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Radiotherapy with concomitant weekly docetaxel for Stages III/IV oropharynx carcinoma. Results of the 98-02 GORTEC Phase II trial by Gilles Calais; Etienne Bardet; Christian Sire; Marc Alfonsi; Jean Bourhis; Béatrix Rhein; Jacques Tortochaux; Yooye Tao Kong Man; Hugues Auvray; Pascal Garaud is a Medicine article available to read on EtoBox.
What is Radiotherapy with concomitant weekly docetaxel for Stages III/IV oropharynx carcinoma. Results of the 98-02 GORTEC Phase II trial about?
Purpose: We designed a prospective Phase II clinical trial to evaluate the addition of weekly chemotherapy using Docetaxel during standard radiation therapy in patients with Stages III and IV oropharynx carcinoma. Methods: A total of 63 patients have been entered in a Phase II multicenter trial. Radiotherapy delivered, with conventional fractionation, 70 Gy in 35 fractions. Patients received during the period of radiotherapy seven cycles of Docetaxel (20 mg/m 2 each week). Results: Radiotherapy compliance was good in respect to total dose, treatment duration, and treatment interruption. The rate of Grade 3 and 4 mucositis was 84%. Grade 3 and 4 skin toxicity occurred in 53% of the patients. Hematologic toxicity was infrequent, with only a 5% rate of Grade 3 or 4 neutropenia. Three-year overall actuarial survival and disease-free survival rates were, respectively, 47% (95% CI ؍ 39 -68%) and 39% (95% CI ؍ 30 -57%). The local and regional control rate was 64%. Conclusion: The adjunction of weekly Docetaxel to conventional radiotherapy is feasible. Mucositis and skin toxicity were the major acute toxic effects. Therapeutic results were similar to those observed with concomitant che
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- Author
- Gilles Calais; Etienne Bardet; Christian Sire; Marc Alfonsi; Jean Bourhis; Béatrix Rhein; Jacques Tortochaux; Yooye Tao Kong Man; Hugues Auvray; Pascal Garaud
- Publisher
- Elsevier Science; Elsevier ; Elsevier BV (ISSN 0360-3016)
- Published
- 2004
- Language
- EN
- Field
- Medicine (Health Sciences)