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5/30/16

9

Induction chemotherapy revisited with TPF

TAX 324

30% reduction in

risk of death

TAX 323

27% reduction in

risk of death

TPF

PF

Survival Time (months)

50

Survival Probability (%)

0 6 12 18 24 30 36 42 48 54 60 66 72

0

10

20

30

40

60

70

80

90

100

TPF

PF

Survival Time (months)

0 6 12 18 24 30 36 42 48 54 60 66 72

Posner et al, NEJM 2007

Resectable/unresectable disease

Vermorken et al, NEJM 2007

Unresectable disease

EHNS-ESTRO H&N course

Florence, June 2016

TPF

PF

Overall Survival (%)

0

20

40

60

80

100

Time from randomisation (Years)

0

1

2

3

4

5

6

7

8

100

78.2

59.5

51.7

45

42.4

39.4

37.7

32.7

71.6

52.2

44.7

38.8

35

32.8

29

26.3

Absolute difference

at 5 years

± SD:

7.4

± 2.59

p = 0.0002

Meta-analysis on induction

chemotherapy with TPF

Bourhis, personal communication 2011

EHNS-ESTRO H&N course

Florence, June 2016