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Published in: Strahlentherapie und Onkologie 10/2022

Open Access 20-06-2022 | Literatur kommentiert

Wöchentliche versus dreiwöchentliche Cisplatingabe bei der postoperativen Radiochemotherapie von lokal fortgeschrittenen Kopf-Hals-Plattenepithelkarzinomen – Ergebnisse der JCOG1008-Studie

Authors: Dr. Alexander Rühle, Prof. Dr. Dr. Nils H. Nicolay

Published in: Strahlentherapie und Onkologie | Issue 10/2022

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Sowohl in der definitiven als auch in der postoperativen Situation stellt die dreiwöchentliche Administration von 100 mg/m2 Cisplatin aufgrund einer Vielzahl prospektiver Phase-III-Studien den Goldstandard bei einer Radiochemotherapie (RCT) lokoregionär fortgeschrittener Kopf-Hals-Plattenepithelkarzinome (LA-HNSCC) dar. In der klinischen Praxis wird aufgrund der besseren Steuerbarkeit und der geringeren Akuttoxizität oftmals auf das wöchentliche Schema mit 30–40 mg/m2 Cisplatin zurückgegriffen, obgleich die Evidenz für eine onkologische Äquivalenz beider Schemata strittig ist. Die JCOG1008-Studie, eine multizentrische Phase-II/III-Studie, prüfte daher die Nichtunterlegenheit der wöchentlichen Gabe von 40 mg/m2 Cisplatin gegenüber dem etablierten dreiwöchentlichen Schema in der postoperativen Situation. …
Literature
1.
go back to reference Kiyota N, Tahara M, Mizusawa J, Kodaira T, Fujii H, Yamazaki T et al (2022) Weekly cisplatin plus radiation for postoperative head and neck cancer (JCOG1008): a multicenter, noninferiority, phase II/III randomized controlled trial. J Clin Oncol. https://doi.org/10.1200/JCO.21.01293 Kiyota N, Tahara M, Mizusawa J, Kodaira T, Fujii H, Yamazaki T et al (2022) Weekly cisplatin plus radiation for postoperative head and neck cancer (JCOG1008): a multicenter, noninferiority, phase II/III randomized controlled trial. J Clin Oncol. https://​doi.​org/​10.​1200/​JCO.​21.​01293
2.
go back to reference Bernier J, Domenge C, Ozsahin M, Matuszewska K, Lefèbvre JL, Greiner RH et al (2004) Postoperative irradiation with or without concomitant chemotherapy for locally advanced head and neck cancer. N Engl J Med 350:1945–1952CrossRef Bernier J, Domenge C, Ozsahin M, Matuszewska K, Lefèbvre JL, Greiner RH et al (2004) Postoperative irradiation with or without concomitant chemotherapy for locally advanced head and neck cancer. N Engl J Med 350:1945–1952CrossRef
3.
go back to reference Cooper JS, Pajak TF, Forastiere AA, Jacobs J, Campbell BH, Saxman SB et al (2004) Postoperative concurrent radiotherapy and chemotherapy for high-risk squamous-cell carcinoma of the head and neck. N Engl J Med 350:1937–1944CrossRef Cooper JS, Pajak TF, Forastiere AA, Jacobs J, Campbell BH, Saxman SB et al (2004) Postoperative concurrent radiotherapy and chemotherapy for high-risk squamous-cell carcinoma of the head and neck. N Engl J Med 350:1937–1944CrossRef
4.
go back to reference Forastiere AA, Zhang Q, Weber RS, Maor MH, Goepfert H, Pajak TF et al (2013) Long-term results of RTOG 91–11: a comparison of three nonsurgical treatment strategies to preserve the larynx in patients with locally advanced larynx cancer. J Clin Oncol 31:845–852CrossRef Forastiere AA, Zhang Q, Weber RS, Maor MH, Goepfert H, Pajak TF et al (2013) Long-term results of RTOG 91–11: a comparison of three nonsurgical treatment strategies to preserve the larynx in patients with locally advanced larynx cancer. J Clin Oncol 31:845–852CrossRef
5.
go back to reference Keys HM, Bundy BN, Stehman FB, Muderspach LI, Chafe WE, Suggs CL et al (1999) Cisplatin, radiation, and adjuvant hysterectomy compared with radiation and adjuvant hysterectomy for bulky stage IB cervical carcinoma. N Engl J Med 340:1154–1161CrossRef Keys HM, Bundy BN, Stehman FB, Muderspach LI, Chafe WE, Suggs CL et al (1999) Cisplatin, radiation, and adjuvant hysterectomy compared with radiation and adjuvant hysterectomy for bulky stage IB cervical carcinoma. N Engl J Med 340:1154–1161CrossRef
6.
go back to reference Szturz P, Wouters K, Kiyota N, Tahara M, Prabhash K, Noronha V et al (2017) Weekly low-dose versus three-weekly high-dose cisplatin for concurrent chemoradiation in locoregionally advanced non-nasopharyngeal head and neck cancer: a systematic review and meta-analysis of aggregate data. Oncologist 22:1056–1066CrossRef Szturz P, Wouters K, Kiyota N, Tahara M, Prabhash K, Noronha V et al (2017) Weekly low-dose versus three-weekly high-dose cisplatin for concurrent chemoradiation in locoregionally advanced non-nasopharyngeal head and neck cancer: a systematic review and meta-analysis of aggregate data. Oncologist 22:1056–1066CrossRef
7.
go back to reference Tsan DL, Lin CY, Kang CJ, Huang SF, Fan KH, Liao CT et al (2012) The comparison between weekly and three-weekly cisplatin delivered concurrently with radiotherapy for patients with postoperative high-risk squamous cell carcinoma of the oral cavity. Radiat Oncol 7:215CrossRef Tsan DL, Lin CY, Kang CJ, Huang SF, Fan KH, Liao CT et al (2012) The comparison between weekly and three-weekly cisplatin delivered concurrently with radiotherapy for patients with postoperative high-risk squamous cell carcinoma of the oral cavity. Radiat Oncol 7:215CrossRef
8.
go back to reference Bauml JM, Vinnakota R, Park AYH, Bates SE, Fojo T, Aggarwal C et al (2019) Cisplatin every 3 weeks versus weekly with definitive concurrent radiotherapy for squamous cell carcinoma of the head and neck. J Natl Cancer Inst 111:490–497CrossRef Bauml JM, Vinnakota R, Park AYH, Bates SE, Fojo T, Aggarwal C et al (2019) Cisplatin every 3 weeks versus weekly with definitive concurrent radiotherapy for squamous cell carcinoma of the head and neck. J Natl Cancer Inst 111:490–497CrossRef
9.
go back to reference Noronha V, Joshi A, Patil VM, Agarwal J, Ghosh-Laskar S, Budrukkar A et al (2018) Once-a-week versus once-every-3-weeks cisplatin chemoradiation for locally advanced head and neck cancer: a phase III randomized noninferiority trial. J Clin Oncol 36:1064–1072CrossRef Noronha V, Joshi A, Patil VM, Agarwal J, Ghosh-Laskar S, Budrukkar A et al (2018) Once-a-week versus once-every-3-weeks cisplatin chemoradiation for locally advanced head and neck cancer: a phase III randomized noninferiority trial. J Clin Oncol 36:1064–1072CrossRef
10.
go back to reference Strojan P, Vermorken JB, Beitler JJ, Saba NF, Haigentz M Jr., Bossi P et al (2016) Cumulative cisplatin dose in concurrent chemoradiotherapy for head and neck cancer: a systematic review. Head Neck 38(Suppl 1):E2151–E2158CrossRef Strojan P, Vermorken JB, Beitler JJ, Saba NF, Haigentz M Jr., Bossi P et al (2016) Cumulative cisplatin dose in concurrent chemoradiotherapy for head and neck cancer: a systematic review. Head Neck 38(Suppl 1):E2151–E2158CrossRef
11.
go back to reference Nguyen-Tan PF, Zhang Q, Ang KK, Weber RS, Rosenthal DI, Soulieres D et al (2014) Randomized phase III trial to test accelerated versus standard fractionation in combination with concurrent cisplatin for head and neck carcinomas in the Radiation Therapy Oncology Group 0129 trial: long-term report of efficacy and toxicity. J Clin Oncol 32:3858–3866CrossRef Nguyen-Tan PF, Zhang Q, Ang KK, Weber RS, Rosenthal DI, Soulieres D et al (2014) Randomized phase III trial to test accelerated versus standard fractionation in combination with concurrent cisplatin for head and neck carcinomas in the Radiation Therapy Oncology Group 0129 trial: long-term report of efficacy and toxicity. J Clin Oncol 32:3858–3866CrossRef
12.
go back to reference Spreafico A, Huang SH, Xu W, Granata R, Liu C‑S, Waldron JN et al (2016) Impact of cisplatin dose intensity on human papillomavirus-related and-unrelated locally advanced head and neck squamous cell carcinoma. Eur J Cancer 67:174–182CrossRef Spreafico A, Huang SH, Xu W, Granata R, Liu C‑S, Waldron JN et al (2016) Impact of cisplatin dose intensity on human papillomavirus-related and-unrelated locally advanced head and neck squamous cell carcinoma. Eur J Cancer 67:174–182CrossRef
13.
go back to reference Gillison ML, Trotti AM, Harris J, Eisbruch A, Harari PM, Adelstein DJ et al (2019) Radiotherapy plus cetuximab or cisplatin in human papillomavirus-positive oropharyngeal cancer (NRG Oncology RTOG 1016): a randomised, multicentre, non-inferiority trial. Lancet 393:40–50CrossRef Gillison ML, Trotti AM, Harris J, Eisbruch A, Harari PM, Adelstein DJ et al (2019) Radiotherapy plus cetuximab or cisplatin in human papillomavirus-positive oropharyngeal cancer (NRG Oncology RTOG 1016): a randomised, multicentre, non-inferiority trial. Lancet 393:40–50CrossRef
14.
go back to reference Mehanna H, Robinson M, Hartley A, Kong A, Foran B, Fulton-Lieuw T et al (2019) Radiotherapy plus cisplatin or cetuximab in low-risk human papillomavirus-positive oropharyngeal cancer (De-ESCALaTE HPV): an open-label randomised controlled phase 3 trial. Lancet 393:51–60CrossRef Mehanna H, Robinson M, Hartley A, Kong A, Foran B, Fulton-Lieuw T et al (2019) Radiotherapy plus cisplatin or cetuximab in low-risk human papillomavirus-positive oropharyngeal cancer (De-ESCALaTE HPV): an open-label randomised controlled phase 3 trial. Lancet 393:51–60CrossRef
15.
go back to reference Haehl E, Rühle A, Spohn S, Sprave T, Gkika E, Zamboglou C et al (2021) Patterns-of-care analysis for radiotherapy of elderly head-and-neck cancer patients: a trinational survey in Germany, Austria and Switzerland. Front Oncol 11:723716CrossRef Haehl E, Rühle A, Spohn S, Sprave T, Gkika E, Zamboglou C et al (2021) Patterns-of-care analysis for radiotherapy of elderly head-and-neck cancer patients: a trinational survey in Germany, Austria and Switzerland. Front Oncol 11:723716CrossRef
Metadata
Title
Wöchentliche versus dreiwöchentliche Cisplatingabe bei der postoperativen Radiochemotherapie von lokal fortgeschrittenen Kopf-Hals-Plattenepithelkarzinomen – Ergebnisse der JCOG1008-Studie
Authors
Dr. Alexander Rühle
Prof. Dr. Dr. Nils H. Nicolay
Publication date
20-06-2022
Publisher
Springer Berlin Heidelberg
Published in
Strahlentherapie und Onkologie / Issue 10/2022
Print ISSN: 0179-7158
Electronic ISSN: 1439-099X
DOI
https://doi.org/10.1007/s00066-022-01970-x

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