PMID- 34862812 OWN - NLM STAT- MEDLINE DCOM- 20220316 LR - 20220316 IS - 1097-0347 (Electronic) IS - 1043-3074 (Linking) VI - 44 IP - 2 DP - 2022 Feb TI - The best choice of induction chemotherapy for patients with locally advanced nasopharyngeal carcinoma: Bayesian network meta-analysis. PG - 518-529 LID - 10.1002/hed.26932 [doi] AB - The determination of the optimal induction chemotherapy (IC) regimen for patients with locally advanced nasopharyngeal carcinoma (NPC) remains controversial. Eligible trials included in this Bayesian network meta-analysis were judged by synthetically evaluating survival and safety outcomes. The analysis revealed that the combined IC regimen of gemcitabine plus cisplatin (GP) gained not only the most favorable overall survival (OS) benefit but also longer distant metastasis-free survival and manageable adverse events (AEs). Additionally, combination IC regimen of mitomycin, epirubicin, cisplatin, fluorouracil, and leucovorin had insufficient significant efficacy on complete response. Docetaxel combined with cisplatin and fluorouracil induction regimen provided the first exact probability of efficacy in term of local recurrence-free survival, ranking second in OS, but accompanied by the highest rates of grade 3 or above AEs. GP regimen appears to be currently the best choice of IC regimen for combined benefit of patients with locally advanced NPC. CI - (c) 2021 Wiley Periodicals LLC. FAU - Liu, Ting AU - Liu T AD - Department of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. FAU - Dai, Shuang AU - Dai S AD - Department of Medical Oncology, Lung Cancer Center, West China Hospital, Sichuan University, Chengdu, China. FAU - Zhang, Hao AU - Zhang H AD - Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, China. FAU - Zhong, Xi AU - Zhong X AD - Department of Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China. FAU - Ding, Zhenyu AU - Ding Z AD - Department of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. FAU - Ma, Xuelei AU - Ma X AUID- ORCID: 0000-0002-9148-5001 AD - Department of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. AD - Department of Biotherapy, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20211204 PL - United States TA - Head Neck JT - Head & neck JID - 8902541 RN - Q20Q21Q62J (Cisplatin) RN - U3P01618RT (Fluorouracil) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Bayes Theorem MH - Chemoradiotherapy MH - Cisplatin/therapeutic use MH - Fluorouracil/therapeutic use MH - Humans MH - *Induction Chemotherapy MH - Nasopharyngeal Carcinoma MH - *Nasopharyngeal Neoplasms/pathology MH - Network Meta-Analysis OTO - NOTNLM OT - Bayesian OT - best choice OT - induction chemotherapy OT - locally advanced nasopharyngeal carcinoma OT - network meta-analysis EDAT- 2021/12/05 06:00 MHDA- 2022/03/17 06:00 CRDT- 2021/12/04 08:34 PHST- 2021/10/18 00:00 [revised] PHST- 2021/08/18 00:00 [received] PHST- 2021/11/05 00:00 [accepted] PHST- 2021/12/05 06:00 [pubmed] PHST- 2022/03/17 06:00 [medline] PHST- 2021/12/04 08:34 [entrez] AID - 10.1002/hed.26932 [doi] PST - ppublish SO - Head Neck. 2022 Feb;44(2):518-529. doi: 10.1002/hed.26932. Epub 2021 Dec 4.