A phase I study afatinib/carboplatin/paclitaxel induction chemotherapy followed by standard chemoradiation in HPV-negative or high-risk HPV-positive locally advanced stage III/IVa/IVb head and neck squamous cell carcinoma
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Maximum tolerated dose of afatinib with carboplatin/paclitaxel is 20 mg daily.

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Afatinib at doses >20 mg with carboplatin/paclitaxel should be used with caution.

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Afatinib needs further evaluation in management of newly diagnosed HNSCC.

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