Evidence map›Paper›PMID 31989702›Full record

Trial reportHead & neck2020

Paired phase II trials evaluating cetuximab and radiotherapy for low risk HPV associated oropharyngeal cancer and locoregionally advanced squamous cell carcinoma of the head and neck in patients not eligible for cisplatin.

Paul L Swiecicki, Pin Li, Emily Bellile, Chaz Stucken, Kelly Malloy, Andrew Shuman, Matthew E Spector, Steven Chinn, Keith Casper, Scott McLean and 10 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Head & neck, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
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

20 authors at 1 institution in 1 country.

Paul L SwiecickiDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0003-2286-3555
Pin LiDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan.
Emily BellileDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan.
Chaz StuckenDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Kelly MalloyDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Andrew ShumanDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Matthew E SpectorDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0001-7646-6075
Steven ChinnDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Keith CasperDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Scott McLeanDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Jeffery MoyerDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Douglas ChepehaDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Gregory T WolfDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Mark PrinceDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.
Carol BradfordDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-2768-4532
Mukesh NyatiDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Avraham EisbruchDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Francis P WordenDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Shruti JollyDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
Michelle MierzwaDepartment of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.
University of Michigan · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alexey I Nesvizhskii · 1988 to 2026
$178.2M
Therapeutic Potential and Mechanism of Action of Potent Small Molecule InhibitorsP50CA097248 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOLF, GREGORY T · 2002 to 2013
$25.3M
Advanced Research Training in OtolaryngologyT32DC005356 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CORFAS, GABRIEL · 2002 to 2021
$3.5M
Integration of EGFR Inhibitors with Radiochemotherapy in Head and Neck CancerR01CA131290 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NYATI, MUKESH K. · 2009 to 2013
$1.5M
NCI NIH HHS P30 CA046592NCI NIH HHS P50 CA097248NCI NIH HHS R01 CA131290NIDCD NIH HHS T32 DC005356
6 · The paper itself

Abstract

backgroundAlternative therapeutic strategies are needed for localized oropharyngeal carcinoma. Cetuximab represents a potential option for those ineligible for cisplatin or, until recently, an agent for de-escalation in low risk HPV+ oropharyngeal carcinoma (OPSCC). Our objective was to define the toxicity and efficacy of cetuximab-radiotherapy.

methodsWe conducted paired phase II trials evaluating cetuximab-radiotherapy in two cohorts (a) low risk HPV+ OPSCC and (b) cisplatin ineligible. The mean follow-up was 48 months.

resultsForty-two patients were enrolled in cohort A with a 2-year disease free survival (DFS) of 81%. Twenty-one patients were enrolled in cohort B prior to closure due to adverse outcomes with a 2-year DFS of 37%. Severe toxicities were seen in 60% of patients, 30% required enteral nutrition.

conclusionAmong cisplatin ineligible patients, cetuximab treatment engendered poor outcomes. Rates of severe toxicities were on par with platinum-based regimens suggesting that cetuximab is not a benign treatment.

Indexed as

Head and Neck NeoplasmsOropharyngeal NeoplasmsPapillomavirus InfectionsCetuximabChemoradiotherapyCisplatinHumansSquamous Cell Carcinoma of Head and NeckCetuximabCisplatincetuximabchemoradiotherapyde-escalationhead and neck cancerhuman papillomavirus

Identifiers

PMID31989702
PMCPMC7404812
OpenAlexW3003653123

What OpenQuestion holds

Textmetadata
LicenceTDM
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.