Docetaxel and cisplatin: An active regimen in patients with locally advanced, recurrent or metastatic squamous cell carcinoma of the head and neck
| Autor: | Ast Planting, A.H.G.J Schrijvers, Jean-Pierre Droz, Patrick Schöffski, Axel Hanauske, Jaap Verweij, L Gras, Jantien Wanders, G. Catimel, Dorien M. Schrijvers |
|---|---|
| Přispěvatelé: | Medical Oncology |
| Rok vydání: | 1999 |
| Předmět: |
Oncology
Chemotherapy medicine.medical_specialty Performance status business.industry medicine.medical_treatment Head and neck cancer Hematology medicine.disease Chemotherapy regimen Surgery Epidermoid carcinoma Docetaxel Internal medicine Medicine business Survival rate Neoadjuvant therapy medicine.drug |
| Zdroj: | Annals of Oncology, 10, 119-122. Elsevier Ltd. |
| ISSN: | 0923-7534 |
| DOI: | 10.1023/a:1008360323986 |
| Popis: | Summary Background Docetaxel and cisplatin are among the most active antitumor agents in head and neck cancer, and phase I studies found tne combination of the two drugs to be feasible. The EORTC ECSG performed a multicenter phase II study in patients with locally advanced, recurrent or metastatic squamous cell carcinoma of the head and neck to evaluate the antitumor efficacy and toxicity of this combination. Patients and methods Eligibility criteria included written informed consent, a WHO performance status 12 weeks, and adequate bone marrow, liver and renal function. Neoadjuvant pretreatment with cisplatin-based chemotherapy or prior radiotherapy were allowed. Patients were ineligible if pretreated with taxoids; had CNS involvement, concurrent malignancy, peripheral neuropathy, or no measurable disease. Treatment consisted of docetaxel 100 mg/m2(one-hour i.v. infusion), followed by cisplatin 75 mg/m2 (three-hour i.v. infusion), repeated every three weeks. Supportive care included hydration, 5HT3-antagonists, and corticosteroids. Results Forty-four patients (median age 55 years, range 35–76) entered the trial; 41 patients were eligible, 164 cycles of treatment were evaluable for toxicity, and 31 patients for response. Fourteen patients had undergone prior surgery, 15 had received radiotherapy, and five had had chemotherapy. A median number of four treatment cycles (range 1–6) was given. Hematologic and non-hematologic toxicities were common, but hypersensitivity reactions and fluid retention were very infrequent due to corticosteroid prophylaxis. Four patients were taken off the study due to toxicity, and one toxic death occurred due to pneumonia. Among 41 eligible patients, objective responses as confirmed by independent review included six complete remissions and 16 partial remissions, resulting in an overall response rate of 53.7% (95% confidence interval: 37.4%–69.3%). Responses occurred in locally advanced, recurrent and metastatic disease, both in pre- and non-pretreated patients. Of 22 evaluable, non-pretreated patients with locally advanced or metastatic disease, five achieved complete responses, and 14 partial responses. Observed among nine evaluable pretreated patients with locally advanced or metastatic head and neck cancer were one complete response and two partial responses. Conclusions The combination of docetaxel and cisplatin is feasible and active in locally advanced, recurrent, and metastatic squamous cell carcinoma of the head and neck. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|