Systemic Anti-Cancer Therapy Regimen Library
BR Neoadjuvant - DOCEtaxel and trastuzumab followed by FEC [fluorouracil, epirubicin and CYCLOPHOSPHamide] followed by trastuzumab
Treatment Overview
This regimen consists of three parts:
- DOCEtaxel with trastuzumab for three cycles, then
- FEC [fluorouracil, epirubicin and CYCLOPHOSPHamide] for three cycles, followed by surgery, then
- trastuzumab Q3W for a further 14 cycles (to complete 17 cycles in total).
For 3 cycles.
This regimen commences with DOCEtaxel at 75mg/m2 for the first dose, escalating to 100mg/m2 for subsequent cycles as tolerated.
For 3 cycles.
Followed by surgery, then
For a further 14 cycles.
Supportive Care Factors
| Factor | Value |
|---|---|
| Diarrhoea risk: | Variable |
| Emetogenicity: | Variable |
| Hypersensitivity / Infusion related reaction risk: | Variable |
Regimen details sometimes vary slightly from the published literature after recommendation by expert committee consensus.
* The medicines, doses, combinations, and schedule in this treatment regimen have been carefully reviewed against international best practice guidelines by specialists in medical oncology around New Zealand and this advice has been accepted for publication by Te Aho o Te Kahu (the Cancer Control Agency). Sometimes medicines that are used in routine clinical practice have not been through a formal review process by the NZ Medicines Regulator Medsafe and are therefore considered unapproved or off-label. These medicines are legally able to be prescribed through sections 25 and 29 of the Medicines Act and by obtaining informed consent from patients. All treatment regimens listed on this website have been through robust peer review and are considered an accepted standard of care, whether prescribed through sections 25 or 29 or carrying formal Medsafe Approval.
s29: This symbol indicates that some formulations of the associated medicine are legally only able to be prescribed under section 29 of the Medicines Act. You can see which formulations are section 29 by hovering over the s29 symbol. You can access full medication details from the New Zealand Formulary by clicking on the medication name. Each clinician retains full responsibility for ensuring they have complied with all relevant obligations and requirements of section 29 including obtaining informed patient consent prior to prescribing the applicable medicine.