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The Kampo Medicine Goshajinkigan Prevents Neuropathy in Breast Cancer Patients Treated with Docetaxel

  • Abe, Hajime (Breast Center, Bell Land General Hospital) ;
  • Kawai, Yuki (Division of Breast and General Surgery, Shiga University of Medical Science Hospital) ;
  • Mori, Tsuyoshi (Division of Breast and General Surgery, Shiga University of Medical Science Hospital) ;
  • Tomida, Kaori (Division of Breast and General Surgery, Shiga University of Medical Science Hospital) ;
  • Kubota, Yoshihiro (Division of Breast and General Surgery, Shiga University of Medical Science Hospital) ;
  • Umeda, Tomoko (Division of Breast and General Surgery, Shiga University of Medical Science Hospital) ;
  • Tani, Tohru (Department of Surgery, Shiga University of Medical Science)
  • Published : 2013.11.30

Abstract

Background: Goshajinkigan (GJG) is used for the treatment of several neurological symptoms. We investigated the efficacy of GJG and mecobalamin (B12) against neurotoxicity associated with docetaxel (DOC) in breast cancer patients. Materials and Methods: Sixty breast cancer patients were treated with DOC. Thirty-three patients (GJG group) received oral administration of 7.5 g/day GJG and 27 patients (B12 group) received oral administration of 1500 ${\mu}g/day$ B12. Neuropathy was evaluated according to DEB-NTC (Neurotoxicity Criteria of Debiopharm), Common Terminology Criteria for Adverse Events (NCI-CTC) ver. 3.0, and a visual analogue scale (VAS). This study employed a randomized open design. Results: The incidence of neuropathy was 39.3% in the GJG group, and 88.9% in the B12 group (p<0.01). In the GJG group, grade 1 DEB-NTC was observed in 2 cases, grade 2 in 5 cases and grade 3 in 5 cases. Grade 1 NCI-CTC was observed in 7 cases, grade 2 in 6 cases, and VAS was $2.7{\pm}2.2$. In the B12 group, grades 1, 2 and 3 DEB-NTC were observed in one case, 12 cases and 12 cases, respectively; and grades 1, 2 and 3 NCI-CTC were observed in 11 cases, 12 cases and one case, and VAS was $4.9{\pm}2.4$. Conclusions: Concomitant administration of GJG is useful in preventing neuropathy in breast cancer patients treated with a DOC regimen.

Keywords

Breast cancer;goshajinkigan;docetaxel;peripheral neuropathy;mecobalamin

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