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Randomized phase II trial of selenomethionine as a modulator of efficacy and toxicity of chemoradiation in squamous cell carcinoma of the head and neck
Journal article   Open access

Randomized phase II trial of selenomethionine as a modulator of efficacy and toxicity of chemoradiation in squamous cell carcinoma of the head and neck

Michael Mix, Anurag K. Singh, Michael Tills, Shiva Dibaj, Adrienne Groman, Wainwright Jaggernauth, Youcef Rustum and Michael B. Jameson
World journal of clinical oncology, Vol.6(5), pp.166-173
10/10/2015
DOI: 10.5306/wjco.v6.i5.166
PMCID: PMC4600191
PMID: 26468453
url
https://doi.org/10.5306/wjco.v6.i5.166View
Published (Version of record) Open Access

Abstract

AIM: To investigate whether selenomethionine (SLM) reduces mucositis incidence in patients with head and neck squamous cell cancer (HNSCC) undergoing concurrent chemoradiation (CRT). METHODS: In this multi-institutional, randomized, double-blind phase II trial, patients with Stage III or IV HNSCC received SLM 3600 mu g/m(2) or placebo twice daily for 7 d prior to CRT, once daily during CRT, and daily for 3 wk following CRT. CRT consisted of 70 Gy at 2 Gy per fraction with cisplatin 100 mg/m(2) IV on days 1, 22, and 43. RESULTS: Eighteen patients were randomized, 10 received SLM, and there were no differences in baseline factors. There was no difference in mucositis or patient-reported side effects between groups. There was no difference in overall or relapse-free survival at 12 mo. CONCLUSION: Addition of SLM to CRT for HNSCC was well-tolerated but did not lower the incidence of severe mucositis or improve quality of life or survival outcomes.
Life Sciences & Biomedicine Oncology Science & Technology

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