Programmed cell death protein 1 axis blockade in locally advanced squamous cell carcinoma of the head and neck: Neoadjuvant and adjuvant approaches

Cancer Treat Rev. 2022 Sep:109:102437. doi: 10.1016/j.ctrv.2022.102437. Epub 2022 Jul 16.

Abstract

Immunotherapy and in particular programmed cell death protein 1 (PD-1) inhibitors have been applied not only in the management of recurrent or metastatic disease but also as component of potentially curative treatment for many solid tumors. The incorporation of immunotherapy as neoadjuvant and /or adjuvant therapy in the treatment paradigm of locally advanced squamous cell carcinoma of the head and neck (SCCHN) is appealing with the goals of enhancing antitumor efficacy and, at the same time, reduce toxicity. This review analyzes the rationale for employing immunotherapy in the neoadjuvant and adjuvant settings, reviews the results of relevant clinical trials, and examines the potential benefits and caveats of neoadjuvant and/or adjuvant approaches in patients with SCCHN.

Keywords: Adjuvant; Immunotherapy; Neoadjuvant; PD-1; PD-L1; SCCHN.

Publication types

  • Review

MeSH terms

  • Head and Neck Neoplasms* / drug therapy
  • Humans
  • Immunotherapy / methods
  • Neoadjuvant Therapy
  • Programmed Cell Death 1 Receptor* / metabolism
  • Squamous Cell Carcinoma of Head and Neck / drug therapy

Substances

  • Programmed Cell Death 1 Receptor