Post by Akhil Kapoor

Professor, Medical Oncology at TMH Varanasi

🚨 Can a low-cost oral metronomic regimen double survival in advanced head and neck cancer? Delighted to share our publication in JCO Global Oncology: METRO PLUS Trial Integrating Metronomic Therapy With Standard Chemotherapy in Advanced Unresectable Head and Neck Cancer: A Randomized Trial Addressing Global Cancer Care Equity πŸ”— https://lnkd.in/gg6e-q6r Key Findings βœ… Phase III randomized trial (N = 238) βœ… Platinum-sensitive advanced unresectable HNSCC βœ… Primary endpoint met β€’ Median Overall Survival: 10 vs 5 months β€’ HR 0.54 (95% CI 0.41–0.72) β€’ P < 0.001 βœ… Progression-Free Survival β€’ 6 vs 2 months β€’ HR 0.38 β€’ P < 0.001 βœ… Response Outcomes β€’ ORR: 36.9% vs 6.7% β€’ DCR: 75.5% vs 42.9% βœ… Quality of Life β€’ Clinically meaningful preservation across multiple domains βœ… Safety β€’ No increase in grade β‰₯3 toxicities with addition of triple oral metronomic chemotherapy Why this matters In many low- and middle-income countries, access to immunotherapy and cetuximab remains limited. The METRO PLUS study demonstrates that a simple, affordable, and scalable treatment strategy can significantly improve outcomes without compromising tolerability. A sincere thank you to all patients and families who participated in this study, my co-authors, research staff, collaborators, and mentors Prof Kumar Prabhash and Prof Vanita Noronha who made this work possible. Link for full article here: https://lnkd.in/gg6e-q6r Bipinesh Sansar ANUJ GUPTA Amol Akhade Dr. Archi Rungta MPMMCC/HBCH VNS Ankita Rungta Kapoor ESMO - European Society for Medical Oncology American Society of Clinical Oncology (ASCO) Katherine Van Loon Vanita Noronha OncoDaily #JCOGlobalOncology #HeadAndNeckCancer #HNSCC #MedicalOncology #ClinicalTrials #GlobalOncology #CancerResearch #MetronomicChemotherapy #ASCO #LMIC #CancerCareEquity

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