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Japanese Journal of Clinical Oncology Advance Access originally published online on November 7, 2005
Japanese Journal of Clinical Oncology 2005 35(11):639-644; doi:10.1093/jjco/hyi175
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© 2005 Foundation for Promotion of Cancer Research

Acute Toxicity and Preliminary Clinical Outcomes of Concurrent Radiation Therapy and Weekly Docetaxel and Daily Cisplatin for Head and Neck Cancer

Yoshizumi Kitamoto1, Tetsuo Akimoto1, Hitoshi Ishikawa1, Tetsuo Nonaka1, Hiroyuki Katoh1, Takashi Nakano1, Hiroshi Ninomiya2, Kazuaki Chikamatsu2 and Nobuhiko Furuya2

1 Department of Radiation Oncology and 2 Department of Otolaryngology, Gunma University Graduate School of Medicine, Maebashi, Japan

For reprints and all correspondence: Tetsuo Akimoto, Department of Radiation Oncology, Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371-8511, Japan. E-mail: takimoto{at}showa.gunma-u.ac.jp

Received June 28, 2005; accepted August 25, 2005

Objective: To examine the feasibility and efficacy of concurrent weekly docetaxel and radiation therapy as a definitive treatment for head and neck cancer (HNC).

Methods: Thirty-two patients with primary HNC, who were treated with concurrent weekly docetaxel and radiation therapy, were analysed. The distribution of the disease stage was as follows: Stage II, 18 patients; Stage III, 3 patients; Stage IVA, 7 patients; Stage IVB, 3 patients; the patient of cervical lymph node metastasis with unknown primary tumor was not assessable. The average total dose of radiotherapy was 67.5 Gy. Docetaxel (10 mg/m2, intravenously, once a week) was given to all patients up to four cycles, and cisplatin (6 mg/m2, intravenously, five times a week) was also administered to all patients for up to 3 weeks from the beginning of the radiation therapy.

Results: Only in two patients did the radiotherapy need to be temporarily interrupted due to the development of acute mucositis. Grade 3 toxicity was observed in six patients. Grade 4 acute mucositis was seen in one patient. The response rate was 100%, and complete response (CR) was observed in 30 patients (94%). At the time of the analysis, the 2 year local control and relapse-free rates in the 30 patients showing CR were 90 and 76%, respectively.

Conclusions: Concurrent weekly docetaxel and radiation therapy did not affect the compliance of the patients for the radiation therapy, indicating that the acute toxicities were within acceptable limits.

Key Words: radiation therapy • chemotherapy • docetaxel • cisplatin • acute toxicity


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