2001
DOI: 10.1200/jco.2001.19.4.1088
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Phase III Comparison of High-Dose Paclitaxel + Cisplatin + Granulocyte Colony-Stimulating Factor Versus Low-Dose Paclitaxel + Cisplatin in Advanced Head and Neck Cancer: Eastern Cooperative Oncology Group Study E1393

Abstract: This phase III multicenter trial showed (1) no advantage for high-dose paclitaxel and (2) excessive hematologic toxicity associated with both regimens. Therefore, neither of the paclitaxel regimens evaluated in this trial can be recommended.

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Cited by 151 publications
(76 citation statements)
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“…Although cisplatin is a potent and widely used anticancer drug, in solid tumors, its clinical use is often limited by hematologic toxicity, nephrotoxicity, myelosuppression as well as other complications, such as cardiovascular consitions and hearing loss (16,17). The group of taxanes is also highly active in head and neck cancer disease.…”
Section: Discussionmentioning
confidence: 99%
“…Although cisplatin is a potent and widely used anticancer drug, in solid tumors, its clinical use is often limited by hematologic toxicity, nephrotoxicity, myelosuppression as well as other complications, such as cardiovascular consitions and hearing loss (16,17). The group of taxanes is also highly active in head and neck cancer disease.…”
Section: Discussionmentioning
confidence: 99%
“…Multi-agent chemotherapy regimens may have a response rate of up to 35 %, but results are rarely durable and long-term survival is rare [42]. In these patients, re-irradiation, if applicable,…”
Section: Surgical Salvage Approachesmentioning
confidence: 99%
“…[62][63][64][65][66] For patients with excellent performance status, normal end-organ function, and no significant comorbidities, combination chemotherapy regimens are recommended. Most frequently used are two-drug combination regimens (cisplatin þ 5-FU, 67,68 cisplatin þ paclitaxel, 69,70 cisplatin þ docetaxel, [71][72][73][74] carboplatin þ taxane [75][76][77] ) and are associated with improved response rates compared with single agent, but they are also associated with increased toxicity and no statistically significant survival benefit.…”
Section: Chemotherapy In Metastatic Diseasementioning
confidence: 99%