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A phase ii study of docetaxel, cisplatin and 5- fluorouracil (TPF) in patients with locally advanced head and neck carcinomas
Joint Authors
Ansari, M.
Mosalaei, A.
Muslih-Shirazi, M. A.
Ahmadloo, N.
Muhammadianpanah, M.
Omidvari, Shapour
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 13, Issue 3 (31 Mar. 2011), pp.187-191, 5 p.
Publisher
Publication Date
2011-03-31
Country of Publication
United Arab Emirates
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background: The combination of cisplatin and 5-fluorouracil (PF) is currently considered a standard and effective regimen for the treatment of advanced head and neck carcinomas.
The aim of this study was to evaluate the efficacy and safety of docetaxel, cisplatin and 5-fluorouracil (TPF) in patients with unresectable head and neck carcinomas.
Methods: Forty-six patients with previously untreated non-metastatic stage IV head and neck carcinomas were enrolled.
All patients received three cycles of induction chemotherapy with docetaxel (75 mg/m2), cisplatin (40 mg/m2) (days 1-2), and 5-FU (500 mg/m2, days 1-3), repeated every 21 days.
Following induction chemotherapy, all patients underwent concurrent chemoradiotherapy using weekly cisplatin (30 mg/m2) and a median total dose of 70 Gy was delivered.
Clinical response rate and toxicity were the primary and secondary end-points of the study.
Results: There were 31 men and 15 women.
All patients had non-metastatic stage IV (T2-3N2-3 or T4N0-3) of disease.
Overall and complete response rates were 74% and 24% respectively.
Advanced T4 classification was associated with poorer response rate (p value=0.042).
The major (grade 3-4) treatment-related toxicities were myelosuppression (78%), anorexia (13%), diarrhea (7%), emesis (11%) and stomatitis/pharyngitis (24%).
Conclusion: In comparison with the data of historical published trials of the PF regimen, the TPF regimen was more effective.
However, the TPF regimen appears to be associated with a higher incidence of major toxicities.
Therefore, our limited findings support the TPF regimen as an alternative chemotherapeutic regimen for advanced head and neck carcinomas.
American Psychological Association (APA)
Ansari, M.& Omidvari, Shapour& Mosalaei, A.& Ahmadloo, N.& Muslih-Shirazi, M. A.& Muhammadianpanah, M.. 2011. A phase ii study of docetaxel, cisplatin and 5- fluorouracil (TPF) in patients with locally advanced head and neck carcinomas. Iranian Red Crescent Medical Journal،Vol. 13, no. 3, pp.187-191.
https://search.emarefa.net/detail/BIM-268332
Modern Language Association (MLA)
Ansari, M.…[et al.]. A phase ii study of docetaxel, cisplatin and 5- fluorouracil (TPF) in patients with locally advanced head and neck carcinomas. Iranian Red Crescent Medical Journal Vol. 13, no. 3 (Mar. 2011), pp.187-191.
https://search.emarefa.net/detail/BIM-268332
American Medical Association (AMA)
Ansari, M.& Omidvari, Shapour& Mosalaei, A.& Ahmadloo, N.& Muslih-Shirazi, M. A.& Muhammadianpanah, M.. A phase ii study of docetaxel, cisplatin and 5- fluorouracil (TPF) in patients with locally advanced head and neck carcinomas. Iranian Red Crescent Medical Journal. 2011. Vol. 13, no. 3, pp.187-191.
https://search.emarefa.net/detail/BIM-268332
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 190-191
Record ID
BIM-268332