Anyone doing Taxotere+Herceptin only after FEC?

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Alicethecat
Alicethecat Member Posts: 535

Hi everyone

I've noticed that the regimen in the US after initial chemo is often TCH - Taxotere, Cisboplatin and Herceptin.

My oncologist has put me on FEC x 4 then Taxotere/Herceptin x 4 with Herceptin to continue for  a year.

Anyone else doing the same? (No platinum based treatment at this stage).

Alice

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  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2012

    alice - most of us here who are Her2+ get one of two regimens - TCH or AC-TH.  The first is Taxotere, Carboplatin (or Cytoxan) and Herceptin.  It is the initial chemo - that combo receives Herceptin at the start because Taxotere does not carry the same cardiotoxicity as Adriamycin.  For most of us the frequency is 6 cycles of TCH, continuing Herceptin for the year. If the invasive component of the cancer is quite tiny some receive 4 cycles, continuing the Herceptin for the year. The second combo is Adriamycin (essentially your Epirubicin), Cytoxan (Cyclophosphamide), and then once that is done usually Taxol and Herceptin. I believe that the AC combo is given a number of times depending on size and whether neo or adjuvent treatment, then the switch to the TH combo, with the Herceptin continuing for the year. So, it would seem that what you are getting is most comparable to the AC-TH combination.

  • melster
    melster Member Posts: 96
    edited June 2012

    I had 12 weekly Taxols + Herceptin, followed by 4 FEC + Herceptin. Now I'm on Herceptin every 3 weeks til October.

  • SpecialK
    SpecialK Member Posts: 16,486
    edited June 2012
  • rozem
    rozem Member Posts: 1,375
    edited June 2012

    hi alice

    FEC D which is what you are on is a very common canadian protocol (uk,austrialia aswell) it is similar to ACT

    i had 3 cycles of fec then i had 3 cycles of taxotere (that is the D) they started the herceptin with the taxotere (docetaxol)

  • LouLou40
    LouLou40 Member Posts: 180
    edited June 2012

    Alice TCH is a different chemo protocol than FEC-TH

    Both have been shown to be effective for treating breast cancer through clinical trials, often it's the Onc personal preference to which chemo combo they recommend, I did AC TH, which is often used as well.

  • Lutienyc
    Lutienyc Member Posts: 9
    edited June 2012

    Kayb, I am on the same protocol as Melster. It is the MD Anderson protocol. My hospital in NYC adopted it in January. It is showing better results regarding CPR and rates of recurrence, in specific groups of women.

  • Lutienyc
    Lutienyc Member Posts: 9
    edited June 2012

    Kayb, what was the trial for?

    The protocol I was on, is used for node positive, her2+ advanced stage.

    Taxol first to kill any floating cancer cells the FEC afterwards to target the breast cancer cells.

  • Lutienyc
    Lutienyc Member Posts: 9
    edited June 2012

    Kayb .I had the same treatment as Meister as I posted above

  • melster
    melster Member Posts: 96
    edited June 2012

    I was not in a trial. I am in Texas and my MO followed the MD Anderson protocol. After chemo, I had my BMX and thankfully also achieved PCR. I had Herceptins with each chemo, Tough, that is correct. I am one of the only people I know who has had this chemo being HER2+, but I'm young (35) and my MO gave me the hardest stuff she could.

  • melster
    melster Member Posts: 96
    edited June 2012

    My heart has been fine so far...I get echoes every 3 months...and I had my bmx with immediate DIEP and it was a 9 hour sugery after 6 months of chemo and here I am two months later. Very thankful.

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