Table 4: Characteristics of selected randomized studies on induction TPF in NPC and comparison with the present study.
|
Author |
No. of patients |
Stage IVA (%) |
Induction chemotherapy regimen |
% of patients with GCSF |
% for patients completing 3 cycles TPF |
% of patients receiving planned dose TPF |
Concurrent cisplatin compliance |
G3/4 toxicities |
Survival outcomes |
|
Sun et al. [11] |
480 |
45.4 |
Docetaxel 60 mg/m2 D1 Cisplatin 60 mg/m2 D1 5FU 600 mg/m2 D1-5 Q3 weeks |
0 |
88 |
78 |
79% received ≥ 200 mg/m2 |
Neutropenia – 35% Neutropenic fever – 2.5 % Mucositis- 6.5% Diarrhea – 7% |
3-year OS 85.6% 3-year PFS 77.4% |
|
Frikha et al. [10] |
83 |
NR |
Docetaxel 75 mg/m2 D1 Cisplatin 75 mg/m2 D1 5FU 750 mg/m2 D1-5 Q3 weeks |
15 |
95 |
75 |
86 % received ≥200 mg/m2 |
Neutropenia -27.5% Neutropenic fever – 7.5 Mucositis- 12.5% Diarrhea - |
3-year OS 86.3% 3-year PFS 73.9% |
|
Present study |
28 |
100 |
Docetaxel 75 mg/m2 D1 Cisplatin 75 mg/m2 D1 5FU 750 mg/m2 D1-5 Q3 weeks |
100 |
93 |
71 |
Mean dose of cisplatin received : 221 mg/m2 |
Neutropenia -11% Neutropenic fever – 3.6% Mucositis- 0% Diarrhea – 8% |
*3-year OS 100% §3-year PFS 92.2% |
NR: Not Reported, GCSF: Granulocyte Colony Stimulating Factor; OS: Overall Survival; PFS: Progression Free survival.