Evidence map›Paper›PMID 30680071›Full record

ArticleOncotarget2018

Interest to consider re-challenging by cetuximab and platinum containing regimen in recurrent Head and Neck Cancer.

Christian Borel, Olivier Regnier-Gavier, Hélène Carinato, Sébastien Guihard, Delphine Antoni, Martin Demarchi, Florian Sirlin, Delphine Exinger, Emilie Petit-Jean, Alicia Thiery and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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.

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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

19 authors at 4 institutions in 2 countries.

Christian BorelMedical Oncology Department, Centre Paul Strauss, Strasbourg, France.
Olivier Regnier-GavierPharmacy Department, Centre Paul Strauss, Strasbourg, France.
Hélène CarinatoMedical Oncology Department, Centre Paul Strauss, Strasbourg, France.
Sébastien GuihardRadiotherapy Department, Centre Paul Strauss, Strasbourg, France.
Delphine AntoniRadiotherapy Department, Centre Paul Strauss, Strasbourg, France.
Martin DemarchiMedical Oncology Department, Centre Paul Strauss, Strasbourg, France.
Florian SirlinSupportive Care Department, Centre Paul Strauss, Strasbourg, France.
Delphine ExingerPharmacy Department, Centre Paul Strauss, Strasbourg, France.
Emilie Petit-JeanPharmacy Department, Centre Paul Strauss, Strasbourg, France.
Alicia ThieryBiostatistics Department, Centre Paul Strauss, Strasbourg, France.
Guy BronnerENT Specialist, Strasbourg, France.
Philippe SchultzENT Specialist, Strasbourg, France.
Henri FleschENT Specialist, Strasbourg, France.
Véronique FrasieSupportive Care Department, Centre Paul Strauss, Strasbourg, France.
Danielle PrébayPharmacy Department, Centre Paul Strauss, Strasbourg, France.
Thierry PetitMedical Oncology Department, Centre Paul Strauss, Strasbourg, France.
Alain C JungUniversité de Strasbourg, Inserm IRFAC UMR_S1113, group « STREINTH », Strasbourg, France.
Mickael BurgyMedical Oncology Department, Centre Paul Strauss, Strasbourg, France.
Pierre ColiatPharmacy Department, Centre Paul Strauss, Strasbourg, France.
Levi Strauss (United States) · USInterface (United States) · USHôpitaux Universitaires de Strasbourg · FRUniversité de Strasbourg · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe EXTREME protocol is the standard of care for recurrent or metastatic head and neck squamous-cell carcinoma (R/M HNSCC) in first line. Beyond the first-line except immunotherapy, poor efficacy was reported by second-line chemotherapy. Re-challenge strategies based on a repetition of the first line with platinum and cetuximab regimens might have been an option to consider.

methodsWe performed a retrospective study in order to assess the efficacy of the cetuximab plus platinum doublet-based chemotherapy regimen in patients with R/M HNSCC progressing after at least 3 months of cetuximab maintenance (EXTREME protocol). We complete a retrospective review of all medical records from R/M HNSCC patients treated after 16 weeks with the EXTREME regimen and treated with a re-challenge strategy between January 2010 and December 2014 in our institution (Centre Paul Strauss, Strasbourg, France).

results33 patients were identified. The re-challenged strategy provided an ORR in 33.3% of cases and a DCR of 69.6% of cases. The median OS and PFS observed from the second line were 11.2 months and 6.5 months for the subset re-challenged by EXTREME or PCC regimens respectively. The response rate between patients with a platin free interval within 3 and 6 months and greater than 6 months were equal. Drugs dose intensity were better with the PCC protocol than the EXTREME regimen used as a rechallenge.

conclusionsThis study suggest re-challenging strategy by these regimens could be considered beyond the first line as an option when the platin free interval is greater than 3 months.

Indexed as

EXTREMEHNSCCplatinum free Intervalre-challenge

Identifiers

PMID30680071
PMCPMC6331031
OpenAlexW2906594421

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.