0
0
0
1
0

Baseline Characteristics

Only females of the total eligible and analyzable patients were included in menopausal status measurement.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I
n=664 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=683 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=681 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=639 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
n=277 Participants
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
ARM VI
n=294 Participants
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Total
n=3238 Participants
Total of all reporting groups
Age, Continuous
50.5 years
n=664 Participants
50.9 years
n=683 Participants
51.8 years
n=681 Participants
50.7 years
n=639 Participants
52.7 years
n=277 Participants
53.2 years
n=294 Participants
52.7 years
n=3238 Participants
Sex: Female, Male
Female
658 Participants
n=664 Participants
679 Participants
n=683 Participants
676 Participants
n=681 Participants
636 Participants
n=639 Participants
275 Participants
n=277 Participants
291 Participants
n=294 Participants
3215 Participants
n=3238 Participants
Sex: Female, Male
Male
6 Participants
n=664 Participants
4 Participants
n=683 Participants
5 Participants
n=681 Participants
3 Participants
n=639 Participants
2 Participants
n=277 Participants
3 Participants
n=294 Participants
23 Participants
n=3238 Participants
Black Race
73 Participants
n=664 Participants
77 Participants
n=683 Participants
74 Participants
n=681 Participants
78 Participants
n=639 Participants
31 Participants
n=277 Participants
44 Participants
n=294 Participants
377 Participants
n=3238 Participants
Menopausal status (females)
Premenopausal
326 Participants
n=658 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
325 Participants
n=679 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
308 Participants
n=676 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
299 Participants
n=636 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
124 Participants
n=275 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
123 Participants
n=291 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
1505 Participants
n=3215 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
Menopausal status (females)
Postmenopausal
332 Participants
n=658 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
354 Participants
n=679 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
368 Participants
n=676 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
337 Participants
n=636 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
148 Participants
n=275 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
166 Participants
n=291 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
1705 Participants
n=3215 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
Menopausal status (females)
Unknown
0 Participants
n=658 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
0 Participants
n=679 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
0 Participants
n=676 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
0 Participants
n=636 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
3 Participants
n=275 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
2 Participants
n=291 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
5 Participants
n=3215 Participants • Only females of the total eligible and analyzable patients were included in menopausal status measurement.
Nodal status
Negative
161 Participants
n=664 Participants
153 Participants
n=683 Participants
159 Participants
n=681 Participants
146 Participants
n=639 Participants
105 Participants
n=277 Participants
109 Participants
n=294 Participants
833 Participants
n=3238 Participants
Nodal status
1-3 positive nodes
260 Participants
n=664 Participants
266 Participants
n=683 Participants
276 Participants
n=681 Participants
245 Participants
n=639 Participants
103 Participants
n=277 Participants
98 Participants
n=294 Participants
1248 Participants
n=3238 Participants
Nodal status
>= 4 positive nodes
241 Participants
n=664 Participants
264 Participants
n=683 Participants
243 Participants
n=681 Participants
244 Participants
n=639 Participants
68 Participants
n=277 Participants
87 Participants
n=294 Participants
1147 Participants
n=3238 Participants
Nodal status
unknown
2 Participants
n=664 Participants
0 Participants
n=683 Participants
3 Participants
n=681 Participants
4 Participants
n=639 Participants
1 Participants
n=277 Participants
0 Participants
n=294 Participants
10 Participants
n=3238 Participants
ER/PgR
Negative (both negative)
212 Participants
n=664 Participants
226 Participants
n=683 Participants
232 Participants
n=681 Participants
206 Participants
n=639 Participants
99 Participants
n=277 Participants
108 Participants
n=294 Participants
1083 Participants
n=3238 Participants
ER/PgR
Positive (either or both positive)
450 Participants
n=664 Participants
456 Participants
n=683 Participants
446 Participants
n=681 Participants
430 Participants
n=639 Participants
178 Participants
n=277 Participants
185 Participants
n=294 Participants
2145 Participants
n=3238 Participants
ER/PgR
Unknown
2 Participants
n=664 Participants
1 Participants
n=683 Participants
3 Participants
n=681 Participants
3 Participants
n=639 Participants
0 Participants
n=277 Participants
1 Participants
n=294 Participants
10 Participants
n=3238 Participants
HER2
Negative
528 Participants
n=664 Participants
556 Participants
n=683 Participants
554 Participants
n=681 Participants
525 Participants
n=639 Participants
208 Participants
n=277 Participants
235 Participants
n=294 Participants
2606 Participants
n=3238 Participants
HER2
Positive
125 Participants
n=664 Participants
123 Participants
n=683 Participants
118 Participants
n=681 Participants
109 Participants
n=639 Participants
69 Participants
n=277 Participants
57 Participants
n=294 Participants
601 Participants
n=3238 Participants
HER2
Unknown
11 Participants
n=664 Participants
4 Participants
n=683 Participants
9 Participants
n=681 Participants
5 Participants
n=639 Participants
0 Participants
n=277 Participants
2 Participants
n=294 Participants
31 Participants
n=3238 Participants

PRIMARY outcome

Timeframe: every 6 months (annually for mammograms) for 5 years

Population: Only eligible and analyzable patients were included in this analysis. Two patients in Arm II and one patient in Arm IV with no follow-up were excluded.

Disease-free survival (DFS) defined as time from registration (randomization assignment) to first instance of disease recurrence (local, regional, or distant), new breast primary tumor, or death as a result of any cause. The results are entered as disease free survival at year 5.

Outcome measures

Outcome measures
Measure
Arm I
n=664 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=681 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=681 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=638 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
n=277 Participants
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
n=294 Participants
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Disease-free Survival
83 percentage of participants
Interval 80.0 to 86.0
79 percentage of participants
Interval 76.0 to 82.0
81 percentage of participants
Interval 78.0 to 84.0
81 percentage of participants
Interval 78.0 to 84.0
84 percentage of participants
Interval 79.0 to 88.0
85 percentage of participants
Interval 80.0 to 89.0

PRIMARY outcome

Timeframe: Every 6 months for 5 years

Population: Only eligible and analyzable patients were included in this analysis. Two patients in Arm II and one patient in Arm IV with no follow-up were excluded.

Overall survival defined as time from registration to death as result of any cause. Results were entered as overall survival rate at year 5.

Outcome measures

Outcome measures
Measure
Arm I
n=664 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=681 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=681 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=638 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
n=277 Participants
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
n=294 Participants
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Overall Survival
90 percentage of participants
Interval 87.0 to 92.0
87 percentage of participants
Interval 84.0 to 90.0
87 percentage of participants
Interval 84.0 to 89.0
87 percentage of participants
Interval 84.0 to 90.0
90 percentage of participants
Interval 86.0 to 93.0
91 percentage of participants
Interval 87.0 to 94.0

SECONDARY outcome

Timeframe: Toxicity assessment was evaluated every 4 weeks while on protocol therapy.

Population: Limited to patients who started treatment, who did not have a major deviation in the treatment protocol, and whose toxicity profile has been completed.

Adverse Events (AEs) are reported by CTCAE Version 3.0. Only adverse events that are possibly, probably or definitely related to study drug are reported.

Outcome measures

Outcome measures
Measure
Arm I
n=654 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=663 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=674 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=624 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
n=275 Participants
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
n=291 Participants
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Fistula, GI - Oral cavity
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Pelvis
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Rectum
2 Participants
1 Participants
0 Participants
2 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Leukocytes (total WBC)
128 Participants
98 Participants
157 Participants
128 Participants
38 Participants
34 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Skin
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Vomiting
31 Participants
29 Participants
38 Participants
17 Participants
8 Participants
6 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Watery eye (epiphora, tearing)
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Stomach
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
ALT, SGPT (serum glutamic pyruvic transaminase)
7 Participants
4 Participants
3 Participants
4 Participants
3 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
AST, SGOT
5 Participants
3 Participants
2 Participants
2 Participants
4 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Acidosis (metabolic or respiratory)
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Adult respiratory distress syndrome (ARDS)
1 Participants
0 Participants
2 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Albumin, serum-low (hypoalbuminemia)
1 Participants
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Alkaline phosphatase
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Allergic reaction/hypersensitivity
8 Participants
12 Participants
6 Participants
3 Participants
5 Participants
5 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Anorexia
6 Participants
5 Participants
8 Participants
4 Participants
0 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Apnea
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Arthritis (non-septic)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Ataxia (incoordination)
2 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Bilirubin (hyperbilirubinemia)
3 Participants
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Bladder spasms
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Blood/Bone Marrow-Other
1 Participants
2 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Bronchospasm, wheezing
0 Participants
1 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
CNS cerebrovascular ischemia
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Calcium, serum-high (hypercalcemia)
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Calcium, serum-low (hypocalcemia)
2 Participants
1 Participants
1 Participants
0 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cardiac General-Other
2 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cardiac troponin I (cTnI)
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cardiac troponin T (cTnT)
3 Participants
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cardiac-ischemia/infarction
3 Participants
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cardiopulmonary arrest, cause unknown (non-fatal)
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cataract
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cholecystitis
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Colitis
1 Participants
0 Participants
2 Participants
1 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Colitis, infectious (e.g., Clostridium difficile)
0 Participants
0 Participants
1 Participants
2 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Conduction abnormality - Asystole
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Confusion
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Constipation
3 Participants
3 Participants
3 Participants
3 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Constitutional Symptoms-Other
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cough
3 Participants
5 Participants
4 Participants
0 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Creatinine
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cystitis
0 Participants
3 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Cytokine release syndrome/acute infusion reaction
0 Participants
0 Participants
0 Participants
2 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
DIC (disseminated intravascular coagulation)
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Death - Multi-organ failure
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Death not associated with CTCAE term - Death NOS
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Dehydration
8 Participants
7 Participants
12 Participants
3 Participants
4 Participants
4 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Dermatology/Skin-Other
0 Participants
3 Participants
0 Participants
1 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Diarrhea
27 Participants
18 Participants
24 Participants
23 Participants
8 Participants
6 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Distention/bloating, abdominal
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Dizziness
5 Participants
2 Participants
2 Participants
5 Participants
0 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Dysphagia (difficulty swallowing)
2 Participants
0 Participants
1 Participants
3 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Dyspnea (shortness of breath)
21 Participants
18 Participants
25 Participants
16 Participants
2 Participants
4 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Edema: head and neck
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Edema: limb
0 Participants
2 Participants
2 Participants
3 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Encephalopathy
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Endocrine-Other
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Esophagitis
5 Participants
4 Participants
0 Participants
3 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Extrapyramidal/involuntary movement/restlessness
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Extremity-upper (function)
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Eyelid dysfunction
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
FEV(1)
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Fatigue (asthenia, lethargy, malaise)
77 Participants
59 Participants
87 Participants
65 Participants
20 Participants
14 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Febrile neutropenia
49 Participants
9 Participants
38 Participants
20 Participants
16 Participants
14 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Fever in absence of neutropenia, ANC lt1.0x10e9/L
2 Participants
3 Participants
3 Participants
1 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Flu-like syndrome
0 Participants
1 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Fracture
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
GGT (gamma-glutamyl transpeptidase)
2 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Gastritis (including bile reflux gastritis)
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Gastrointestinal-Other
1 Participants
0 Participants
0 Participants
3 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Glucose, serum-high (hyperglycemia)
13 Participants
17 Participants
9 Participants
13 Participants
6 Participants
5 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Glucose, serum-low (hypoglycemia)
4 Participants
2 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hair loss/Alopecia (scalp or body)
3 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Heartburn/dyspepsia
1 Participants
0 Participants
3 Participants
5 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemoglobin
87 Participants
48 Participants
101 Participants
47 Participants
21 Participants
19 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemorrhage, GI - Lower GI NOS
0 Participants
1 Participants
0 Participants
1 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemorrhage, GI - Oral cavity
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemorrhage, GI - Rectum
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemorrhage, GI - Upper GI NOS
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemorrhage, GU - Urinary NOS
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemorrhage, GU - Vagina
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemorrhage, pulmonary/upper respiratory - Nose
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemorrhage/Bleeding-Other
1 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hemorrhoids
1 Participants
3 Participants
1 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hot flashes/flushes
0 Participants
2 Participants
1 Participants
0 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hypertension
2 Participants
1 Participants
1 Participants
1 Participants
2 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hypotension
4 Participants
1 Participants
4 Participants
3 Participants
0 Participants
3 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Hypoxia
2 Participants
3 Participants
3 Participants
2 Participants
3 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
INR (of prothrombin time)
2 Participants
5 Participants
1 Participants
3 Participants
1 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Ileus, GI (functional obstruction of bowel)
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Abdomen NOS
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Bladder
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Blood
2 Participants
1 Participants
2 Participants
0 Participants
2 Participants
3 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Catheter-rel
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Colon
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Eye NOS
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Lung
4 Participants
2 Participants
2 Participants
4 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Lymphatic
0 Participants
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Meninges
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Middle ear
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Mucosa
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Oral cav-gums
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Paranasal
0 Participants
0 Participants
0 Participants
2 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Pharynx
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Skin
3 Participants
1 Participants
2 Participants
3 Participants
1 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Soft tissue
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - UTI
1 Participants
2 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Upper airway
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf (clin/microbio) w/Gr 3-4 neuts - Wound
0 Participants
2 Participants
3 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Bil. tree
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Bladder
0 Participants
1 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Blood
2 Participants
0 Participants
0 Participants
2 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Bronchus
0 Participants
2 Participants
0 Participants
2 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Catheter
0 Participants
2 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Colon
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Dental
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Esophagus
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Kidney
1 Participants
1 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Lung
7 Participants
5 Participants
10 Participants
5 Participants
2 Participants
4 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Meninges
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Muscle
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Neck NOS
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Oral cav
1 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Sinus
2 Participants
2 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Skin
7 Participants
6 Participants
8 Participants
11 Participants
4 Participants
4 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Soft tiss
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - UTI
5 Participants
3 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Ungual
0 Participants
1 Participants
1 Participants
2 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Up airway
0 Participants
1 Participants
2 Participants
2 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Vagina
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Vulva
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - Wound
0 Participants
1 Participants
0 Participants
2 Participants
1 Participants
3 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils - perioral
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils -Nerve-cran
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Inf w/normal ANC or Gr 1-2 neutrophils-Foreign bod
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection with normal ANC or Grade 1 or 2 neutroph
1 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection with unknown ANC - Appendix
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection with unknown ANC - Blood
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection with unknown ANC - Catheter-related
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection with unknown ANC - Foreign body (e.g., g
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection with unknown ANC - Kidney
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection with unknown ANC - Lung (pneumonia)
0 Participants
1 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection with unknown ANC - Skin (cellulitis)
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection with unknown ANC - Wound
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Infection-Other
4 Participants
3 Participants
5 Participants
0 Participants
2 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Injection site reaction/extravasation changes
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Insomnia
1 Participants
1 Participants
0 Participants
6 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Intra-operative injury - Peripheral sensory NOS
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Intra-operative injury - Spinal cord
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Irregular menses (change from baseline)
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Joint-function
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Left ventricular diastolic dysfunction
3 Participants
0 Participants
3 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Left ventricular systolic dysfunction
7 Participants
2 Participants
8 Participants
2 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Liver dysfunction/failure (clinical)
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Lymphopenia
24 Participants
31 Participants
26 Participants
32 Participants
15 Participants
18 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Magnesium, serum-low (hypomagnesemia)
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Metabolic/Laboratory-Other
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mood alteration - agitation
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mood alteration - anxiety
1 Participants
2 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mood alteration - depression
1 Participants
6 Participants
4 Participants
4 Participants
1 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mucositis/stomatitis (clinical exam) - Anus
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mucositis/stomatitis (clinical exam) - Esophagus
1 Participants
0 Participants
0 Participants
2 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mucositis/stomatitis (clinical exam) - Oral cavity
17 Participants
56 Participants
23 Participants
57 Participants
4 Participants
3 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mucositis/stomatitis (clinical exam) - Pharynx
2 Participants
5 Participants
3 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mucositis/stomatitis (functional/symp) - Anus
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mucositis/stomatitis (functional/symp) - Esophagus
2 Participants
3 Participants
2 Participants
5 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mucositis/stomatitis (functional/symp) - Oral cav
11 Participants
38 Participants
28 Participants
40 Participants
1 Participants
6 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mucositis/stomatitis (functional/symp) - Pharynx
4 Participants
4 Participants
5 Participants
4 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Mucositis/stomatitis (functional/symp) - Rectum
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Muscle weakness, not d/t neuropathy - Extrem-lower
0 Participants
0 Participants
0 Participants
0 Participants
2 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Muscle weakness, not d/t neuropathy - body/general
0 Participants
1 Participants
1 Participants
2 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Musculoskeletal/Soft Tissue-Other
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Myelodysplasia
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Myocarditis
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Nail changes
4 Participants
12 Participants
5 Participants
9 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Nasal cavity/paranasal sinus reactions
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Nausea
50 Participants
40 Participants
53 Participants
33 Participants
9 Participants
9 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Neurology-Other
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Neuropathy: CN V Motor-jaw muscles; Sensory-facial
1 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Neuropathy: CN VII Motor-face; Sensory-taste
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Neuropathy: cranial - CN VIII Hearing and balance
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Neuropathy: cranial - CN XII Motor-tongue
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Neuropathy: motor
10 Participants
13 Participants
8 Participants
6 Participants
5 Participants
8 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Neuropathy: sensory
107 Participants
101 Participants
76 Participants
56 Participants
45 Participants
25 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Neutrophils/granulocytes (ANC/AGC)
174 Participants
156 Participants
218 Participants
201 Participants
57 Participants
65 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Obesity
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
3 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Obstruction, GI - Small bowel NOS
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Opportunistic inf associated w/gt=Gr 2 lymphopenia
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
PTT (Partial thromboplastin time)
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Abdomen NOS
2 Participants
3 Participants
5 Participants
0 Participants
5 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Anus
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Back
0 Participants
5 Participants
1 Participants
3 Participants
2 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Bone
10 Participants
36 Participants
15 Participants
9 Participants
15 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Breast
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Cardiac/heart
1 Participants
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Chest wall
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Chest/thorax NOS
0 Participants
1 Participants
0 Participants
3 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Dental/teeth/peridontal
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Esophagus
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Extremity-limb
4 Participants
9 Participants
0 Participants
3 Participants
4 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Head/headache
5 Participants
8 Participants
10 Participants
10 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Joint
39 Participants
40 Participants
21 Participants
12 Participants
11 Participants
5 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Kidney
0 Participants
0 Participants
0 Participants
2 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Middle ear
0 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Muscle
42 Participants
48 Participants
21 Participants
11 Participants
10 Participants
5 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Neck
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Neuralgia/peripheral nerve
1 Participants
3 Participants
2 Participants
3 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Pain NOS
3 Participants
0 Participants
0 Participants
1 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain - Uterus
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pain-Other
3 Participants
5 Participants
2 Participants
1 Participants
4 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pericardial effusion (non-malignant)
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Phosphate, serum-low (hypophosphatemia)
0 Participants
3 Participants
0 Participants
2 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Platelets
24 Participants
21 Participants
20 Participants
22 Participants
6 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pleural effusion (non-malignant)
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pneumonitis/pulmonary infiltrates
8 Participants
7 Participants
11 Participants
5 Participants
3 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Potassium, serum-high (hyperkalemia)
1 Participants
1 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Potassium, serum-low (hypokalemia)
18 Participants
12 Participants
18 Participants
7 Participants
8 Participants
8 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Prolapse of stoma, GI
2 Participants
3 Participants
2 Participants
4 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Proteinuria
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pruritus/itching
2 Participants
3 Participants
0 Participants
1 Participants
2 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Psychosis (hallucinations/delusions)
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Pulmonary/Upper Respiratory-Other
1 Participants
2 Participants
1 Participants
0 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Rash/desquamation
4 Participants
5 Participants
1 Participants
4 Participants
1 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Rash: acne/acneiform
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Rash: hand-foot skin reaction
19 Participants
95 Participants
16 Participants
94 Participants
3 Participants
4 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Restrictive cardiomyopathy
0 Participants
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Right ventricular dysfunction (cor pulmonale)
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Rigors/chills
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
SVT and nodal arrhythmia - Atrial fibrillation
1 Participants
1 Participants
5 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
SVT and nodal arrhythmia - SVT tachycardia
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
SVT and nodal arrhythmia - Sinus tachycardia
0 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Salivary gland changes/saliva
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Secondary Malignancy-poss rel to cancer Tx
2 Participants
2 Participants
4 Participants
3 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Seizure
0 Participants
1 Participants
1 Participants
1 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Seroma
0 Participants
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Sodium, serum-high (hypernatremia)
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Sodium, serum-low (hyponatremia)
7 Participants
4 Participants
5 Participants
4 Participants
1 Participants
3 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Somnolence/depressed level of consciousness
2 Participants
1 Participants
0 Participants
1 Participants
0 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Sudden death
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Syncope (fainting)
5 Participants
5 Participants
7 Participants
5 Participants
5 Participants
7 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Syndromes-Other
0 Participants
2 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Taste alteration (dysgeusia)
1 Participants
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Thrombosis/embolism (vascular access-related)
9 Participants
18 Participants
10 Participants
6 Participants
1 Participants
4 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Thrombosis/thrombus/embolism
10 Participants
7 Participants
9 Participants
8 Participants
3 Participants
4 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Ulcer, GI - Esophagus
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Ulcer, GI - Rectum
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Uric acid, serum-high (hyperuricemia)
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Urticaria (hives, welts, wheals)
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Vaginitis (not due to infection)
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Valvular heart disease
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Vasovagal episode
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Ventricular arrhythmia - PVCs
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Ventricular arrhythmia - Ventricular tachycardia
1 Participants
1 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Viral hepatitis
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Vision-blurred vision
1 Participants
0 Participants
1 Participants
2 Participants
0 Participants
0 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Voice changes/dysarthria
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Weight loss
2 Participants
2 Participants
1 Participants
1 Participants
0 Participants
2 Participants
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Wound complication, non-infectious
0 Participants
1 Participants
1 Participants
0 Participants
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Biomarkers were measured by gene expression analysis before study entry. DFS were measured every 6 months for 5 years

Population: Patients with HR-positive, HER-2 negative at baseline in each arm were included in this analysis. Arm V and Arm VI were reopened under a new revised protocol and the data were not mature. And the results for Arm V and Arm VI will be reported in a subsequent publication.

Disease-free survival (DFS) defined as time from registration (randomization assignment) to first instance of disease recurrence (local, regional, or distant), new breast primary tumor, or death as a result of any cause. The results are entered as disease free survival at year 5.

Outcome measures

Outcome measures
Measure
Arm I
n=375 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=370 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=373 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=362 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Disease-free Survival Comparison Between 2 Treatments in HR-positive, HER-2 Negative Group
82 percentage of participants
Interval 78.0 to 86.0
82 percentage of participants
Interval 77.0 to 86.0
86 percentage of participants
Interval 82.0 to 89.0
85 percentage of participants
Interval 80.0 to 88.0

SECONDARY outcome

Timeframe: Biomarkers were measured by gene expression analysis before study entry. OS was measured every 6 months for 5 years

Population: Patients with HR-positive, HER-negative at baseline in each arm were included in this analysis. Arm V and Arm VI were reopened under a new revised protocol and the data were not mature. And the results for Arm V and Arm VI will be reported in a subsequent publication.

Overall survival defined as time from registration to death as result of any cause. Results were entered as overall survival rate at year 5.

Outcome measures

Outcome measures
Measure
Arm I
n=375 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=370 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=373 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=362 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Overall Survival Comparison Between 2 Treatments in HR-positive, HER-2 Negative Group
91 percentage of participants
Interval 87.0 to 93.0
92 percentage of participants
Interval 89.0 to 95.0
91 percentage of participants
Interval 87.0 to 94.0
90 percentage of participants
Interval 86.0 to 93.0

SECONDARY outcome

Timeframe: Biomarkers were measured by gene expression analysis before study entry. DFS was measured every 6 months for 5 years

Population: Patients with HR-negative, HER-2 negative at baseline in each arm were included in this analysis. Arm V and Arm VI were reopened under a new revised protocol and the data were not mature. And the results for Arm V and Arm VI will be reported in a subsequent publication.

Disease-free survival (DFS) defined as time from registration (randomization assignment) to first instance of disease recurrence (local, regional, or distant), new breast primary tumor, or death as a result of any cause. The results are entered as disease free survival at year 5.

Outcome measures

Outcome measures
Measure
Arm I
n=153 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=185 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=180 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=162 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Disease-free Survival Comparison Between 2 Treatments in HR-negative, HER-2 Negative Group
83 percentage of participants
Interval 75.0 to 88.0
71 percentage of participants
Interval 63.0 to 77.0
72 percentage of participants
Interval 64.0 to 78.0
75 percentage of participants
Interval 68.0 to 81.0

SECONDARY outcome

Timeframe: Biomarkers were measured by gene expression analysis before study entry. OS was measured every 6 months for 5 years

Population: Patients with HR-negative, HER2-negative at baseline in each arm were included in this analysis. Arm V and Arm VI were reopened under a new revised protocol and the data were not mature. And the results for Arm V and Arm VI will be reported in a subsequent publication.

Overall survival defined as time from registration to death as result of any cause. Results were entered as overall survival rate at year 5.

Outcome measures

Outcome measures
Measure
Arm I
n=153 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=185 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=180 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=162 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Overall Survival Comparison Between 2 Treatments in HR-negative, HER-2 Negative Group
85 percentage of participants
Interval 78.0 to 90.0
76 percentage of participants
Interval 69.0 to 82.0
78 percentage of participants
Interval 71.0 to 84.0
82 percentage of participants
Interval 75.0 to 87.0

SECONDARY outcome

Timeframe: Biomarkers were measured by gene expression analysis before study entry. DFS was measured every 6 months for 5 years

Population: Patients with HER2-positive at baseline in each arm were included in this analysis. One patient in Arm II with no follow-up was excluded. Arm V and Arm VI were reopened under a new revised protocol and the data were not mature. And the results for Arm V and Arm VI will be reported in a subsequent publication.

Disease-free survival (DFS) defined as time from registration (randomization assignment) to first instance of disease recurrence (local, regional, or distant), new breast primary tumor, or death as a result of any cause. The results are entered as disease free survival at year 5.

Outcome measures

Outcome measures
Measure
Arm I
n=125 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=122 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=118 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=109 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Disease-free Survival Comparison Between 2 Treatments in HER2-positive Group
85 percentage of participants
Interval 77.0 to 90.0
83 percentage of participants
Interval 74.0 to 89.0
82 percentage of participants
Interval 74.0 to 88.0
80 percentage of participants
Interval 71.0 to 87.0

SECONDARY outcome

Timeframe: Biomarkers were measured by gene expression analysis before study entry. OS was measured every 6 months for 5 years

Population: Patients with HER2-positive at baseline in each arm were included in this analysis. One patient in Arm II with no follow-up was excluded. Arm V and Arm VI were reopened under a new revised protocol and the data were not mature. And the results for Arm V and Arm VI will be reported in a subsequent publication.

Overall survival defined as time from registration to death as result of any cause. Results were entered as overall survival rate at year 5.

Outcome measures

Outcome measures
Measure
Arm I
n=125 Participants
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm II
n=122 Participants
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm III
n=118 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm IV
n=109 Participants
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III. pegfilgrastim: Given IV AC regimen: Given IV cyclophosphamide: Given IV doxorubicin hydrochloride: Given IV paclitaxel: Given IV
Arm V
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
Arm VI
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Overall Survival Comparison Between 2 Treatments in HER-2 Positive Group.
94 percentage of participants
Interval 88.0 to 97.0
89 percentage of participants
Interval 81.0 to 94.0
89 percentage of participants
Interval 82.0 to 94.0
88 percentage of participants
Interval 80.0 to 93.0

Adverse Events

ARM I

Serious events: 10 serious events
Other events: 381 other events
Deaths: 0 deaths

ARM II

Serious events: 8 serious events
Other events: 412 other events
Deaths: 0 deaths

ARM III

Serious events: 17 serious events
Other events: 389 other events
Deaths: 0 deaths

ARM IV

Serious events: 9 serious events
Other events: 391 other events
Deaths: 0 deaths

ARM V

Serious events: 5 serious events
Other events: 131 other events
Deaths: 0 deaths

ARM VI

Serious events: 8 serious events
Other events: 126 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
ARM I
n=654 participants at risk
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
ARM II
n=663 participants at risk
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I.
ARM III
n=674 participants at risk
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
ARM IV
n=624 participants at risk
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III.
ARM V
n=275 participants at risk
Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
ARM VI
n=291 participants at risk
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Blood and lymphatic system disorders
Blood/Bone Marrow-Other
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Blood and lymphatic system disorders
DIC (disseminated intravascular coagulation)
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Blood and lymphatic system disorders
Febrile neutropenia
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.36%
1/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.69%
2/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Cardiac disorders
Cardiac-ischemia/infarction
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Cardiac disorders
Conduction abnormality - Asystole
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Cardiac disorders
Left ventricular diastolic dysfunction
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Cardiac disorders
Left ventricular systolic dysfunction
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.36%
1/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Cardiac disorders
Myocarditis
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Cardiac disorders
Pericardial effusion (non-malignant)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.34%
1/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Cardiac disorders
Ventricular arrhythmia - PVCs
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
General disorders
Constitutional Symptoms-Other
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
General disorders
Death - Multi-organ failure
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
General disorders
Death not associated with CTCAE term - Death NOS
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.16%
1/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.34%
1/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Hepatobiliary disorders
Liver dysfunction/failure (clinical)
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Infections and infestations
Inf (clin/microbio) w/Gr 3-4 neuts - Lung
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.32%
2/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Infections and infestations
Inf w/normal ANC or Gr 1-2 neutrophils - Blood
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Infections and infestations
Inf w/normal ANC or Gr 1-2 neutrophils - Lung
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.16%
1/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Infections and infestations
Inf w/normal ANC or Gr 1-2 neutrophils - Soft tiss
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Infections and infestations
Infection with unknown ANC - Blood
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.34%
1/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Infections and infestations
Infection with unknown ANC - Skin (cellulitis)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.34%
1/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Injury, poisoning and procedural complications
Thrombosis/embolism (vascular access-related)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Investigations
ALT, SGPT (serum glutamic pyruvic transaminase)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.30%
2/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Investigations
AST, SGOT
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Investigations
Bilirubin (hyperbilirubinemia)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Investigations
Cardiac troponin I (cTnI)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Investigations
Neutrophils/granulocytes (ANC/AGC)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.1%
3/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.34%
1/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplasia
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Secondary Malignancy-poss rel to cancer Tx
0.31%
2/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.59%
4/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.48%
3/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.36%
1/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Nervous system disorders
CNS cerebrovascular ischemia
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.16%
1/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Nervous system disorders
Seizure
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.34%
1/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Nervous system disorders
Somnolence/depressed level of consciousness
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.34%
1/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Psychiatric disorders
Confusion
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome (ARDS)
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Respiratory, thoracic and mediastinal disorders
Dyspnea (shortness of breath)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Respiratory, thoracic and mediastinal disorders
Pleural effusion (non-malignant)
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Respiratory, thoracic and mediastinal disorders
Pneumonitis/pulmonary infiltrates
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Respiratory, thoracic and mediastinal disorders
Pulmonary/Upper Respiratory-Other
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Vascular disorders
Hypotension
0.00%
0/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.15%
1/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Vascular disorders
Thrombosis/thrombus/embolism
0.15%
1/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.30%
2/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.30%
2/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.16%
1/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.00%
0/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.

Other adverse events

Other adverse events
Measure
ARM I
n=654 participants at risk
(closed 11/10/10) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim subcutaneously (SC) on day 2 or filgrastim (G-CSF) SC on days 3-10. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
ARM II
n=663 participants at risk
(closed 11/10/10) Patients receive doxorubicin IV on day 1, oral cyclophosphamide on days 1-7, and G-CSF SC on days 2-7. Treatment repeats every 7 days for 15 courses. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel and pegfilgrastim as in arm I.
ARM III
n=674 participants at risk
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and pegfilgrastim or G-CSF as in arm I. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
ARM IV
n=624 participants at risk
(closed 11/10/10) Patients receive doxorubicin, cyclophosphamide, and G-CSF as in arm II. Beginning 2 weeks after completion of cyclophosphamide, patients receive paclitaxel as in arm III.
ARM V
n=275 participants at risk
Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 3 hours on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses.
ARM VI
n=291 participants at risk
(reopened in 12/2010) Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 4 courses. Patients receive doxorubicin IV and cyclophosphamide IV on day 1 and pegfilgrastim SC on day 2. Treatment repeats every 14 days for 6 courses. Beginning 2 weeks after completion of doxorubicin and cyclophosphamide, patients receive paclitaxel IV over 1 hour on day 1. Treatment repeats every 7 days for 12 courses.
Blood and lymphatic system disorders
Febrile neutropenia
7.5%
49/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.4%
9/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
5.6%
38/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
3.2%
20/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
5.5%
15/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
4.1%
12/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Blood and lymphatic system disorders
Hemoglobin
13.3%
87/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
7.2%
48/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
15.0%
101/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
7.5%
47/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
7.6%
21/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
6.5%
19/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Gastrointestinal disorders
Mucositis/stomatitis (clinical exam) - Oral cavity
2.6%
17/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
8.4%
56/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
3.4%
23/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
9.1%
57/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.5%
4/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.0%
3/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Gastrointestinal disorders
Mucositis/stomatitis (functional/symp) - Oral cav
1.7%
11/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
5.7%
38/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
4.2%
28/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
6.4%
40/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.36%
1/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
2.1%
6/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Gastrointestinal disorders
Nausea
7.6%
50/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
6.0%
40/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
7.9%
53/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
5.3%
33/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
3.3%
9/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
3.1%
9/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Gastrointestinal disorders
Vomiting
4.7%
31/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
4.4%
29/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
5.6%
38/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
2.7%
17/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
2.9%
8/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
2.1%
6/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
General disorders
Fatigue (asthenia, lethargy, malaise)
11.8%
77/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
8.9%
59/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
12.9%
87/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
10.4%
65/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
7.3%
20/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
4.8%
14/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Investigations
Leukocytes (total WBC)
19.6%
128/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
14.8%
98/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
23.3%
157/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
20.5%
128/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
13.8%
38/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
11.7%
34/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Investigations
Lymphopenia
3.7%
24/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
4.7%
31/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
3.9%
26/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
5.1%
32/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
5.5%
15/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
6.2%
18/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Investigations
Neutrophils/granulocytes (ANC/AGC)
26.6%
174/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
23.5%
156/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
32.2%
217/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
32.2%
201/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
19.6%
54/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
22.3%
65/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Musculoskeletal and connective tissue disorders
Pain - Bone
1.5%
10/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
5.4%
36/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
2.2%
15/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.4%
9/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
5.5%
15/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
0.34%
1/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Musculoskeletal and connective tissue disorders
Pain - Joint
6.0%
39/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
6.0%
40/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
3.1%
21/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.9%
12/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
4.0%
11/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.7%
5/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Musculoskeletal and connective tissue disorders
Pain - Muscle
6.4%
42/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
7.2%
48/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
3.1%
21/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.8%
11/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
3.6%
10/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.7%
5/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Nervous system disorders
Neuropathy: sensory
16.4%
107/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
15.2%
101/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
11.3%
76/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
9.0%
56/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
16.4%
45/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
8.6%
25/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
Skin and subcutaneous tissue disorders
Rash: hand-foot skin reaction
2.9%
19/654 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
14.3%
95/663 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
2.4%
16/674 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
15.1%
94/624 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.1%
3/275 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.
1.4%
4/291 • Toxicity assessment was evaluated every 4 weeks while on protocol therapy.

Additional Information

Breast Committee Statistician

SWOG Statistical Center

Phone: 206-667-4623

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60