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This entry refers to the neoadjuvant chemotherapy regimens doxorubicin plus cyclophosphamide (AC) and docetaxel plus cyclophosphamide (TC) as utilized in a Duke University-sponsored Phase II clinical trial. The study (NCT00821964) evaluated the use of genomic expression profiling to guide the selection between these two standard-of-care treatments for patients with HER2-negative early-stage breast cancer. Doxorubicin is an anthracycline that inhibits topoisomerase II and intercalates DNA; cyclophosphamide is an alkylating agent that induces DNA cross-linking; and docetaxel is a taxane that stabilizes microtubules. The trial aimed to determine if a genomic-guided approach could improve pathological complete response rates compared to random assignment.
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