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Intermittent docetaxel chemotherapy as first-line treatment for metastatic castration-resistant prostate cancer patients

    Orazio Caffo

    *Author for correspondence:

    E-mail Address: orazio.caffo@apss.tn.it

    Medical Oncology Department, Santa Chiara Hospital, Trento, Italy

    ,
    Giovanni Lo Re

    Medical Oncology Department, Santa Maria degli Angeli Hospital, Pordenone, Italy

    ,
    Teodoro Sava

    Medical Oncology Department, AOU, Verona, Italy

    ,
    Sebastiano Buti

    Medical Oncology Department, Civil Hospital, Cremona, Italy

    ,
    Cosimo Sacco

    Medical Oncology Department, Santa Maria della Misericordia Hospital, Udine, Italy

    ,
    Umberto Basso

    Medical Oncology Unit 1; Department of Clinical & Experimental Oncology, Istituto Oncologico Veneto IOV IRCCS, Padova Italy

    ,
    Fable Zustovich

    Medical Oncology Unit 1; Department of Clinical & Experimental Oncology, Istituto Oncologico Veneto IOV IRCCS, Padova Italy

    ,
    Michele Lodde

    Urology Department, San Maurizio Hospital-Bolzano, Italy

    ,
    Alessandra Perin

    Medical Oncology Department, General Hospital, Santorso, Italy

    ,
    Gaetano Facchini

    Division of Medical Oncology, Department of Uro-Gynaecological Oncology, Istituto Nazionale Tumori "Fondazione G Pascale", IRCCS, Naples, Italy

    ,
    Antonello Veccia

    Medical Oncology Department, Santa Chiara Hospital, Trento, Italy

    ,
    Francesca Maines

    Medical Oncology Department, Santa Chiara Hospital, Trento, Italy

    ,
    Carmen Barile

    Medical Oncology Department, Santa Maria della Misericordia Hospital, Rovigo, Italy

    ,
    Lucia Fratino

    Medical Oncology Department, Centro di Riferimento Oncologico, Aviano, Italy

    ,
    Angela Gernone

    Medical Oncology Department, General Hospital, Bari, Italy

    ,
    Rocco De Vivo

    Medical Oncology Department, General Hospital, Vicenza, Italy

    ,
    Giovanni L Pappagallo

    Epidemiology & Clinical Trials Office, General Hospital, Mirano, Italy

    &
    Enzo Galligioni

    Medical Oncology Department, Santa Chiara Hospital, Trento, Italy

    Published Online:https://doi.org/10.2217/fon.14.284

    ABSTRACT 

    Aims: The intermittent administration of chemotherapy is a means of preserving patients’ quality of life (QL). The aim of this study was to verify whether the intermittent administration of docetaxel (DOC) improves the patients’ QL. Patients & methods: All patients received DOC 70 mg/m2 every 3 weeks for eight cycles. The patients were randomized to receive DOC continuously or with a fixed 3-month interval after the first four DOC courses. Results: The study involved 148 patients. There was no difference in QL between the groups receiving intermittent or continuous treatment. Intermittence had no detrimental effects on disease control. Conclusion: Although feasible and not detrimental, our results showed that true intermittent chemotherapy in metastatic castration-resistant prostate cancer patients failed to improve the patients’ QL.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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