Skip to main content

Current and Emerging Role of Chemotherapy in Oral Cancer

  • Chapter
  • First Online:
Contemporary Oral Oncology

Abstract

The role of chemotherapy in oral cancer has been evolving [1]. In addition to palliation, it also has an established role in curative management [2]. It can be offered as a single modality treatment for palliation, in combination with concomitant radiation therapy (chemoradiation) as either adjuvant therapy following surgical resection or primary definitive treatment for locally advanced disease, or as induction therapy prior to definitive treatment. Unlike surgery, chemotherapy usually exerts its cytotoxic activity systemically; therefore it is often associated with side effects caused by toxicities to the normal tissues. The toxicities and cellular resistance to chemotherapy are two major obstacles to the clinical efficacy of chemotherapy [3]. Recent advances in understanding molecular biology of HNSCC have opened many new research directions. In addition to traditional cytotoxic chemotherapy, novel targeted therapy has demonstrated its efficacy in palliation [4]. Although most of the studies of chemotherapy in HNSCC were not site specific, many of the findings may be applicable to oral cancers.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Institutional subscriptions

References

  1. Yeo CK. Chemotherapy of head and neck cancer. Korean J Otorhinolaryngol Head Neck Surg. 2014;57(5):291–6. synapse.koreamed.org.

    Google Scholar 

  2. Pignon J-P, Le Maître A, Maillard E, Bourhis J, MACH-NC Collaborative Group. Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): an update on 93 randomised trials and 17,346 patients. Radiother Oncol J Eur Soc Ther Radiol Oncol. 2009;92(1):4–14.

    Google Scholar 

  3. Rabik CA, Dolan ME. Molecular mechanisms of resistance and toxicity associated with platinating agents. Cancer Treat Rev. 2007;33(1):9–23.

    CAS  PubMed  Google Scholar 

  4. Vermorken JB, Specenier P. Optimal treatment for recurrent/metastatic head and neck cancer. Ann Oncol Off J Eur Soc Med Oncol/ESMO. 2010;21 Suppl 7:vii252–61.

    CAS  Google Scholar 

  5. Schornagel JH, et al. Randomized phase III trial of edatrexate versus methotrexate in patients with metastatic and/or recurrent squamous cell carcinoma of the head and neck: a European Organization for Research and Treatment of Cancer Head and Neck Cancer Cooperative Group study. J Clin Oncol. 1995;13(7):1649–55.

    CAS  PubMed  Google Scholar 

  6. Degardin M, et al. An EORTC-ECSG phase II study of vinorelbine in patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck. Ann Oncol. 1998;9(10):1103–7.

    CAS  PubMed  Google Scholar 

  7. Testolin A, et al. Vinorelbine in pre-treated advanced head & neck squamous cell carcinoma. A phase II study. Invest New Drugs. 1994;12(3):231–4.

    CAS  PubMed  Google Scholar 

  8. Degardin M, et al. Phase II trial of oxaliplatin (L-OHP) in advanced, recurrent and/or metastatic squamous cell carcinoma of the head and neck. Eur J Cancer B Oral Oncol. 1996;32B(4):278–9.

    CAS  PubMed  Google Scholar 

  9. Murphy BA, et al. Topoisomerase I inhibitors in the treatment of head and neck cancer. Oncology (Williston Park). 2001;15(7 Suppl 8):47–52.

    CAS  Google Scholar 

  10. Pivot X, et al. Pemetrexed disodium in recurrent locally advanced or metastatic squamous cell carcinoma of the head and neck. Br J Cancer. 2001;85(5):649–55.

    CAS  PubMed  PubMed Central  Google Scholar 

  11. Martinez-Trufero J, et al. Phase II study of capecitabine as palliative treatment for patients with recurrent and metastatic squamous head and neck cancer after previous platinum-based treatment. Br J Cancer. 2010;102(12):1687–91.

    CAS  PubMed  PubMed Central  Google Scholar 

  12. Catimel G, et al. A phase II study of Gemcitabine (LY 188011) in patients with advanced squamous cell carcinoma of the head and neck. EORTC Early Clinical Trials Group. Ann Oncol. 1994;5(6):543–7.

    CAS  PubMed  Google Scholar 

  13. A phase III randomised trial of cisplatinum, methotrextate, cisplatinum + methotrexate and cisplatinum + 5-FU in end stage squamous carcinoma of the head and neck. Liverpool Head and Neck Oncology Group. Br J Cancer. 1990;61(2):311–5.

    Google Scholar 

  14. Forastiere AA, et al. Randomized comparison of cisplatin plus fluorouracil and carboplatin plus fluorouracil versus methotrexate in advanced squamous-cell carcinoma of the head and neck: a Southwest Oncology Group study. J Clin Oncol. 1992;10(8):1245–51.

    CAS  PubMed  Google Scholar 

  15. Jacobs C, et al. A phase III randomized study comparing cisplatin and fluorouracil as single agents and in combination for advanced squamous cell carcinoma of the head and neck. J Clin Oncol. 1992;10(2):257–63.

    CAS  PubMed  Google Scholar 

  16. Clavel M, et al. Randomized comparison of cisplatin, methotrexate, bleomycin and vincristine (CABO) versus cisplatin and 5-fluorouracil (CF) versus cisplatin (C) in recurrent or metastatic squamous cell carcinoma of the head and neck. A phase III study of the EORTC Head and Neck Cancer Cooperative Group. Ann Oncol. 1994;5(6):521–6.

    CAS  PubMed  Google Scholar 

  17. Gibson MK, et al. Randomized phase III evaluation of cisplatin plus fluorouracil versus cisplatin plus paclitaxel in advanced head and neck cancer (E1395): an intergroup trial of the Eastern Cooperative Oncology Group. J Clin Oncol. 2005;23(15):3562–7.

    CAS  PubMed  Google Scholar 

  18. Siddik ZH. Cisplatin: mode of cytotoxic action and molecular basis of resistance. Oncogene. 2003;22(47):7265–79.

    CAS  PubMed  Google Scholar 

  19. Jamieson ER, Lippard SJ. Structure, recognition, and processing of cisplatin-DNA adducts. Chem Rev. 1999;99(9):2467–98.

    CAS  PubMed  Google Scholar 

  20. Pinto AL, Lippard SJ. Binding of the antitumor drug cis-diamminedichloroplatinum(II) (cisplatin) to DNA. Biochim Biophys Acta. 1985;780(3):167–80.

    CAS  PubMed  Google Scholar 

  21. Kelland LR. New platinum antitumor complexes. Crit Rev Oncol Hematol. 1993;15(3):191–219.

    CAS  PubMed  Google Scholar 

  22. Chu G. Cellular responses to cisplatin. The roles of DNA-binding proteins and DNA repair. J Biol Chem. 1994;269(2):787–90.

    CAS  PubMed  Google Scholar 

  23. Jordan P, Carmo-Fonseca M. Molecular mechanisms involved in cisplatin cytotoxicity. Cell Mol Life Sci. 2000;57(8–9):1229–35.

    CAS  PubMed  Google Scholar 

  24. Eisenberger M, et al. Carboplatin (NSC-241-240): an active platinum analog for the treatment of squamous-cell carcinoma of the head and neck. J Clin Oncol. 1986;4(10):1506–9.

    CAS  PubMed  Google Scholar 

  25. Koberle B, et al. Cisplatin resistance: preclinical findings and clinical implications. Biochim Biophys Acta. 2010;1806(2):172–82.

    PubMed  Google Scholar 

  26. Ohmichi M, et al. Mechanisms of platinum drug resistance. Trends Pharmacol Sci. 2005;26(3):113–6.

    CAS  PubMed  Google Scholar 

  27. Wani MC, et al. Plant antitumor agents. VI. The isolation and structure of taxol, a novel antileukemic and antitumor agent from Taxus brevifolia. J Am Chem Soc. 1971;93(9):2325–7.

    CAS  PubMed  Google Scholar 

  28. Rowinsky EK, Donehower RC. Paclitaxel (taxol). N Engl J Med. 1995;332(15):1004–14.

    CAS  PubMed  Google Scholar 

  29. Eastman A. Cross-linking of glutathione to DNA by cancer chemotherapeutic platinum coordination complexes. Chem Biol Interact. 1987;61(3):241–8.

    CAS  PubMed  Google Scholar 

  30. Ringel I, Horwitz SB. Studies with RP 56976 (taxotere): a semisynthetic analogue of taxol. J Natl Cancer Inst. 1991;83(4):288–91.

    CAS  PubMed  Google Scholar 

  31. Schiff PB, Fant J, Horwitz SB. Promotion of microtubule assembly in vitro by taxol. Nature. 1979;277(5698):665–7.

    CAS  PubMed  Google Scholar 

  32. Schiff PB, Horwitz SB. Taxol stabilizes microtubules in mouse fibroblast cells. Proc Natl Acad Sci U S A. 1980;77(3):1561–5.

    CAS  PubMed  PubMed Central  Google Scholar 

  33. Rowinsky EK, Cazenave LA, Donehower RC. Taxol: a novel investigational antimicrotubule agent. J Natl Cancer Inst. 1990;82(15):1247–59.

    CAS  PubMed  Google Scholar 

  34. Parness J, Horwitz SB. Taxol binds to polymerized tubulin in vitro. J Cell Biol. 1981;91(2 Pt 1):479–87.

    CAS  PubMed  PubMed Central  Google Scholar 

  35. Manfredi JJ, Horwitz SB. Taxol: an antimitotic agent with a new mechanism of action. Pharmacol Ther. 1984;25(1):83–125.

    CAS  PubMed  Google Scholar 

  36. Rowinsky EK, Donehower RC. The clinical pharmacology and use of antimicrotubule agents in cancer chemotherapeutics. Pharmacol Ther. 1991;52(1):35–84.

    CAS  PubMed  Google Scholar 

  37. Jordan MA. Mechanism of action of antitumor drugs that interact with microtubules and tubulin. Curr Med Chem Anticancer Agents. 2002;2(1):1–17.

    CAS  PubMed  Google Scholar 

  38. Rao S, et al. Characterization of the taxol binding site on the microtubule. 2-(m-Azidobenzoyl)taxol photolabels a peptide (amino acids 217-231) of beta-tubulin. J Biol Chem. 1995;270(35):20235–8.

    CAS  PubMed  Google Scholar 

  39. Rao S, et al. Characterization of the Taxol binding site on the microtubule. Identification of Arg(282) in beta-tubulin as the site of photoincorporation of a 7-benzophenone analogue of Taxol. J Biol Chem. 1999;274(53):37990–4.

    CAS  PubMed  Google Scholar 

  40. Jordan MA, et al. Mitotic block induced in HeLa cells by low concentrations of paclitaxel (Taxol) results in abnormal mitotic exit and apoptotic cell death. Cancer Res. 1996;56(4):816–25.

    CAS  PubMed  Google Scholar 

  41. Jordan MA, et al. Mechanism of mitotic block and inhibition of cell proliferation by taxol at low concentrations. Proc Natl Acad Sci U S A. 1993;90(20):9552–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  42. Zaffaroni N, et al. Induction of apoptosis by taxol and cisplatin and effect on cell cycle-related proteins in cisplatin-sensitive and -resistant human ovarian cells. Br J Cancer. 1998;77(9):1378–85.

    CAS  PubMed  PubMed Central  Google Scholar 

  43. DeVita VT, Lawrence TS, Rosenberg SA, DePinho RA, Weinberg RA. Devita, Hellman, and Rosenberg’s cancer: principles and practice of oncology. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011.

    Google Scholar 

  44. Yusuf RZ, et al. Paclitaxel resistance: molecular mechanisms and pharmacologic manipulation. Curr Cancer Drug Targets. 2003;3(1):1–19.

    CAS  PubMed  Google Scholar 

  45. Cortes JE, Pazdur R. Docetaxel. J Clin Oncol. 1995;13(10):2643–55.

    CAS  PubMed  Google Scholar 

  46. Jackman AL. Antifolate drugs in cancer therapy. New York; 1999.

    Google Scholar 

  47. Assaraf YG. Molecular basis of antifolate resistance. Cancer Metastasis Rev. 2007;26(1):153–81.

    CAS  PubMed  Google Scholar 

  48. Pradhan SA. Surgery for cancer of the buccal mucosa. Semin Surg Oncol. 1989;5(5):318–21.

    CAS  PubMed  Google Scholar 

  49. Chen P-Y, Chen HHW, Hsiao J-R, Yang M-W, Hsueh W-T, Tasi S-T, Lin F-C, Wu Y-H. Intensity-modulated radiotherapy improves outcomes in postoperative patients with squamous cell carcinoma of the oral cavity. Oral Oncol. 2012;48(8):747–52.

    PubMed  Google Scholar 

  50. Lin C-S, Jen Y-M, Cheng M-F, Lin Y-S, Su W-F, Hwang J-M, Chang L-P, et al. Squamous cell carcinoma of the buccal mucosa: an aggressive cancer requiring multimodality treatment. Head Neck. 2006;28(2):150–7.

    PubMed  Google Scholar 

  51. Bernier J, et al. Defining risk levels in locally advanced head and neck cancers: a comparative analysis of concurrent postoperative radiation plus chemotherapy trials of the EORTC (#22931) and RTOG (# 9501). Head Neck. 2005;27(10):843–50. Wiley Online Library.

    PubMed  Google Scholar 

  52. Bernier J, et al. Postoperative irradiation with or without concomitant chemotherapy for locally advanced head and neck cancer. N Engl J Med. 2004;350(19):1945–52. Mass Medical Soc.

    CAS  PubMed  Google Scholar 

  53. Cooper JS, et al. Postoperative concurrent radiotherapy and chemotherapy for high-risk squamous-cell carcinoma of the head and neck. N Engl J Med. 2004;350(19):1937–44. Mass Medical Soc.

    PubMed  Google Scholar 

  54. Gupta T, Agarwal JP, Ghosh-Laskar S, Parikh PM, D’Cruz AK, Dinshaw KA. Radical radiotherapy with concurrent weekly cisplatin in loco-regionally advanced squamous cell carcinoma of the head and neck: a single-institution experience. Head Neck Oncol. 2009;1:17.

    PubMed  PubMed Central  Google Scholar 

  55. Bachaud J-M, David J-M, Boussin G, Daly N. Combined postoperative radiotherapy and weekly cisplatin infusion for locally advanced squamous cell carcinoma of the head and neck: preliminary report of a randomized trial. Int J Radiat Oncol Biol Phys. 1991;20(2):243–6. Elsevier.

    CAS  PubMed  Google Scholar 

  56. Adelstein DJ, et al. An intergroup phase III comparison of standard radiation therapy and two schedules of concurrent chemoradiotherapy in patients with unresectable squamous cell head and neck cancer. J Clin Oncol. 2003;21(1):92–8.

    PubMed  Google Scholar 

  57. Bachaud JM, Cohen-Jonathan E, Alzieu C, David JM, Serrano E, Daly-Schveitzer N. Combined postoperative radiotherapy and weekly cisplatin infusion for locally advanced head and neck carcinoma: final report of a randomized trial. Int J Radiat Oncol Biol Phys. 1996;36(5):999–1004. Elsevier.

    CAS  PubMed  Google Scholar 

  58. Pignon JP, et al. Chemotherapy added to locoregional treatment for head and neck squamous-cell carcinoma: three meta-analyses of updated individual data. MACH-NC Collaborative Group. Meta-Analysis of Chemotherapy on Head and Neck Cancer. Lancet. 2000;355(9208):949–55.

    CAS  PubMed  Google Scholar 

  59. Blanchard P, Baujat B, Holostenco V, Bourredjem A, Baey C, Bourhis J, Pignon J-P, MACH-CH Collaborative Group. Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): a comprehensive analysis by tumour site. Radiother Oncol J Eur Soc Ther Radiol Oncol. 2011;100(1):33–40.

    Google Scholar 

  60. Pignon J-P, Baujat B, Bourhis J. Individual patient data meta-analyses in head and neck carcinoma: what have we learnt? Cancer Radiother J Soc Fr Radiother Oncologique. 2005;9(1):31–6.

    Google Scholar 

  61. Pignon J-P, le Maître A, Bourhis J, MACH-NC Collaborative Group. Meta-analyses of chemotherapy in head and neck cancer (MACH-NC): an update. Int J Radiat Oncol Biol Phys. 2007;69(2 Suppl):S112–4.

    PubMed  Google Scholar 

  62. Budach W, et al. A meta-analysis of hyperfractionated and accelerated radiotherapy and combined chemotherapy and radiotherapy regimens in unresected locally advanced squamous cell carcinoma of the head and neck. BMC Cancer. 2006;6:28.

    CAS  PubMed  PubMed Central  Google Scholar 

  63. Bonner JA, et al. Radiotherapy plus cetuximab for locoregionally advanced head and neck cancer: 5-year survival data from a phase 3 randomised trial, and relation between cetuximab-induced rash and survival. Lancet Oncol. 2010;11(1):21–8.

    CAS  PubMed  Google Scholar 

  64. Licitra L, et al. Primary chemotherapy in resectable oral cavity squamous cell cancer: a randomized controlled trial. J Clin Oncol. 2003;21(2):327–33. jco.ascopubs.org.

    CAS  PubMed  Google Scholar 

  65. Zhong L-P, Zhang C-P, Ren G-X, Guo W, William Jr WN, Sun J, Zhu H-G, et al. Randomized phase III trial of induction chemotherapy with docetaxel, cisplatin, and fluorouracil followed by surgery versus up-front surgery in locally advanced resectable oral squamous cell carcinoma. J Clin Oncol Off J Am Soc Clin Oncol. 2013;31(6):744–51.

    CAS  Google Scholar 

  66. Pai PS, Vaidya AD, Prabhash K, Banavali SD. Oral metronomic scheduling of anticancer therapy-based treatment compared to existing standard of care in locally advanced oral squamous cell cancers: a matched-pair analysis. Indian J Cancer. 2013;50(2):135–41.

    CAS  PubMed  Google Scholar 

  67. Cohen EEW, Karrison TG, Kocherginsky M, Mueller J, Egan R, Huang CH, Brockstein BE, et al. Phase III randomized trial of induction chemotherapy in patients with N2 or N3 locally advanced head and neck cancer. Clin Oncol Off J Am Soc Clin Oncol. 2014;32(25):2735–43. jco.ascopubs.org.

    CAS  Google Scholar 

  68. Haddad R, O’Neill A, Rabinowits G, Tishler R, Khuri F, Adkins D, Clark J, et al. Induction chemotherapy followed by concurrent chemoradiotherapy (sequential Chemoradiotherapy) versus concurrent chemoradiotherapy alone in locally advanced head and neck cancer (PARADIGM): a randomised phase 3 trial. Lancet Oncol. 2013;14(3):257–64. Elsevier.

    CAS  PubMed  Google Scholar 

  69. Hitt R, Grau JJ, López-Pousa A, Berrocal A, García-Girón C, Irigoyen A, Sastre J, et al. A randomized phase III trial comparing induction chemotherapy followed by chemoradiotherapy versus chemoradiotherapy alone as treatment of unresectable head and neck cancer. Ann Oncol Off J Eur Soc Med Oncol/ESMO. 2014;25(1):216–25. Eur Soc Med Oncology, mdt461.

    CAS  Google Scholar 

  70. Paccagnella A, Orlando A, Marchiori C, Zorat PL, Cavaniglia G, Sileni VC, Jirillo A, Tomio L, Fila G, Fede A. Phase III trial of initial chemotherapy in stage III or IV head and neck cancers: a study by the Gruppo Di Studio Sui Tumori Della Testa E Del Collo. J Natl Cancer Inst. 1994;86(4):265–72.

    CAS  PubMed  Google Scholar 

  71. Argiris A, et al. Induction docetaxel, cisplatin, and cetuximab followed by concurrent radiotherapy, cisplatin, and cetuximab and maintenance cetuximab in patients with locally advanced head and neck cancer. J Clin Oncol Off J Am Soc Clin Oncol. 2010;28(36):5294–300.

    CAS  Google Scholar 

  72. Kies MS, et al. Induction chemotherapy and cetuximab for locally advanced squamous cell carcinoma of the head and neck: results from a phase II prospective trial. J Clin Oncol Off J Am Soc Clin Oncol. 2010;28(1):8–14.

    CAS  Google Scholar 

  73. Patil VM, Prabhash K, Noronha V, Joshi A, Muddu V, Dhumal S, Arya S, et al. Neoadjuvant chemotherapy followed by surgery in very locally advanced technically unresectable oral cavity cancers. Oral Oncol. 2014;50(10):1000–4.

    CAS  PubMed  Google Scholar 

  74. Morton RP, et al. Cisplatinum and bleomycin for advanced or recurrent squamous cell carcinoma of the head and neck: a randomised factorial phase III controlled trial. Cancer Chemother Pharmacol. 1985;15(3):283–9.

    CAS  PubMed  Google Scholar 

  75. Kish JA, et al. Cisplatin and 5-fluorouracil infusion in patients with recurrent and disseminated epidermoid cancer of the head and neck. Cancer. 1984;53(9):1819–24.

    CAS  PubMed  Google Scholar 

  76. Colevas AD. Chemotherapy options for patients with metastatic or recurrent squamous cell carcinoma of the head and neck. J Clin Oncol. 2006;24(17):2644–52.

    CAS  PubMed  Google Scholar 

  77. Al-Sarraf M, et al. Platinum analogs in recurrent and advanced head and neck cancer: a Southwest Oncology Group and Wayne State University Study. Cancer Treat Rep. 1987;71(7–8):723–6.

    CAS  PubMed  Google Scholar 

  78. Hong WK, et al. A prospective randomized trial of methotrexate versus cisplatin in the treatment of recurrent squamous cell carcinoma of the head and neck. Cancer. 1983;52(2):206–10.

    CAS  PubMed  Google Scholar 

  79. Forastiere AA, et al. Final report of a phase II evaluation of paclitaxel in patients with advanced squamous cell carcinoma of the head and neck: an Eastern Cooperative Oncology Group trial (PA390). Cancer. 1998;82(11):2270–4.

    CAS  PubMed  Google Scholar 

  80. Smith RE, Thornton DE, Allen J. A phase II trial of paclitaxel in squamous cell carcinoma of the head and neck with correlative laboratory studies. Semin Oncol. 1995;22(3 Suppl 6):41–6.

    CAS  PubMed  Google Scholar 

  81. Dreyfuss AI, et al. Docetaxel: an active drug for squamous cell carcinoma of the head and neck. J Clin Oncol. 1996;14(5):1672–8.

    CAS  PubMed  Google Scholar 

  82. Catimel G, et al. Docetaxel (Taxotere): an active drug for the treatment of patients with advanced squamous cell carcinoma of the head and neck. EORTC Early Clinical Trials Group. Ann Oncol. 1994;5(6):533–7.

    CAS  PubMed  Google Scholar 

  83. Couteau C, et al. A phase II study of docetaxel in patients with metastatic squamous cell carcinoma of the head and neck. Br J Cancer. 1999;81(3):457–62.

    CAS  PubMed  PubMed Central  Google Scholar 

  84. Specenier P, et al. Weekly docetaxel in patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck. Am J Clin Oncol. 2011;34(5):472–7.

    CAS  PubMed  Google Scholar 

  85. Hitt R, et al. Weekly docetaxel in patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck. Cancer. 2006;106(1):106–11.

    CAS  PubMed  Google Scholar 

  86. Cho BC, et al. Weekly docetaxel in patients with platinum-refractory metastatic or recurrent squamous cell carcinoma of the head and neck. Cancer Chemother Pharmacol. 2009;65(1):27–32.

    CAS  PubMed  Google Scholar 

  87. Guardiola E, et al. Results of a randomised phase II study comparing docetaxel with methotrexate in patients with recurrent head and neck cancer. Eur J Cancer. 2004;40(14):2071–6.

    CAS  PubMed  Google Scholar 

  88. Zenda S, et al. Single-agent docetaxel in patients with platinum-refractory metastatic or recurrent squamous cell carcinoma of the head and neck (SCCHN). Jpn J Clin Oncol. 2007;37(7):477–81.

    PubMed  Google Scholar 

  89. Vermorken JB, et al. Open-label, uncontrolled, multicenter phase II study to evaluate the efficacy and toxicity of cetuximab as a single agent in patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck who failed to respond to platinum-based therapy. J Clin Oncol. 2007;25(16):2171–7. American Society of Clinical Oncology.

    CAS  PubMed  Google Scholar 

  90. Burtness B, et al. Phase III randomized trial of cisplatin plus placebo compared with cisplatin plus cetuximab in metastatic/recurrent head and neck cancer: an Eastern Cooperative Oncology Group study. J Clin Oncol. 2005;23(34):8646–54. American Society of Clinical Oncology.

    PubMed  Google Scholar 

  91. Hitt R, Irigoyen A, Cortes-Funes H, Grau JJ, García-Sáenz JA, Cruz-Hernandez JJ, Spanish Head and Neck Cancer Cooperative Group (TTCC). Phase II study of the combination of cetuximab and weekly paclitaxel in the first-line treatment of patients with recurrent and/or metastatic squamous cell carcinoma of head and neck. Ann Oncol Off J Eur Soc Med Oncol/ESMO. 2012;23(4):1016–22.

    CAS  Google Scholar 

  92. Péron J, Ceruse P, Lavergne E, Buiret G, Pham B-N, Chabaud S, Favier B, et al. Paclitaxel and cetuximab combination efficiency after the failure of a platinum-based chemotherapy in recurrent/metastatic head and neck squamous cell carcinoma. Anticancer Drugs. 2012;23(9):996–1001.

    PubMed  Google Scholar 

  93. Vermorken JB, et al. Platinum-based chemotherapy plus cetuximab in head and neck cancer. N Engl J Med. 2008;359(11):1116–27.

    CAS  PubMed  Google Scholar 

  94. Patil VM, Noronha V, Joshi A, Muddu VK, Dhumal S, Bhosale B, Arya S, et al. A prospective randomized phase II study comparing metronomic chemotherapy with chemotherapy (single agent cisplatin), in patients with metastatic, relapsed or inoperable squamous cell carcinoma of head and neck. Oral Oncol. 2015. doi:10.1016/j.oraloncology.2014.12.002.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kumar Prabhash .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Jitawatanarat, P., Zhao, Y., Patil, V., Joshi, A., Noronha, V., Prabhash, K. (2017). Current and Emerging Role of Chemotherapy in Oral Cancer. In: Kuriakose, M. (eds) Contemporary Oral Oncology. Springer, Cham. https://doi.org/10.1007/978-3-319-14917-2_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-14917-2_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14916-5

  • Online ISBN: 978-3-319-14917-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics