Table 3.
Selected Trials of Induction chemotherapy
Study | Patient characteristics | Treatment | OS | DM | Comments |
---|---|---|---|---|---|
EORTC 24891 (Lefebvre) | 194 pts
Stage II-IV HP |
surgery + post-op RT (S+RT) vs. cisplatin/5FU→RT (IND) | 5 yr OS
30% (S+RT) 35% (IND) |
5 yr DM
36% (S+RT) 25%(IND)* |
Chemotherapy arm had 5 yr larynx preservation of 36% |
GETTEC trial (Domenge) | 318 pts
Stage T2-4N0-2b OP |
surgery ± post-op RT (S+RT) or RT alone vs. cisplatin/5FU→surgery, RT (IND) | Median OS
3.3 yrs (S+RT or RT) 5.1 yrs (IND)* |
NR | Less local recurrence in induction chemotherapy group |
VA larynx | 332 pts
Stage III/IV larynx |
surgery + post-op RT (S+RT) vs. cisplatin/5FU →RT (IND) | 2 yr OS
68% (S+RT) 68% (IND) |
NR | NA |
OS= overall survival, DM= distant metastases, HP = hypopharynx, OP = oropharynx, 5FU = 5-fluorouracil, post-op = post-operative, IND = induction chemotherapy, S= surgery, RT= radiation treatment,
= p≤0.05, NR = not reported