Docetaxel in the treatment of squamous cell carcinoma of the head and neck

Review

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Authors: Alexander Rapidis, Nicholas Sarlis, Jean-Louis Lefebvre, Merrill Kies

Published Date November 2008 Volume 2008:4(5) Pages 865 - 886

DOI: http://dx.doi.org/10.2147/TCRM.S3133

Alexander Rapidis¹, Nicholas Sarlis², Jean-Louis Lefebvre³, Merrill Kies⁴

¹Department of Maxillofacial Surgery, Greek Anticancer Institute, Saint Savvas Hospital, Athens, Greece; ²Department of Medical Affairs, Oncology – US Sanofi-Aventis, Bridgewater, NJ, USA; ³Head and Neck Department, Centre Régional de Lutte Contre le Cancer de Lille, Lille, France; ⁴Department of Thoracic/Head and Neck Medical Oncology, The University of Texas – M.D. Anderson Cancer Center, Houston, TX, USA

Abstract: Squamous cell carcinoma of the head and neck (SCCHN) presents at a locally advanced (LA) stage in many patients. Chemotherapy has been successfully integrated into first-line treatment programs, either during or prior to radiotherapy (RT) – the cornerstone modality for local disease control of inoperable disease or when organ preservation is desired. Concomitant chemoradiotherapy (CCRT) provides an absolute survival benefit when compared with other types of locoregional therapy that exclude chemotherapy. Nonetheless, distant metastases still represent the most common cause of treatment failure. Consequently, adding induction chemotherapy (ICT) to definitive non-surgical local therapies with a curative intent has been vigorously explored in LA SCCHN. Recently, it has been shown that ICT using the combination of the taxane docetaxel with cisplatin–5-fluorouracil provides significant survival benefit over cisplatin–5-FU, when used before either definitive RT (TAX323 trial) or carboplatin-based CCRT (TAX324 trial). Docetaxel is also being investigated in metastatic or recurrent (M/R) disease, with promising initial results. It is very likely that the future management strategies of SCCHN will incorporate biologic agents as an add-on to docetaxel-containing schemas, administered either as ICT prior to CCRT in the LA setting or for the management of M/R disease.

Keywords: chemoradiotherapy, chemotherapy, docetaxel, head and neck carcinoma, induction, locally advanced, taxane

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