The dogma of cetuximab in advanced squamous cell carcinoma of the head and neck after failure of surgery and radiotherapy: is it true among patients in upper Egypt?

cetuximab progression-free survival recurrence squamous cell carcinoma of head and neck

Journal

Ecancermedicalscience
ISSN: 1754-6605
Titre abrégé: Ecancermedicalscience
Pays: England
ID NLM: 101392236

Informations de publication

Date de publication:
2023
Historique:
received: 09 05 2023
medline: 28 2 2024
pubmed: 28 2 2024
entrez: 28 2 2024
Statut: epublish

Résumé

We aimed from the current study to explore the treatment results of cetuximab in combination with a weekly carboplatin and paclitaxel regimen in advanced squamous cell carcinoma of head and neck (HNSCC) after failure of radiotherapy and chemotherapy. This study was a non-randomised, single arm, phase 2 efficacy study conducted in two oncology centres in upper Egypt, we recruited 31 patients with recurrent HNSCC previously treated with concurrent chemoradiation ± surgery to receive weekly cetuximab, carboplatin and paclitaxel for 18 weeks followed by maintenance cetuximab every 2 weeks for 12 months. All patients underwent intention to treat analysis. The current study revealed a significant reduction of the size of recurrent primary lesion ( Based on favourable treatment outcomes, including high ORR and disease control rate, improved median PFS and tolerable toxicity profile, the current weekly cetuximab, carboplatin and paclitaxel with 1 year maintenance cetuximab in responding patients is considered a feasible and effective regimen.

Sections du résumé

Background and aim UNASSIGNED
We aimed from the current study to explore the treatment results of cetuximab in combination with a weekly carboplatin and paclitaxel regimen in advanced squamous cell carcinoma of head and neck (HNSCC) after failure of radiotherapy and chemotherapy.
Methods UNASSIGNED
This study was a non-randomised, single arm, phase 2 efficacy study conducted in two oncology centres in upper Egypt, we recruited 31 patients with recurrent HNSCC previously treated with concurrent chemoradiation ± surgery to receive weekly cetuximab, carboplatin and paclitaxel for 18 weeks followed by maintenance cetuximab every 2 weeks for 12 months. All patients underwent intention to treat analysis.
Results UNASSIGNED
The current study revealed a significant reduction of the size of recurrent primary lesion (
Conclusion UNASSIGNED
Based on favourable treatment outcomes, including high ORR and disease control rate, improved median PFS and tolerable toxicity profile, the current weekly cetuximab, carboplatin and paclitaxel with 1 year maintenance cetuximab in responding patients is considered a feasible and effective regimen.

Identifiants

pubmed: 38414964
doi: 10.3332/ecancer.2023.1611
pii: can-17-1611
pmc: PMC10898904
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1611

Informations de copyright

© the authors; licensee ecancermedicalscience.

Déclaration de conflit d'intérêts

The authors declared that there were no financial or non-financial competing interests with this work.

Auteurs

Amal Rayan (A)

Clinical Oncology Department, Faculty of Medicine, Assiut University, Assiut 71515, Egypt.
https://orcid.org/0000-0001-5995-9177.

Mohammed S Shahine (MS)

Maxillofacial Surgery, General Surgery Department, Faculty of Medicine, Assiut University, Assiut 71515, Egypt.

Khalid Rezk (K)

Surgical Oncology Department, South Egypt Cancer Institute, Assiut University, Assiut 71515, Egypt.

Asmaa M Zahran (AM)

Clinical Pathology Department, South Egypt Cancer Institute, Assiut University, Assiut 71515, Egypt.

Mohamed Modather Aboshanif (MM)

Otorhinolaryngology Department, Faculty of Medicine, Assiut University, Assiut 71515, Egypt.

Doaa A Gamal (DA)

Clinical Oncology Department, Faculty of Medicine, Assiut University, Assiut 71515, Egypt.

Classifications MeSH