Evidence map›Paper›PMID 41344314›Full record

ReviewJournal of the National Cancer Institute2026

Cisplatin during radiation for head and neck cancer: insights from NRG Oncology experience.

Luana G Sousa, James Edward Bates, Payal Anand, Jimmy J Caudell, A Dimitrios Colevas, Christina L Runge, Jeffrey D Sharon, Musaddiq Awan, Beth M Beadle, Jennifer H Choe and 13 more

Abstract readReview
In one paragraph

Review in Journal of the National Cancer Institute, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

23 authors.

Luana G SousaThoracic Head and Neck Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, United States.
James Edward BatesDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, GA, United States.ORCID 0000-0001-7060-7156
Payal AnandDepartment of Otolaryngology Head and Neck Surgery, University of California San Francisco, San Francisco, CA, United States.
Jimmy J CaudellDepartment of Radiation Oncology, Moffitt Cancer Center, Tampa, FL, United States.ORCID 0000-0001-6417-2483
A Dimitrios ColevasDivision of Oncology, Department of Medicine, Stanford University, Stanford, CA, United States.ORCID 0000-0003-3849-4264
Christina L RungeDepartment of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, CA, United States.ORCID 0000-0003-0330-5857
Jeffrey D SharonDepartment of Otolaryngology Head and Neck Surgery, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0003-4892-5064
Musaddiq AwanDepartment of Radiation Oncology, Medical College of Wisconsin, Milwaukee, WI, United States.
Beth M BeadleDepartment of Radiation Oncology, Stanford University, Stanford, CA, United States.ORCID 0000-0001-5497-2831
Jennifer H ChoeHead and Neck Medical Oncology, Vanderbilt University Medical Center, Nashville, TN, United States.ORCID 0000-0002-9279-0235
Paul W GidleyHead and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0003-3706-8781
Paul M HarariDepartment of Human Oncology, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States.
Christina HensonDepartment of Radiation Oncology, University of Oklahoma, Oklahoma City, OK, United States.ORCID 0000-0002-5419-4125
Jed A KatzelPermanente Medical Group, San Francisco, CA, United States.ORCID 0000-0002-3037-018X
Nancy Y LeeDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, United States.ORCID 0000-0003-3044-9522
Lachlan McDowellDepartment of Radiation Oncology, Princess Alexandra Hospital, Brisbane, QLD, Australia.ORCID 0000-0002-4268-3079
Loren K MellDepartment of Radiation Medicine and Applied Sciences, University of California San Diego, La Jolla, CA, United States.ORCID 0000-0003-2277-6080
Marc-Elie NaderHead and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0001-9295-0174
Soumon RudraDepartment of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, GA, United States.
Kaiwen WangDivision of Pharmacy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States.ORCID 0000-0003-2881-8181
George YangDepartment of Radiation Oncology, Moffitt Cancer Center, Tampa, FL, United States.ORCID 0000-0003-4745-2592
Sue S YomDepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0002-0779-7476
Trisha M Wise-DraperDivision of Hematology/Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, OH, United States.ORCID 0000-0002-7279-4028

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
NCI NIH HHSNCI NIH HHS P30 CA008748NCI NIH HHS U10 CA180868NIH HHS U10CA180868NRG Oncology Operations
6 · The paper itself

Abstract

backgroundCisplatin remains the cornerstone radiosensitizer for definitive and adjuvant chemoradiation in patients with locally advanced squamous cell carcinoma of the head and neck. However, despite decades of clinical use, many practical aspects of cisplatin administration remain unstandardized in clinical practice and trials.

methodsDrawing on the collective experience of the NRG Oncology Head and Neck Working Group, this consensus article provides practical guidance on the administration of cisplatin during radiation therapy. We review and propose recommendations regarding the timing of chemotherapy and radiation initiation, premedication and hydration regimens by dose, monitoring and grading of cisplatin-induced ototoxicity, and management strategies during cisplatin shortages. Our guidance is informed by clinical trial protocols, retrospective and prospective data, and multidisciplinary expert consensus. We emphasize the importance of protocol flexibility to support equitable trial accrual, minimize treatment delays, and improve patient-centered outcomes.

conclusionsThis article offers a unified framework to optimize the use of cisplatin in chemoradiation protocols, improve adherence, reduce toxicity, and preserve oncologic efficacy. Our recommendations are particularly timely in the context of evolving clinical practices and recent cisplatin shortages. Insights from the NRG Oncology collaborative group aim to inform future trial designs and clinical practice guidelines, ensuring consistent and equitable care for patients with head and neck cancer.

Indexed as

Antineoplastic AgentsCarcinoma, Squamous CellChemoradiotherapyCisplatinHead and Neck NeoplasmsRadiation-Sensitizing AgentsHumansSquamous Cell Carcinoma of Head and NeckAntineoplastic AgentsCisplatinRadiation-Sensitizing Agents

Identifiers

PMID41344314
PMCPMC12849746

What OpenQuestion holds

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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.