Non-Cochrane · prognostic · PM42316202

Two-year follow-up outcomes of neoadjuvant therapy in oral squamous cell carcinoma: an exploratory systematic review and meta-analysis.

Wang Shuhan, Zhang Yu, Dong Yamin, et al. · BMC oral health · 2026 · PubMed · doi:10.1186/s12903-026-08737-1

Findings

Population Patients with oral squamous cell carcinoma (OSCC)

5 findings

Neoadjuvant or preoperative therapy (chemotherapy, immunotherapy, chemoimmunotherapy, chemoradiotherapy, immunoradiotherapy)None (single-arm pooled proportion)Disease-free survival rate
2 years
Pooled proportion 0.407 [0.158, 0.684]
Low
Downgraded: imprecision, inconsistency
10 studies · 578 participants
Neoadjuvant or preoperative therapy (chemotherapy, immunotherapy, chemoimmunotherapy, chemoradiotherapy, immunoradiotherapy)None (single-arm pooled proportion)Overall survival rate
2 years
Pooled proportion 0.522 [0.242, 0.795]
Low
Downgraded: imprecision, inconsistency
10 studies · 578 participants
Neoadjuvant or preoperative therapy (chemotherapy, immunotherapy, chemoimmunotherapy, chemoradiotherapy, immunoradiotherapy)None (single-arm pooled proportion)Grade 3-4 treatment-related adverse events (incidence)
Not specified
Pooled proportion 0.191 [0.071, 0.349]
Low
Downgraded: inconsistency, publication bias
9 studies · 540 participants
Neoadjuvant or preoperative therapy (chemotherapy, immunotherapy, chemoimmunotherapy, chemoradiotherapy, immunoradiotherapy)None (single-arm pooled proportion)Disease-free survival rate
1 year
Pooled proportion 0.674 [0.410, 0.892]
Low
Downgraded: risk of bias, inconsistency
10 studies · 578 participants
Neoadjuvant or preoperative therapy (chemotherapy, immunotherapy, chemoimmunotherapy, chemoradiotherapy, immunoradiotherapy)None (single-arm pooled proportion)Overall survival rate
1 year
Pooled proportion 0.833 [0.646, 0.962]
Low
Downgraded: inconsistency
10 studies · 578 participants

Included primary studies 10

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Shen 2022
Neoadjuvant immunoradiotherapy in patients with locally advanced oral cavity squamous cell carcinoma: a retrospective study.
PMID:35972629
20221 other reviewnot statednot extracted yet
Ju 2023
A pilot study of camrelizumab with docetaxel and cisplatin for the first line treatment in recurrent/metastatic oral squamous cell…
PMID:37492783
2023this review onlynot statednot extracted yet
Kashyap 2021
Efficacy and safety of neoadjuvant chemotherapy (NACT) with paclitaxel plus carboplatin and oral metronomic chemotherapy (OMCT) in…
PMID:35211194
2021this review onlynot statednot extracted yet
Kina 2024
Higher overall survival rates of oral squamous cell carcinoma treated with metronomic neoadjuvant chemotherapy.
PMID:38590400
2024this review onlynot statednot extracted yet
Li 2024
Neoadjuvant chemoimmunotherapy in resectable locally advanced oral squamous cell carcinoma: a single-center retrospective cohort study.
PMID:38935124
2025this review onlynot statednot extracted yet
Liu 2025
Neoadjuvant immunotherapy with or without chemotherapy in locally advanced oral squamous cell carcinoma: Randomized, two-arm, phase 2 trial.
PMID:39889711
2025this review onlynot statednot extracted yet
Naruse 2021
Multicenter Retrospective Study of Weekly Cetuximab Plus Paclitaxel for Recurrent or Metastatic Oral Squamous Cell Carcinoma.
PMID:34732452
2021this review onlynot statednot extracted yet
Stanford-Moore 2022
Adjuvant therapy improves survival in pT4aN0 oral cavity squamous cell carcinoma with bone invasion.
PMID:34894450
2022this review onlynot statednot extracted yet
Yamakawa 2022
Multicenter retrospective study of nivolumab for recurrent/metastatic oral squamous cell carcinoma.
PMID:36519515
2024this review onlynot statednot extracted yet
Yoshida 2020
Efficacy of adjuvant chemotherapy with S-1 in stage II oral squamous cell carcinoma patients: A comparative study using the propensity…
PMID:32294127
2020this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationPatients aged 18 years or older with pathologically confirmed oral squamous cell carcinoma (including recurrent/metastatic or initially unresectable disease)Patients with OSCC (n=578)
InterventionNeoadjuvant or preoperative systemic or multimodal therapyChemoimmunotherapy (n=4 studies), chemotherapy (n=3), chemoradiotherapy (n=1), immunoradiotherapy (n=1), immunotherapy (n=1)
ComparisonNot specifiedNone (all single-arm, non-comparative)
OutcomesDisease-free survival and overall survival at 1 and 2 years; grade 3-4 treatment-related adverse eventsDFS and OS at 1 and 2 years; grade 3-4 TRAEs
Study designsRetrospective or prospective studies with at least 14 patients and at least 2 years follow-up10 studies (8 retrospective, 1 prospective randomized trial, 1 prospective study)
TimingFollow-up of at least 2 years; DFS and OS at 1 year and 2 yearsMedian follow-up 10.6 to 60 months