Are docetaxel and paclitaxel interchangeable for stage II-III HER2+ breast cancer patients receiving neoadjuvant chemotherapy with AC-THP?
Are there any studies that compare them?
1 Answer
Mednet MemberInvited Expert
Medical Oncology · University of Pittsburgh School of Medicine
Answered on
I believe docetaxel and paclitaxel are interchangeable in AC-THP for neoadjuvant chemotherapy for HER2 positive early-stage breast cancer. Decent phase II data from MSKCC confirm that the paclitaxel combination is well tolerated with PFS similar to CLEOPATRA.
The larger question is why use AC-THP at all anymore? The TRAIN-2 data recently presented at ASCO 2020 suggest that TCHP is equivalent to AC-THP with fewer short and long-term side effects.
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