التفاصيل البيبلوغرافية
العنوان: |
Paclitaxel-Ifosfamide-based Therapy as Salvage Treatment in Platinum-resistant Recurrent/Metastatic Head and Neck Cancer. |
المؤلفون: |
MING-YU CHOU, WEN-CHI WU, PEN-YUAN CHU, SHYH-KUAN TAI, MU-HSIN CHANG, PETER, TSUNG-LUN LEE, TIEN-HUA CHEN, MUH-HWA YANG |
المصدر: |
In Vivo; Jul/Aug2024, Vol. 38 Issue 4, p1891-1899, 9p |
مصطلحات موضوعية: |
PACLITAXEL, IFOSFAMIDE, HEAD & neck cancer treatment, MEDICATION safety, DRUG efficacy |
مستخلص: |
Background: Treatment options are limited, and the prognosis is poor for patients with platinum-resistant recurrent metastatic (R/M) head and neck squamous cell carcinoma (HNSCC). This study evaluated the efficacy and safety of a paclitaxel and ifosfamide (TI) regimen in patients with R/M HNSCC whose disease had progressed following platinum-based therapy. Patients and Methods: In this retrospective study, we included 53 patients with R/M HNSCC who underwent at least one cycle of TI-based therapy, post platinum failure, between February 2020 and August 2023. Some patients received the TI regimen in combination with immunotherapy and/or cetuximab. Key metrics assessed included the objective response rate (ORR), disease control rate, and progression-free as well as overall survival. Results: The study observed an ORR of 15.8% and a disease control rate of 36.8%. The median progression-free survival for the entire cohort was 3.3 months, and the median overall survival was 9.6 months. Notably, the combination of TI with immunotherapy yielded a higher ORR of 30.8%, compared to 14.3% with TI alone. The most prevalent grade 1-2 adverse events were anemia (81%), weight loss (68%) and hypernatremia (55%). Conclusion: The TI-based regimen demonstrated favorable efficacy and safety profile in treating R/M HNSCC. Enhanced outcomes may be attainable when combining it with immunotherapy. This study suggests that TI-based therapy could serve as a potential salvage option for this specific patient group. [ABSTRACT FROM AUTHOR] |
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قاعدة البيانات: |
Complementary Index |