title: Induction chemotherapy with cisplatin and ifosfamide in locally advanced inoperable squamous cell carcinoma of the head and neck: A single-institution experience.
abstract: BACKGROUND
  Induction chemotherapy (ICT) in patients with head and neck cancer has been studied since a long time. The addition of taxanes to the cisplatin and 5-fluorouracil (5FU) (PF) regimen results in superior antitumor activity. We did this study to see the response and toxicity of ICT with cisplatin and ifosfamide followed by concurrent chemoradiotherapy (CRT) in locally advanced, unresectable squamous cell carcinoma of head and neck (SCCHN).
  
  
  OBJECTIVE
  The aim of this study was to see the results of ICT using cisplatin and ifosfamide regimen in locally advanced unresectable SCCHN in terms of acute and chronic toxicity and response to treatment.
  
  
  METHODS
  Patients with Stage III and IV, nonmetastatic SCCHN were enrolled in the study. They were given two cycles of ICT with cisplatin and ifosfamide followed by CRT.
  
  
  RESULTS
  After ICT, the overall response rate (ORR) was 75.0% at the primary site and 70.0% at the nodal site. ORR for combined primary and nodal disease was observed to be 67.5%. The complete response (CR) and partial response (PR) for combined primary and nodal site were seen in 4 (10.0%) and 23 (57.5%) patients. Of 32 patients who received CRT after ICT, CR was 53.1% and PR was 31.3%. Mucositis, skin reaction, and pharyngeal and laryngeal toxicities were the most common but tolerable.
  
  
  CONCLUSIONS
  ICT with cisplatin and ifosfamide gives comparable results to the standard paclitaxel, PF regimen. We conclude that this combination regimen for ICT is not only an economical alternative of taxol-based regimen but also well tolerated by the patients.
authors.affiliation: Department of Radiotherapy, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India.
authors.forename: S
authors.initials: S
authors.lastname: Zaheer
authors.affiliation: Department of Radiotherapy, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India.
authors.forename: S A
authors.initials: SA
authors.lastname: Siddiqui
authors.affiliation: Department of Radiotherapy, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India.
authors.forename: M
authors.initials: M
authors.lastname: Akram
authors.affiliation: Department of Otorhinolaryngology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India.
authors.forename: S A
authors.initials: SA
authors.lastname: Hasan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy* / Q000473:pathology; D002945:Cisplatin / Q000008:administration & dosage; D005260:Female; D006258:Head and Neck Neoplasms / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D007069:Ifosfamide / Q000008:administration & dosage; D060828:Induction Chemotherapy; D008297:Male; D008875:Middle Aged; D060787:Neoplasm Grading; D011446:Prospective Studies; D000077195:Squamous Cell Carcinoma of Head and Neck
chemical_list: D002945:Cisplatin; D007069:Ifosfamide