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Cisplatin, immunotherapy, and chemoradiation in nasopharyngeal carcinoma: How far should one trial move the needle?

Med (New York, N.Y.) 2025 Vol.6(11) p. 100917

Sun F, Colevas AD

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In patients with locoregionally advanced, Epstein-Barr virus (EBV)-associated nasopharyngeal carcinoma, the DIAMOND trial demonstrated that eliminating the concurrent cisplatin radiosensitizer while m

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APA Sun F, Colevas AD (2025). Cisplatin, immunotherapy, and chemoradiation in nasopharyngeal carcinoma: How far should one trial move the needle?. Med (New York, N.Y.), 6(11), 100917. https://doi.org/10.1016/j.medj.2025.100917
MLA Sun F, et al.. "Cisplatin, immunotherapy, and chemoradiation in nasopharyngeal carcinoma: How far should one trial move the needle?." Med (New York, N.Y.), vol. 6, no. 11, 2025, pp. 100917.
PMID 41240897

Abstract

In patients with locoregionally advanced, Epstein-Barr virus (EBV)-associated nasopharyngeal carcinoma, the DIAMOND trial demonstrated that eliminating the concurrent cisplatin radiosensitizer while maintaining PD-1 inhibition throughout a treatment course anchored by gemcitabine-cisplatin induction resulted in non-inferior three-year failure-free survival and significantly lower all-grade vomiting. While such a strategy may be considered for cisplatin-ineligible patients, substitution of immunotherapy for concurrent cisplatin in all-comers remains premature.

MeSH Terms

Humans; Nasopharyngeal Carcinoma; Cisplatin; Nasopharyngeal Neoplasms; Chemoradiotherapy; Immunotherapy; Epstein-Barr Virus Infections; Antineoplastic Combined Chemotherapy Protocols; Deoxycytidine; Gemcitabine; Herpesvirus 4, Human

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