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. 2019 Sep 4;92(1102):20181031. doi: 10.1259/bjr.20181031

Table 2.

Clinical trials investigating IC addition to CCRT in nasopharyngeal carcinoma

Clinical trials Recruitment period Phase Study arms Chemotherapy regime No. of patients Overall survival p-value Progression-free survival P-value
Hui 2009 2002–2004 II IC + CCRT IC: cisplatin 75 mg/m2 d1 +docetaxel 75 mg/m2 d1, Q3W for two cycles
CC: cisplatin 40 mg/m2 d1, QW for eight cycles
34 94.1% 0.012 88.2% 0.12
CCRT 31 67.7% 59.5%
Fountzilas 2012 2003–2008 II IC + CCRT IC: epirubicin 75 mg/m2 d1 +paclitaxel 175 mg/m2 d1 +cisplatin 75 mg/m2 d2, Q3W for three cycles
CC: cisplatin 40 mg/m2 d1, QW for eight cycles
72 70% 0.89 65% 0.38
CCRT 69 59% 64%
Tan 2015 2004–2012 II/III IC + CCRT IC: carboplatin AUC = 2.5 d1 +gemcitabine 1000 mg/m2 d1, d8 +paclitaxel 70 mg/m2 d1, d8, Q3W for three cycles
CC: cisplatin 40 mg/m2 d1, QW for eight cycles
86 94.3% 0.494 74.9% 0.362
CCRT 86 92.3% 67.4%
Sun 2016 2011–2013 III IC +CCRT IC: cisplatin 60 mg/m2 d1 +docetaxel 60 mg/m2 d1 +fluorouracil 600 mg/m2/day d1-5, Q3W for three cycles
CC: cisplatin 100 mg/m2 d1, Q3W for three cycles
241 92% 0.029 80% 0·034
CCRT 239 86% 72%
Cao 2017 2008–2015 III IC +CCRT IC: cisplatin 80 mg/m2 d1 +fluorouracil 800 mg/m2/day d1-5, Q3W for two cycles
CC: cisplatin 80 mg/m2 d1, Q3W for three cycles
238 88.2% 0.815 82.0% 0.028
CCRT 238 88.5% 74.1%
Frikha 2018 2009–2012 III IC +CCRT IC: docetaxel 75 mg/m2 d1 +cisplatin 75 mg/m2 d1 +fluorouracil 750 mg/m2/day d1-5, Q3W for three cycles
CC: cisplatin 40 mg/m2 d1, QW for seven cycles
42 86.3% 0.059 73.9% 0.042
CCRT 41 68.9% 57.2%
Hong 2018 2003–2009 III IC +CCRT IC: mitomycin 8 mg/m2 d1 +epirubicin 60 mg/m2 d1 +cisplatin 60 mg/m2 d1 +fluorouracil 450 mg/m2 d8 +leucovorin 30 mg/m2 d8, Q3W
CC: cisplatin 30 mg/m2 d1, QW
239 72% 0.62 61% 0.026
CCRT 240 68% 50%

IC, induction chemotherapy; CCRT, concurrent chemoradiotherapy; CC, concurrent chemotherapy;QW, every week; Q3W, every 3 weeks.

3-year survival results are presented, except that the 5 year results are presented for the trial Hong 2018.