Article ; Online: Risk factors for oral mucositis in patients with solid tumors under treatment with cetuximab: a retrospective cross-sectional study.
Medicina oral, patologia oral y cirugia bucal
2024 Volume 29, Issue 2, Page(s) e248–e254
Abstract: Background: This study retrospectively analyzed the risk factors for oral mucositis (OM) during cetuximab treatment.: Material and methods: We screened patients using cetuximab and retrospectively evaluated the presence of OM based on medical records. ...
Abstract | Background: This study retrospectively analyzed the risk factors for oral mucositis (OM) during cetuximab treatment. Material and methods: We screened patients using cetuximab and retrospectively evaluated the presence of OM based on medical records. We collected information from 2 years of evaluations. Patient medical records were reviewed to obtain data on chemotherapy cycle and dose, sex, age, primary tumor, TNM stage, and head and neck radiotherapy (HNR) history. The X2 test and multinomial logistic regression were used for statistical analysis (SPSS 20.0, p < 0.05). Results: Among 1831 patients, OM was showed in 750 in any grade (41%), during cetuximab treatment. Most patients were female (n=944, 51.6%), <70years-old (n=1149, 62.8%), had larynx cancer (n=789, 43.1%) in T4 (n=579, 47.7%), N0 (n=509, 52.6%) stages. Primary tumor surgery was performed in 1476 (80.6%) patients, radiotherapy in 606 (33.1%) patients and cetuximab protocols most used involved up to four cycles (n=1072, 58.5%) of <400mg (n=996, 54.4%) cetuximab doses. Female (OR [odds ratio] = 2.17, CI95% = 1.26-3.75), >70 years-old patients (OR = 16.02, CI95% = 11.99-21.41), with HHNR (OR = 1.84, 1.41-2.40), treated with >4 cycles (OR = 1.52, CI95% = 1.16-2.01) and high doses of cetuximab (OR = 3.80, CI95% = 2.52-5.71) are the greatest risk factors for OM. Conclusions: Since the clinical benefit of cetuximab in the treatment of older patients is limited and there is a high OM, especially in women with head and neck treated with radiotherapy, high doses and a high number of cetuximab cycles must be administered with caution. |
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MeSH term(s) | Humans ; Female ; Aged ; Male ; Cetuximab/adverse effects ; Retrospective Studies ; Cross-Sectional Studies ; Undertreatment ; Carcinoma, Squamous Cell/pathology ; Head and Neck Neoplasms/drug therapy ; Head and Neck Neoplasms/complications ; Stomatitis/chemically induced ; Risk Factors |
Chemical Substances | Cetuximab (PQX0D8J21J) |
Language | English |
Publishing date | 2024-03-01 |
Publishing country | Spain |
Document type | Journal Article |
ZDB-ID | 2171573-7 |
ISSN | 1698-6946 ; 1698-4447 |
ISSN (online) | 1698-6946 |
ISSN | 1698-4447 |
DOI | 10.4317/medoral.26237 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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