Up to now, platinum containing combination chemotherapy (cisplatin or carboplatin) administered with the anti-epidermal growth factor receptor monoclonal antibody (anti-EGFR-AB) cetuximab is the only regimen able to prolong overall survival (OS) compared to chemotherapy alone in first-line r/mHNSCC [1]. In the trial, which lead to the approval of this combination, patients had a good performance status at inclusion (PS of 0–1) and median OS improved from 7.4 to 10.1 months (hazard ratio of cetuximab plus chemotherapy vs chemotherapy, 0.8; 95% CI, 0.64 to 0.99; P=0.04).
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