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Cytoxisionmonotherapy (RT) is an option for patients with advanced head and neck squamous cell carcinoma (HNSCC) who are not suitable for cisplatin treatment.
testing PD-L1 immunocheckpoint blocking (avelumab) and sitoxiumitis-RT in therapeutic settings is meaningful because the total survival rate for 5 years is less than 50%.
phase-I feasibility test for patients with advanced HNSCC who are not suitable for cisplatin treatment (simultaneously maintained at 10mg/kg Q2W plus 4 months) phase-I feasibility test (plan n, NCT02938273).
results, 1 out of 10 patients included had a level 2 sitoximax-related infusion reaction and exited the study before avic monotonica.
1 patient ended treatment after 2 courses of aviitonitation and 12 x 2Gy RT for personal reasons.
the remaining 2/8 patients stopped avic monobify treatment after 4 courses and 8 courses of course due to toxicity and tumor progression, respectively.
no 4-5 toxicity.
level 3 immunotoxicity is controllable and occurs in 4 patients.
1 patient received topical steroid treatment for a level 3 large herpes rash, and 3 patients received a large dose of pernison treatment due to an elevated level 3 hepatoenzyme (n s 1) and pneumonia (n s 2).
7 patients had level 3 RT-related toxicity withno serious specific sytoxib-related toxicity.
a median follow-up 12 (8-26) months later, 4/8 patients (50%) had a recurrence of the tumor.
in general, sitoxioxion-RT Gaaveit is feasible for patients with advanced HNSCC who are not suitable for cisplatin treatment.
immunotoxicity is short-lived and controllable, and radiotherapy-related toxicity meets standard treatment.
the pilot study provides the basis for larger efficacy trials.
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