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Randomized trial of laryngeal organ preservation evaluating two cycles of induction chemotherapy with platinum, docetaxel, and a novel Bcl-xL inhibitor

dc.contributor.authorSwiecicki, Paul L.
dc.contributor.authorBellile, Emily
dc.contributor.authorCasper, Keith
dc.contributor.authorChinn, Steven Bennett
dc.contributor.authorDragovic, Aleksandar F.
dc.contributor.authorJolly, Shruti
dc.contributor.authorKupfer, Robbi
dc.contributor.authorMalloy, Kelly M.
dc.contributor.authorMierzwa, Michelle Lynn
dc.contributor.authorShuman, Andrew G.
dc.contributor.authorSpector, Matthew E.
dc.contributor.authorSrinivasan, Ashok
dc.contributor.authorStucken, Chaz
dc.contributor.authorBradford, Carol Rossier
dc.contributor.authorEisbruch, Avraham
dc.contributor.authorCarey, Thomas E.
dc.contributor.authorPrince, Mark E.
dc.contributor.authorWolf, Gregory T.
dc.contributor.authorWorden, Francis P.
dc.date.accessioned2022-07-05T21:00:26Z
dc.date.available2023-08-05 17:00:24en
dc.date.available2022-07-05T21:00:26Z
dc.date.issued2022-07
dc.identifier.citationSwiecicki, Paul L.; Bellile, Emily; Casper, Keith; Chinn, Steven Bennett; Dragovic, Aleksandar F.; Jolly, Shruti; Kupfer, Robbi; Malloy, Kelly M.; Mierzwa, Michelle Lynn; Shuman, Andrew G.; Spector, Matthew E.; Srinivasan, Ashok; Stucken, Chaz; Bradford, Carol Rossier; Eisbruch, Avraham; Carey, Thomas E.; Prince, Mark E.; Wolf, Gregory T.; Worden, Francis P. (2022). "Randomized trial of laryngeal organ preservation evaluating two cycles of induction chemotherapy with platinum, docetaxel, and a novel Bcl-xL inhibitor." Head & Neck 44(7): 1509-1519.
dc.identifier.issn1043-3074
dc.identifier.issn1097-0347
dc.identifier.urihttps://hdl.handle.net/2027.42/172949
dc.description.abstractBackgroundSingle cycle induction chemotherapy (IC) with platinum and 5-flurouracil (PF) and treatment based on clinical response predicts organ preservation in laryngeal cancer. Other agents offer intriguing alternatives with potentially increased ease of administration, reduced risk for severe toxicities, and increased platinum sensitivity.MethodsWe report the results of a phase II bioselection trial in advanced resectable laryngeal cancer utilizing an IC regimen of two cycles of platinum plus docetaxel (TP) with a Bcl-2 inhibitor. The primary endpoint was organ preservation rate at 12 weeks post chemoradiation.ResultsFifty-four patients were enrolled. Response to IC was 72%. The organ preservation rate was 59% with a laryngectomy free survival of 46%. Induction related grade ≥3 toxicities were observed in 56% of patients with two grade 5 events.ConclusionsTwo cycles of TP IC plus a Bcl-2 inhibitor did not improve laryngeal preservation compared to a single cycle of PF.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otherlaryngeal cancer
dc.subject.otherchemoradiation
dc.subject.otherinduction chemotherapy
dc.subject.otherneoadjuvant chemotherapy
dc.subject.otherorgan preservation
dc.titleRandomized trial of laryngeal organ preservation evaluating two cycles of induction chemotherapy with platinum, docetaxel, and a novel Bcl-xL inhibitor
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelOtolaryngology
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172949/1/hed27043_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172949/2/hed27043.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172949/3/hed27043-sup-0001-TableS1.pdf
dc.identifier.doi10.1002/hed.27043
dc.identifier.sourceHead & Neck
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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