Table 3.
Survival Outcomes for Patients Undergoing Either Neoadjuvant Chemotherapy or Neoadjuvant Chemoradiotherapy for Oral Cavity Squamous Cell Carcinoma.
First Author | Stage |
n*** | T (%) |
N (%) |
Neoadjuvant Modality | Radiation |
Chemotherapy | Overall Survival (years, %) | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
I-II | III-IV | 1–2 | 3–4 | 0 | 1 | 2–3 | Technique | Dose (Gy) |
1 | 2 | 3 | 4 | 5 | ||||||
Median | Range | Dose per fraction | |||||||||||||||||
Bossi | x** | 198 | 41 | 59 | 57 | 27 | 16 | CT | none | none | none | None | Cisplatin 100 mg/m2 IV, 5-FU 1000 mg/m2 IV q21days × 3 cycles | 55b | |||||
Chinn | x** | 72 | 24 | 76 | 26 | 22 | 51 | CT | none | none | none | none | Various: Cisplatin NOS or Carboplatin, 5-FU NOS q21days × 1 cycle then CRT with: Cisplatin 100 mg/m2 IV q21days × 3 cycles; 1. Carbo AUC 6 IV q21days × 3 cycles |
47 | 42 | 32 | |||
Harada | x | 39 | 26 | 74 | 33 | 28 | 38 | CCRT | – | 40 | 40 | 2 | S-1 50–100 mg PO 5 days/week × 4 weeks | 83.8 | 78.9 | ||||
Hauswald | x | x | 66 | 70 | 26 | 26 | 27 | 39 | RT/CCRT | IMRT | 40 | 40 | 2 | Platinum agent; immunotherapy (n = 1) | 56.1c | ||||
Hirakawa | x | x | 164 | 20 | 80 | 34 | 21 | 45 | CT | none | none | none | none | Cisplatin 80 mg/m2 IV day 6, 5-FU 800 mg/m2 IV days 1–5, q21days × 1 cycle | 63.8 | ||||
Inhestern | x | x | 54 | 43 | 57 | 9 | 4 | 87 | CT | none | none | none | none | Docetaxel 30 mg/m2 IV , Cisplatin 40 mg/m2 IV, 5-FU 2000 mg/m2 IV days 1 and 8, q21days up to 3 cycles | 97.3 responders73.7 non-responders | ||||
Irjala | x | x | 10 | 20 | 80 | 60 | 10 | 30 | RT/CCRT | – | – | 63–65 | Cisplatin 40 mg/m2 IV q7days × 4–6 cycles | 60 | |||||
Kies | x** | 23 | 57 | 43 | 43 | – | – | CT | – | – | – | – | Paclitaxel 175 mg/m2 IV, Ifosfamide 1000 mg/m2 IV days 1–3, Carbo AUC 6 IV q21-28 days × 3 cycles | Crude overall survival: 48 | |||||
Kina | x | 117 | 100 | 0 | 0 | 0 | 0 | CT | none | none | none | none | Met. Bleomycin 15 mg IV twice weekly, S-1 100 mg PO daily or UFT-E 450 mg PO TID × 3 weeks | 90 | |||||
Kirita | x** | 154 | – | – | – | – | – | CCRT | – | – | – | – | Cisplatin 15 mg/m2 or Carbo 70–100 mg/m2 days 1–3 and peplomycin 5 mg/day or 5-FU 500–750 mg/day days 4–7, q28days × 2 cycles | 83 | 79 | ||||
Kreppel 2013 | x** | 139 | 41 | 59 | 20 | 17 | 63 | CCRT | – | 39.6 | 39.6 | 1.8 | Carbo 60 mg/m2/day IV × 5 days | 45.5 | |||||
Kreppel 2012 | x** | 151 | 29 | 71 | – | – | – | CCRT | – | 39.6 | 39.6 | 1.8 | Carbo 70 mg/m2/day IV × 5 days | 46.3 | |||||
Lyu | x | 22 | 9 | 91 | 18 | 59 | 23 | CT + RT | – | – | – | – | Docetaxel 75 mg/m2 IV, cisplatin 75 mg/m2 IV, 5-FU 750 mg/m2 IV days 1–5, q21days × 2 cycles | 67.2 | |||||
Mucke | x | x | 926 | 68 | 32 | 60 | 17 | 23 | CCRT | EBRT | 20 | 2 | Cisplatin 12.5 mg/m2 IV × 5 days during first week of RT | 85.3 | 68.6 | ||||
Myers | x | 70 | – | – | – | – | – | CT + RT/CCRT | – | 68 | 68 | 1.2 | Platinum agent/Taxane +/- 5-FU; CTX | 31.1 | |||||
Sadighi | x | 24 | – | – | – | – | – | CT | none | none | none | none | Docetaxel 70–80 mg/m2 IV Cisplatin 60 mg/m2 IV, 5-FU 750 mg/m2 IV × 5 days × 2–3 cycles | 46.5c | 23c | ||||
Zhong 2015 | x | x | 256 | 26 | 74 | 43 | 37 | 20 | CT | none | none | none | none | Docetaxel 75 mg/m2 IV, Cisplatin 75 mg/m2 IV, 5-FU 750 mg/m2 IV on days1-5 q21days × 2 cycles | 61.1c |
‘-‘ not reported. 2D = Conventional two-dimensional radiation; 3DC = Three-dimensional conformational radiation therapy; 5-FU = 5-fluorouracil, Carbo = Carboplatin, CT = Chemotherapy, CTX = Cetuximab, CRT = chemoradiotherapy; EBRT = External Beam Radiation Therapy, IMRT = Intensity-modulated radiation therapy, Met. = Metronomic, RT = Radiotherapy, S-1 = oral 5-FU, UFT-E = oral 5-FU
aoverall survival for matched cohort
obtained from SEER database which does not capture chemotherapy
stage 2–4
total study cohort, not just those receiving CRT/RT
obtained from Lictra et al.
obtained from digitization of Kaplan-Meier curves