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. 2013 Jan 28;31(9):e137–e140. doi: 10.1200/JCO.2012.43.2716

Table 1.

Clinical Characteristics and Responses of Patients With Squamous-Cell Carcinoma of the Head and Neck Treated With mTOR Inhibitor-Based Regimens

Characteristic Patient No.
1 2 3 4 5
Age at treatment, years 16 56 73 49 59
Previous treatments Surgery and neck dissection Radiation Subtotal glossectomy and bilateral dissection Surgery; radiation Radiation
Chemoradiation with cisplatin Interferon/vitamin E/13-cis-retinoic acid Four therapeutic regimens including cisplatin, fluorouracil, docetaxel, cetuximab, everolimus, and erlotinib Six therapeutic regimens including trastuzumab, cisplatin, paclitaxel, sorafenib, carboplatin, cixutumumab, and linsitinib Two therapeutic regimens including: paclitaxel, carboplatin, brachytherapy, hyperthermia, cetuximab, docetaxel, cisplatin, and fluorouracil
Carboplatin/docetaxel Six therapeutic regimens including: cetuximab, carboplatin, paclitaxel, gemcitabine, docetaxel, and cetuximab Radiation Additional surgery Additional radiation
Additional surgeries Additional surgeries Surgeries
Disease site Oral cavity Tongue base Tongue base Oral tongue Right tonsil
PIK3CA mutation E542K E542K H1047R No No
PTEN Present Present Not done Absent Absent
HPV Status Negative Negative Negative Negative Positive
Treatment Temsirolimus Temsirolimus Temsirolimus/bevacizumab Temsirolimus/bevacizumab Temsirolimus/bevacizumab
No. of treatment cycles 2 2 2 5 16
Time to tumor progression, months 1.5 1.5 1.5+* 3.3 11.5
Overall survival, months 2.9 1.5 1.5+* 5.1 15.5
Best RECIST response, % 20 25 −38 −24 −32

Abbreviations: HPV, human papillomavirus; mTOR, mammalian target of rapamycin; PTEN, phosphate and tensin homolog.

*

Patient stopped treatment after 1.5 months and had 38% tumor regression at that point. The patient did not return to follow-up with us to determine when his tumor began to progress, but we were informed of his date of death.