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Regimens

N ORR

(%)

Median survival

(months)

Cisplatin/5-FU

vs

Carboplatin/5-FU

vs

Methotrexate

277

32%

21%

10%

6.6

5

5.6

*Cisplatin/pemetrexed*

vs

Cisplatin

795

12.1%

8.%

7.3*

6.3

p= 0.082

Jacobs et al JCO 2002, Clavel et al Ann Oncol 1994,

Forastiere et al JCO 1992, Urba et Cancer 2012

*

ECOG 0-1:

OS (8.4 vs 6.7 months; p=0.026)

Oropharyngeal:

OS (9.9 vs 6.1 months; p=0.002)

Randomized trials mono vs polychemotherapy