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Evaluation of the effects and adverse drug reactions of low-dose dexamethasone premedication with weekly docetaxel

Title
Evaluation of the effects and adverse drug reactions of low-dose dexamethasone premedication with weekly docetaxel
Author
이주연
Keywords
Weekly docetaxel; Dexamethasone; Premedication; Adverse drug reaction; METASTATIC BREAST-CANCER; CELL LUNG-CANCER; PHASE-II; HYPERSENSITIVITY REACTIONS; DIABETES-MELLITUS; TRIAL; DIAGNOSIS; PACLITAXEL; SCHEDULE; DISEASES
Issue Date
2017-02
Publisher
SPRINGER
Citation
SUPPORTIVE CARE IN CANCER, v. 25, No. 2, Page. 429-437
Abstract
A weekly docetaxel regimen had comparable efficacy with a tri-weekly schedule and caused significantly less severe neutropenia and febrile neutropenia. Therefore, a weekly docetaxel regimen has become increasingly common in cancer treatment. Premedication with corticosteroids can effectively prevent or reduce the severity of hypersensitivity and fluid retention. However, no recommended steroid dosage for a weekly docetaxel regimen has been established to date. The aim of this study is to compare the efficacy and complications of two different weekly docetaxel premedication protocols. We retrospectively compared the hypersensitivity, hyperglycemia, and infection incidence associated with two weekly docetaxel premedication protocols. The control group (dexamethasone 10 mg intravenously and 4 mg orally every 12 h for four doses, starting 1 h before docetaxel administration) patients started weekly docetaxel chemotherapy between May 2012 and April 2013 at Seoul National University Hospital, and the experimental group (dexamethasone 10 mg intravenously 1 h prior to each docetaxel administration) patients started weekly docetaxel chemotherapy between May 2013 and April 2014. In total, 109 patients in the control group and 97 patients in the experimental group were included in this study, and there were no statistically significant differences in baseline characteristics between the two groups. The incidence of hypersensitivity and hyperglycemia were similar, but infections were observed significantly less in the experimental group (p = 0.020, OR = 0.408, 0.0190-0.0879). A low-dose dexamethasone premedication protocol has comparable efficacy in the prevention of docetaxel hypersensitivity with fewer infection complications. Therefore, we recommend a low-dose dexamethasone premedication protocol for weekly docetaxel regimens.
URI
https://link.springer.com/article/10.1007/s00520-016-3420-yhttp://repository.hanyang.ac.kr/handle/20.500.11754/71721
ISSN
0941-4355; 1433-7339
DOI
10.1007/s00520-016-3420-y
Appears in Collections:
COLLEGE OF PHARMACY[E](약학대학) > PHARMACY(약학과) > Articles
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