Evidence map›Paper›PMID 24516537›Full record

ArticlePloS one2014

Cetuximab plus platinum-based chemotherapy in head and neck squamous cell carcinoma: a retrospective study in a single comprehensive European cancer institution.

Ramon Andrade de Mello, Sandra Gerós, Marcos Pantarotto Alves, Filipa Moreira, Isabel Avezedo, José Dinis

Abstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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  12. Benefit of cetuximab addition to a platinum-fluorouracil-based chemotherapy according to KRAS-LCS6 variant in an unselected population of recurrent and/or metastatic head and neck cancers.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Article
  13. Five-year outcome of ultrasound-guided interstitial permanentJournal of contemporary brachytherapy · 2019
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  16. Targeting BMI1Cell stem cell · 2017
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  19. Treatments and costs for recurrent and/or metastatic squamous cell carcinoma of the head and neck in the Netherlands.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ramon Andrade de MelloDepartment of Medical Oncology, Head and Neck Unit, Portuguese Oncology Institute, Porto, Portugal ; Department of Medicine and Biomedical Sciences, School of Medicine, University of Algarve, Faro, Portugal ; Department of Medicine, Faculty of Medicine, University of Porto, Porto, Portugal.
Sandra GerósService of Otorhinolaryngology, Head and Neck Unit, Portuguese Oncology Institute, Porto, Portugal ; Department of Otorhinolaryngology and Cervical Facial Surgery, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal.
Marcos Pantarotto AlvesDepartment of Medical Oncology, Head and Neck Unit, Portuguese Oncology Institute, Porto, Portugal.
Filipa MoreiraDepartment of Medicine, Faculty of Medicine, University of Porto, Porto, Portugal.
Isabel AvezedoDepartment of Medical Oncology, Head and Neck Unit, Portuguese Oncology Institute, Porto, Portugal.
José DinisDepartment of Medical Oncology, Head and Neck Unit, Portuguese Oncology Institute, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of cetuximab in combination with platinum (P) plus 5-fluorouracil (F) has previously been demonstrated to be effective in the treatment of metastatic squamous cell cancer of head and neck (SCCHN). We investigated the efficacy and outcome of this protocol as a first-line treatment for patients with recurrent or metastatic disease. We evaluated overall-survival (OS), progression-free-survival (PFS), overall response rate (ORR) and the treatment toxicity profile in a retrospective cohort. PATIENTS AND

methodsThis study enrolled 121 patients with untreated recurrent or metastatic SCCHN. The patients received PF+ cetuximab every 3 weeks for a maximum of 6 cycles. Patients with stable disease who received PF+ cetuximab continued to receive cetuximab until disease progressed or unacceptable toxic effects were experienced, whichever occurred first.

resultsThe median patient age was 53 (37-78) years. The patient cohort was 86.8% male. The addition of cetuximab to PF in the recurrent or metastatic setting provided an OS of 11 months (Confidential Interval, CI, 95%, 8.684-13.316) and PFS of 8 months (CI 95%, 6.051-9.949). The disease control rate was 48.9%, and the ORR was 23.91%. The most common grade 3 or 4 adverse events in the PF+ cetuximab regimen were febrile neutropenia (5.7%), skin rash (3.8%) and mucosistis (3.8%).

conclusionsThe results of this study suggest that cetuximab plus platinum-fluorouracil chemotherapy is a good option for systemic treatment in advanced SSCHN patients. This regimen has a well-tolerated toxicity profile.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Squamous CellCetuximabDisease-Free SurvivalEuropeFemaleFluorouracilHead and Neck NeoplasmsHumansMaleMiddle AgedNeoplasm GradingAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCetuximabFluorouracilPlatinum

Identifiers

PMID24516537
PMCPMC3916324

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.