PMID- 36303832 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221029 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 12 DP - 2022 TI - A systemic review of taxanes and their side effects in metastatic breast cancer. PG - 940239 LID - 10.3389/fonc.2022.940239 [doi] LID - 940239 AB - Taxanes-containing chemotherapy constitutes an essential backbone for both early and metastatic breast cancer (mBC). However, the two major taxane drugs-paclitaxel and docetaxel-have distinct safety profiles. In this review, we summarize the safety outcome and management following treatment with both taxanes from selected clinical trials. We utilized PubMed to perform literature search before April 2021. Five phase III randomized controlled trials with reports of individual taxane adverse events (AEs) were included in this review. Grade 3/4 AEs were summarized and discussed extensively. The rates of grade 3/4 neutropenia were higher with docetaxel than with paclitaxel. For non-hematologic grade 3/4 AEs, peripheral neuropathy was more frequent with paclitaxel while fluid retention was more frequent with docetaxel. Compared to paclitaxel, docetaxel had a higher rate of grade 3/4 gastrointestinal AEs. Grade 3/4 myalgia were generally comparable between the two taxanes. Except for neutropenia, the incidence rate of grade 3/4 AEs of taxanes was generally manageable. Peripheral neuropathy was more common with paclitaxel while grade 3/4 neutropenia was more common with docetaxel. CI - Copyright (c) 2022 Lai, Chao, Liu, Huang and Tseng. FAU - Lai, Jiun-I AU - Lai JI AD - Division of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Center of Immuno-Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Institute of Clinical Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. FAU - Chao, Ta-Chung AU - Chao TC AD - Division of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Comprehensive Breast Health Center, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. FAU - Liu, Chun-Yu AU - Liu CY AD - Division of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Comprehensive Breast Health Center, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. AD - Division of Transfusion Medicine, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan. FAU - Huang, Chi-Cheng AU - Huang CC AD - Comprehensive Breast Health Center, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Division of Experimental Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan. AD - School of Public Health, College of Public Health, National Taiwan University, Taipei, Taiwan. FAU - Tseng, Ling-Ming AU - Tseng LM AD - Comprehensive Breast Health Center, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan. AD - Division of Experimental Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan. AD - Division of General Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan. LA - eng PT - Systematic Review DEP - 20221011 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC9592970 OTO - NOTNLM OT - adverse event OT - breast cancer OT - docetaxel OT - paclitaxel OT - systemic review COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/10/29 06:00 MHDA- 2022/10/29 06:01 PMCR- 2022/01/01 CRDT- 2022/10/28 02:38 PHST- 2022/05/10 00:00 [received] PHST- 2022/09/02 00:00 [accepted] PHST- 2022/10/28 02:38 [entrez] PHST- 2022/10/29 06:00 [pubmed] PHST- 2022/10/29 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2022.940239 [doi] PST - epublish SO - Front Oncol. 2022 Oct 11;12:940239. doi: 10.3389/fonc.2022.940239. eCollection 2022.