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Cited by 389

The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.

Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): An update on 107 randomized trials and 19,805 patients, on behalf of MACH-NC Group

Open access
Lacas, Benjamin, Carmel, Alexandra, Landais, Cécile, Wong, Stuart J., Licitra, Lisa, Tobias, Jeffrey S., Burtness, Barbara, Ghi, Maria Grazia, Cohen, Ezra E.W., Grau, Cai, Wolf, Gregory, Hitt, Ricardo, Corvò, Renzo, Budach, Volker, Kumar, Shaleen, Laskar, Sarbani Ghosh, Mazeron, Jean-Jacques, Zhong, Lai-Ping, Dobrowsky, Werner, Ghadjar, Pirus, Fallai, Carlo, Zakotnik, Branko, Sharma, Atul, Bensadoun, René-Jean, Ruo Redda, Maria Grazia, Racadot, Séverine, Fountzilas, George, Brizel, David, Rovea, Paolo, Argiris, Athanassios, Nagy, Zoltán Takácsi, Lee, Ju-Whei, Fortpied, Catherine, Harris, Jonathan, Bourhis, Jean, Aupérin, Anne, Blanchard, Pierre, Pignon, Jean-Pierre, Adelstein, D.J., Alfonsi, M., Belkacemi, Y., Bar-Ad, V., Bernier, J., Bratland, Å., Calais, G., Campbell, B., Caudell, J., Chabaud, S., Chamorey, E., Chaukar, D., Choi, K.N., Choussy, O., Collette, L., Cruz, J.J., Dani, C., Dauzier, E., Forastiere, A.A., Garaud, P., Gregoire, V., Hackshaw, A., Haddad, E., Haffty, B.G., Hansen, A., Hayoz, S., Horiot, J.C., Jeremic, B., Karrison, T.G., Langendijk, J.A., Lapeyre, M., Lartigau, E., Leong, T., Le, Q.T., Lee, P.P.Y., Lewin, F., Lin, A., Lopes, A., Mehta, S., Moon, J., Moyal, E., Occéan, B.V., Olmi, P., Orecchia, R., O'Sullivan, B., Overgaard, J., Petit, C., Quon, H., Sanguineti, G., Satar, T., Simes, J., Simon, C., Sire, C., Staar, S., Stromberger, C., Strojan, P., Temam, S., Thomson, D., Timochenko, A., Torri, V., Tseroni, V., Vermorken, J., Vokes, E.E., Waldron, J., Wernecke, K.D., Widder, J., Zackrisson, B.·2021·Radiotherapy and Oncology

Abstract

BACKGROUND AND PURPOSE: The Meta-Analysis of Chemotherapy in squamous cell Head and Neck Cancer (MACH-NC) demonstrated that concomitant chemotherapy (CT) improved overall survival (OS) in patients without distant metastasis. We report the updated results. MATERIALS AND METHODS: Published or unpublished randomized trials including patients with non-metastatic carcinoma randomized between 1965 and 2016 and comparing curative loco-regional treatment (LRT) to LRT + CT or adding another timing of CT to LRT + CT (main question), or comparing induction CT + radiotherapy to radiotherapy + concomitant (or alternating) CT (secondary question) were eligible. Individual patient data were collected and combined using a fixed-effect model. OS was the main endpoint. RESULTS: For the main question, 101 trials (18951 patients, median follow-up of 6.5 years) were analyzed. For both questions, there were 16 new (2767 patients) and 11 updated trials. Around 90% of the patients had stage III or IV disease. Interaction between treatment effect on OS and the timing of CT was significant (p < 0.0001), the benefit being limited to concomitant CT (HR: 0.83, 95%CI [0.79; 0.86]; 5(10)-year absolute benefit of 6.5% (3.6%)). Efficacy decreased as patients age increased (p_trend = 0.03). OS was not increased by the addition of induction (HR = 0.96 [0.90; 1.01]) or adjuvant CT (1.02 [0.92; 1.13]). Efficacy of induction CT decreased with poorer performance status (p_trend = 0.03). For the secondary question, eight trials (1214 patients) confirmed the superiority of concomitant CT on OS (HR = 0.84 [0.74; 0.95], p = 0.005). CONCLUSION: The update of MACH-NC confirms the benefit and superiority of the addition of concomitant CT for non-metastatic head and neck cancer.

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Authors
Lacas, B., Carmel, A., Landais, C., Wong, S. J., Licitra, L., Tobias, J. S., Burtness, B., Ghi, M. G., Cohen, E. E. W., Grau, C., Wolf, G., Hitt, R., Corvò, R., Budach, V., Kumar, S., Laskar, S. G., Mazeron, J.-J., Zhong, L.-P., Dobrowsky, W., Ghadjar, P., Fallai, C., Zakotnik, B., Sharma, A., Bensadoun, R.-J., Ruo Redda, M. G., Racadot, S., Fountzilas, G., Brizel, D., Rovea, P., Argiris, A., Nagy, Z. T., Lee, J.-W., Fortpied, C., Harris, J., Bourhis, J., Aupérin, A., Blanchard, P., Pignon, J.-P., Adelstein, D. J., Alfonsi, M., Belkacemi, Y., Bar-Ad, V., Bernier, J., Bratland, Å., Calais, G., Campbell, B., Caudell, J., Chabaud, S., Chamorey, E., Chaukar, D., Choi, K. N., Choussy, O., Collette, L., Cruz, J. J., Dani, C., Dauzier, E., Forastiere, A. A., Garaud, P., Gregoire, V., Hackshaw, A., Haddad, E., Haffty, B. G., Hansen, A., Hayoz, S., Horiot, J. C., Jeremic, B., Karrison, T. G., Langendijk, J. A., Lapeyre, M., Lartigau, E., Leong, T., Le, Q. T., Lee, P. P. Y., Lewin, F., Lin, A., Lopes, A., Mehta, S., Moon, J., Moyal, E., Occéan, B. V., Olmi, P., Orecchia, R., O'Sullivan, B., Overgaard, J., Petit, C., Quon, H., Sanguineti, G., Satar, T., Simes, J., Simon, C., Sire, C., Staar, S., Stromberger, C., Strojan, P., Temam, S., Thomson, D., Timochenko, A., Torri, V., Tseroni, V., Vermorken, J., Vokes, E. E., Waldron, J., Wernecke, K. D., Widder, J., & Zackrisson, B.
Venue
Radiotherapy and Oncology
Publisher
Elsevier BV
Published
2021-03
Volume
156
Pages
281-293
ISSN
0167-8140 (ISSN-L)
OpenAlex
W3122285725
Cited by
389
References
52
FWCI
17.97
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): An update on 107 randomized trials and 19,805 patients, on behalf of MACH-NC Group. https://app.cochat.ai/papers/10.1016/j.radonc.2021.01.013
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Lacas, B., Carmel, A., Landais, C., Wong, S. J., Licitra, L., Tobias, J. S., Burtness, B., Ghi, M. G., Cohen, E. E. W., Grau, C., Wolf, G., Hitt, R., Corvò, R., Budach, V., Kumar, S., Laskar, S. G., Mazeron, J.-J., Zhong, L.-P., Dobrowsky, W., . . . Zackrisson, B. (2021). Meta-analysis of chemotherapy in head and neck cancer (MACH-NC): An update on 107 randomized trials and 19,805 patients, on behalf of MACH-NC Group. Radiotherapy and Oncology. https://doi.org/10.1016/j.radonc.2021.01.013

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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