PMID- 24710768 OWN - NLM STAT- MEDLINE DCOM- 20160520 LR - 20221207 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 37 IP - 8 DP - 2015 Aug TI - Platinum-based chemotherapy plus cetuximab first-line for Asian patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck: Results of an open-label, single-arm, multicenter trial. PG - 1081-7 LID - 10.1002/hed.23707 [doi] AB - BACKGROUND: The purpose of this study was to assess the efficacy, safety, and pharmacokinetics of cisplatin-based chemotherapy plus cetuximab as first-line treatment in Chinese and Korean patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck (SCCHN). METHODS: Patients (n = 68) received cetuximab weekly plus 3-week cycles of cisplatin/5-fluorouracil (5-FU) chemotherapy for up to 6 cycles. The primary endpoint was overall response rate. RESULTS: The overall response rate was 55.9%, including 2 complete responses (CRs). Median overall survival (OS) was 12.6 months and median progression-free survival (PFS) was 6.6 months. Grade 3/4 adverse events (AEs) were reported in 41 (60.3%) patients. The safety profile was in line with previous clinical experience. The pharmacokinetic profile was in line with that observed with cetuximab in white and Japanese patients. CONCLUSION: The efficacy, safety, and pharmacokinetic findings from this study support the use of first-line platinum-based chemotherapy plus cetuximab in Chinese and Korean patients with recurrent and/or metastatic SCCHN (ClinicalTrials.gov NCT01177956). CI - (c) 2014 Wiley Periodicals, Inc. FAU - Guo, Ye AU - Guo Y AD - Medical Oncology Department, Fudan University Shanghai Cancer Center, Shanghai, China. FAU - Shi, Mei AU - Shi M AD - Radiation Oncology Department, Xijing Hospital - The First Affiliated Hospital of the Fourth Military Medical University, Shanxi Province, China. FAU - Yang, Ankui AU - Yang A AD - Head and Neck Department, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Feng, Jifeng AU - Feng J AD - Medical Oncology Department, Jiangsu Cancer Hospital, Nanjing, Jiangsu Province, China. FAU - Zhu, Xiaodong AU - Zhu X AD - Radiotherapy Department, Affiliated Cancer Hospital, Guangxi Medical University, Nanning, Guangxi Province, China. FAU - Choi, Young-Jin AU - Choi YJ AD - Medical Oncology Department, Pusan National University Hospital, Seo-Gu, Busan, Korea. FAU - Hu, Guoqin AU - Hu G AD - Cancer Department, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China. FAU - Pan, Jianji AU - Pan J AD - Department of Radiation Oncology, Fujian Provincial Cancer Hospital, Fuzhou, China. FAU - Hu, Chunhong AU - Hu C AD - Oncology Department, The Second Xiangya Hospital of Central South University, Changsha, Hu'nan Province, China. FAU - Luo, Rongcheng AU - Luo R AD - Cancer Medical Department, Nanfang Hospital, Guangzhou, China. FAU - Zhang, Yiping AU - Zhang Y AD - Chemotherapy Center, Zhejiang Cancer Hospital, Hangzhou, Zhejiang Province, China. FAU - Zhou, Liang AU - Zhou L AD - Head and Neck Surgery Department, Eye and Ear, Nose, and Throat Hospital of Fudan University, Xuhui District, Shanghai, China. FAU - Cheng, Ying AU - Cheng Y AD - Medical Oncology Department, Jilin Cancer Hospital, Changchun, Jilin, China. FAU - Lupfert, Christian AU - Lupfert C AD - Merck KGaA, Darmstadt, Germany. FAU - Cai, Junliang AU - Cai J AD - Merck Serono (Beijing) Pharmaceutical R&D Company, The Center, Shanghai, China. FAU - Shi, Yuankai AU - Shi Y AD - Department of Medical Oncology, Cancer Institute/Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing Key Laboratory of Clinical Study on Anticancer Molecular Targeted Drugs, Chaoyang District, Beijing, China. LA - eng SI - ClinicalTrials.gov/NCT01177956 PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20140917 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - PQX0D8J21J (Cetuximab) RN - Q20Q21Q62J (Cisplatin) RN - U3P01618RT (Fluorouracil) SB - IM MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects/*therapeutic use MH - Asian People MH - Carcinoma, Squamous Cell/mortality/*secondary/*therapy MH - Cetuximab/administration & dosage MH - China/epidemiology MH - Cisplatin/administration & dosage MH - Female MH - Fluorouracil/administration & dosage MH - Head and Neck Neoplasms/mortality/*pathology/*therapy MH - Humans MH - Infusions, Intravenous/methods MH - Kaplan-Meier Estimate MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/mortality/pathology/*therapy MH - Radiotherapy, Adjuvant MH - Republic of Korea/epidemiology MH - Treatment Outcome OTO - NOTNLM OT - Chinese OT - EXTREME trial OT - cetuximab OT - head and neck cancer OT - recurrent and metastatic squamous cell carcinoma EDAT- 2014/04/09 06:00 MHDA- 2016/05/21 06:00 CRDT- 2014/04/09 06:00 PHST- 2013/08/27 00:00 [received] PHST- 2014/01/28 00:00 [revised] PHST- 2014/04/04 00:00 [accepted] PHST- 2014/04/09 06:00 [entrez] PHST- 2014/04/09 06:00 [pubmed] PHST- 2016/05/21 06:00 [medline] AID - 10.1002/hed.23707 [doi] PST - ppublish SO - Head Neck. 2015 Aug;37(8):1081-7. doi: 10.1002/hed.23707. Epub 2014 Sep 17.