SZTURZ, Petr, Pol SPECENIER, Carl VAN LAER, Danielle VAN DEN WEYNGAERT, Bob CORTHOUTS, Laurens CARP, Eric VAN MARCK, Olivier VANDERVEKEN and Jan B. VERMORKEN. Long-term remission of locally recurrent oropharyngeal cancer after docetaxel-based chemotherapy plus cetuximab. European Archives of Oto-Rhino-Laryngology and Head & Neck. NEW YORK: SPRINGER, 2016, vol. 273, No 6, p. 1629-1636. ISSN 0937-4477. Available from: https://dx.doi.org/10.1007/s00405-015-3673-y.
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Basic information
Original name Long-term remission of locally recurrent oropharyngeal cancer after docetaxel-based chemotherapy plus cetuximab
Authors SZTURZ, Petr (203 Czech Republic, guarantor, belonging to the institution), Pol SPECENIER (56 Belgium), Carl VAN LAER (56 Belgium), Danielle VAN DEN WEYNGAERT (56 Belgium), Bob CORTHOUTS (56 Belgium), Laurens CARP (56 Belgium), Eric VAN MARCK (56 Belgium), Olivier VANDERVEKEN (56 Belgium) and Jan B. VERMORKEN (56 Belgium).
Edition European Archives of Oto-Rhino-Laryngology and Head & Neck, NEW YORK, SPRINGER, 2016, 0937-4477.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 1.660
RIV identification code RIV/00216224:14110/16:00090827
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1007/s00405-015-3673-y
UT WoS 000375607700038
Keywords in English Tonsil cancer; Positron emission tomography; Taxanes; Targeted therapy; Epidermal growth factor receptor inhibitor
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 15/9/2016 15:20.
Abstract
In recurrent head and neck squamous cell carcinoma ineligible for resection or irradiation, treatment aims primarily at symptom control and quality of life enhancement with an expected outcome of 6-12 months. In 2005, a male patient, born in 1944, with a second local recurrence of human papillomavirus negative tonsil cancer was enrolled in the EXTREME trial, and randomized to platinum/5-fluorouracil/cetuximab arm resulting in partial remission with progression-free survival of 12 months. The second-line systemic therapy comprised 5 cycles of 3-weekly docetaxel/cisplatin/5-fluorouracil regimen plus weekly cetuximab. As confirmed on imaging and repeated biopsies, complete response was achieved with disease-free survival of 8 years and follow-up period of 12 years. Severe acute toxicities during the taxane-based chemotherapy plus cetuximab included grade 4 anorexia and grade 3 febrile neutropenia. Poor tumor differentiation, no weight loss, oropharyngeal location, white race, and particularly the induced complete response were most likely the key favorable prognostic factors in the reported patient. The possibility of a synergistic interaction between taxanes and cetuximab should be further explored.
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