What is it about?

Surgical treatment is the mainstay of treatment strategy for locally advanced head and neck cancer. And post operative chemoradiotherapy for the patients with high-risk features can improve treatment outcomes. However, the standard treatment of 3-weekly cisplatin with 100 mg/m2 plus RT is not necessarily feasible treatment for these patients. Thus, we conducted a randomized phase II/III trial to prove non-inferiority of weekly cisplatin plus RT comparing with 3-weekly cisplatin plus RT in terms of overall survival.

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Why is it important?

The result provides evidence that weekly cisplatin plus RT can be a new standard treatment option for patients with postoperative high-risk LA-SCCHN.

Perspectives

Weekly cisplatin plus RT can provide equal efficacy and better safety for the post-operative high-risk HNSCC patients. This treatment may fit for the frail or elderly patients who are intolerable to high-dose cisplatin.

Naomi Kiyota
Kobe University Hospital

Read the Original

This page is a summary of: Weekly Cisplatin Plus Radiation for Postoperative Head and Neck Cancer (JCOG1008): A Multicenter, Noninferiority, Phase II/III Randomized Controlled Trial, Journal of Clinical Oncology, March 2022, American Society of Clinical Oncology (ASCO),
DOI: 10.1200/jco.21.01293.
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