@article {SUZUKI2045, author = {MOTOYUKI SUZUKI and YUKINORI TAKENAKA and TOSHIHIRO KISHIKAWA and YOSHIFUMI YAMAMOTO and ATSUSHI HANAMOTO and YOICHIRO TOMIYAMA and TAKAHITO FUKUSUMI and TAKAHIRO MICHIBA and NORIHIKO TAKEMOTO and SUSUMU NAKAHARA and HIDENORI INOHARA}, title = {Modified TPEx as First-line Treatment for Recurrent and/or Metastatic Head and Neck Cancer}, volume = {41}, number = {4}, pages = {2045--2051}, year = {2021}, doi = {10.21873/anticanres.14973}, publisher = {International Institute of Anticancer Research}, abstract = {Background/Aim: To retrospectively evaluate the efficacy and safety of modified TPEx (docetaxel 60 mg/m2 on day 1, cisplatin 60 mg/m2 on day 1, and weekly cetuximab 250 mg/m2 with loading dose of 400 mg/m2) followed by maintenance cetuximab as first-line treatment for inoperable recurrent and/or metastatic squamous cell carcinoma of the head and neck. Patients and Methods: We analyzed 22 Japanese patients receiving modified TPEx every 21 days for four cycles with or without prophylactic granulocyte colony-stimulating factor (G-CSF). Results: The best overall response rate was 55\% [95\% confidence interval (CI)=35-73]. The median progression-free survival and overall survival were 8.9 months (95\%CI=3.9-10.2) and 14.3 months (95\%CI=10.1-28.2), respectively. Without prophylactic G-CSF, Grade 3/4 neutropenia and febrile neutropenia was common (94\% versus 20\%; p=0.003 and 41\% versus 0\%; p=0.11, respectively). Conclusion: The modified TPEx is effective, while prophylactic G-CSF is essential.}, issn = {0250-7005}, URL = {https://ar.iiarjournals.org/content/41/4/2045}, eprint = {https://ar.iiarjournals.org/content/41/4/2045.full.pdf}, journal = {Anticancer Research} }