J 2016

Long-term remission of locally recurrent oropharyngeal cancer after docetaxel-based chemotherapy plus cetuximab

SZTURZ, Petr, Pol SPECENIER, Carl VAN LAER, Danielle VAN DEN WEYNGAERT, Bob CORTHOUTS et. al.

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 1.660

RIV identification code

RIV/00216224:14110/16:00090827

Organization unit

Faculty of Medicine

UT WoS

000375607700038

Keywords in English

Tonsil cancer; Positron emission tomography; Taxanes; Targeted therapy; Epidermal growth factor receptor inhibitor

Tags

Tags

International impact, Reviewed
Změněno: 15/9/2016 15:20, Soňa Böhmová

Abstract

V originále

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.