Evidence map›Paper›PMID 27733374›Full record

Trial reportAnnals of oncology : official journal of the European Society for Medical Oncology2016

Phase II trial of post-operative radiotherapy with concurrent cisplatin plus panitumumab in patients with high-risk, resected head and neck cancer.

R L Ferris, J L Geiger, S Trivedi, N C Schmitt, D E Heron, J T Johnson, S Kim, U Duvvuri, D A Clump, J E Bauman and 3 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Annals of oncology : official journal of the European Society for Medical Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00798655 (A Phase II Trial of Postoperative Radiation, Cisplatin, and Panitumumab in Locally Advanced Head and Neck Cancer), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% of its field
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.

NCT00798655 phase2completednot on this map

A Phase II Trial of Postoperative Radiation, Cisplatin, and Panitumumab in Locally Advanced Head and Neck Cancer

TypeinterventionalSponsorRobert FerrisRan2007 to 2016Enrolled46ConditionsCancer of Head, Cancer of Head and Neck, Cancer of Neck, Cancer of the HeadArmsPanitumumab, Cisplatin, Radiation Therapy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  10. Dose predictions for [EJNMMI radiopharmacy and chemistry · 2021
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  16. Polymorphisms inJournal of clinical medicine · 2019
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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

13 authors at 5 institutions in 2 countries.

R L FerrisCancer Immunology Program, University of Pittsburgh Cancer Institute, Pittsburgh ferrrl@upmc.edu.
J L GeigerInternal Medicine, Division of Hematology/Oncology, University of Pittsburgh, Pittsburgh.
S TrivediDepartments of Otolaryngology, Division of Head and Neck Surgery.
N C SchmittDepartment of Otolaryngology, Johns Hopkins University, Baltimore.
D E HeronCancer Immunology Program, University of Pittsburgh Cancer Institute, Pittsburgh.
J T JohnsonDepartments of Otolaryngology, Division of Head and Neck Surgery.
S KimDepartments of Otolaryngology, Division of Head and Neck Surgery.
U DuvvuriDepartments of Otolaryngology, Division of Head and Neck Surgery.
D A ClumpCancer Immunology Program, University of Pittsburgh Cancer Institute, Pittsburgh.
J E BaumanCancer Immunology Program, University of Pittsburgh Cancer Institute, Pittsburgh.
J P OhrCancer Immunology Program, University of Pittsburgh Cancer Institute, Pittsburgh.
W E GoodingCancer Immunology Program, University of Pittsburgh Cancer Institute, Pittsburgh.
A ArgirisDepartment of Medical Oncology, Hygeia Hospital, Athens, Greece.
University of Pittsburgh · USUPMC Hillman Cancer Center · USHygeia Hospital · GRJohns Hopkins University · USNational Institute on Deafness and Other Communication Disorders · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
WILD TYPE P53-BASED ADJUVANT IMMUNOTHERAPY FOR SCCHNP50CA097190 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHRISTOPHER J. BAKKENIST · 2004 to 2026
$49.6M
Mechanisms and Optimal Combinations of Cisplatin Chemotherapy for Head and Neck Squamous Cell CarcinomaZIADC000090 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI SCHMITT, NICOLE · 2016 to 2020
$3.9M
Postdoctoral Training in Head and Neck OncologyT32CA060397 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZEVALLOS, JOSE P. · 1994 to 2024
$2.7M
Immune activation by cetuximab in head and neck cancer patientsR01DE019727 · NIDCR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FERRIS, ROBERT L. · 2010 to 2014
$2.0M
NCI NIH HHS P30 CA047904NCI NIH HHS P50 CA097190NCI NIH HHS T32 CA060397NIDCR NIH HHS R01 DE019727
6 · The paper itself

Abstract

backgroundTreatment intensification for resected, high-risk, head and neck squamous cell carcinoma (HNSCC) is an area of active investigation with novel adjuvant regimens under study. In this trial, the epidermal growth-factor receptor (EGFR) pathway was targeted using the IgG2 monoclonal antibody panitumumab in combination with cisplatin chemoradiotherapy (CRT) in high-risk, resected HNSCC. PATIENTS AND

methodsEligible patients included resected pathologic stage III or IVA squamous cell carcinoma of the oral cavity, larynx, hypopharynx, or human-papillomavirus (HPV)-negative oropharynx, without gross residual tumor, featuring high-risk factors (margins <1 mm, extracapsular extension, perineural or angiolymphatic invasion, or ≥2 positive lymph nodes). Postoperative treatment consisted of standard RT (60-66 Gy over 6-7 weeks) concurrent with weekly cisplatin 30 mg/m

resultsForty-six patients were accrued; 44 were evaluable and were analyzed. The median follow-up for patients without recurrence was 49 months (range 12-90 months). The probability of 2-year PFS was 70% (95% CI = 58%-85%), and the probability of 2-year OS was 72% (95% CI = 60%-87%). Fourteen patients developed recurrent disease, and 13 (30%) of them died. An additional five patients died from causes other than HNSCC. Severe (grade 3 or higher) toxicities occurred in 14 patients (32%).

conclusionsIntensification of adjuvant treatment adding panitumumab to cisplatin CRT is tolerable and demonstrates improved clinical outcome for high-risk, resected, HPV-negative HNSCC patients. Further targeted monoclonal antibody combinations are warranted. REGISTERED CLINICAL TRIAL NUMBER: NCT00798655.

Indexed as

AdultAgedAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Squamous CellCisplatinCombined Modality TherapyDisease-Free SurvivalErbB ReceptorsFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingAntibodies, MonoclonalCisplatinEGFR protein, humanErbB ReceptorsPanitumumabcisplatin chemoradiotherapyclinical trialhead and neck squamous cell carcinomapanitumumab

Identifiers

PMID27733374
PMCPMC5178143
OpenAlexW2531150348

What OpenQuestion holds

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Registered trials

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.