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Phase III randomized trial of chemotherapy with or without bevacizumab in patients with recurrent or metastatic head and neck cancer

Journal of Clinical Oncology Oct 23, 2019

Argiris A, Li S, Savvides P, et al. - Researchers focused on the impacts of bevacizumab (a humanized monoclonal antibody that targets vascular endothelial growth factor) added to platinum-based chemotherapy for treating recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN). Participants were 403 chemotherapy-naïve patients (or with prior platinum as a component of multimodal treatment completed ≥ 4 months earlier) with recurrent or metastatic SCCHN. The participants were randomly administered a platinum-based chemotherapy doublet with or without bevacizumab 15 mg/kg delivered intravenously every 3 weeks until progression of the disease. Chemotherapy could be stopped following six cycles if a maximum response was obtained. Findings revealed no improvement in overall survival with bevacizumab added to chemotherapy, but it led to improvements in the response rate and progression-free survival with increased toxicities.
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