Table 1.
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.