A phase I trial of docetaxel based induction and concomitant chemotherapy in patients with locally advanced head and neck cancer

被引:8
|
作者
Seiwert, Tanguy Y.
Cohen, Ezra E. W.
Haraf, Daniel J.
Stenson, Kerstin
Blair, Elizabeth A.
Mauer, Ann
Dekker, Allison
Vokes, Everett E.
机构
[1] Univ Chicago, Hematol Oncol Sect, Canc Res Ctr, Chicago, IL 60637 USA
[2] Univ Chicago, Dept Radiat Oncol, Chicago, IL 60637 USA
[3] Univ Chicago, Dept Surg Otorhinolaryngol, Chicago, IL 60637 USA
关键词
phase I; locally advanced head and neck cancer; docetaxel; chemoradiotherapy; induction chemotherapy; 5-FU; hydroxyurea;
D O I
10.1080/07357900701357993
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The purpose of this study was to determine the maximum tolerated dose (MTD) of docetaxel based induction and concomitant chemoradiotherapy (CRT) after using the FHX platform (5 = 5-FU, H = hydroxyurea, X = Radiation). Patients with Stage III/IV locally advanced HNSCC were enrolled. Induction chemotherapy (carboplatin/docetaxel) was followed by 5 cycles of concomitant docetaxel based CRT. No DLTs were observed in dose levels 1/2 for induction and CRT. Dose level 2 was expanded. The overall survival CR rate after CRT was 79 percent. Median overall (OS) has not been reached and 2-year OS is 80.7 percent. The recommended Phase II dose of docetaxel with FHX CRT is 25 mg/m(2) and 35 mg/m(2) in combination with carboplatin induction (AUC = 6).
引用
收藏
页码:435 / 444
页数:10
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