[Immunotherapy for HNSCC : Quo vadis?]

HNO. 2016 Oct;64(10):700-7. doi: 10.1007/s00106-016-0241-8.
[Article in German]

Abstract

Background: Immunotherapy remains a hot topic with an endless stream of new upcoming clinical trials. The results of studies to date are promising for second-line palliative treatment of head and neck squamous cell carcinoma (HNSCC). The next step is testing these strategies in randomized trials for first-line and curative treatment in an adjuvant, neoadjuvant, and primarily nonsurgical setting. So far, established biomarkers have not proven reliable enough to predict response rates precisely.

Objectives: On occasion of the annual meeting of the American Society of Clinical Oncology (ASCO), we aimed to invesitage the future of immunotherapies.

Methods: We collected the most promising upcoming studies alongside current research in the field of biomarkers with a view to interesting new immunotherapeutic strategies.

Results: The search for appropriate biomarkers in particular seems to be a central research objective in the short term. There is a broad range of new agents that will be tested in clinical trials as well as the combination of immunotherapy with chemo- and chemoradiotherapy or other immune-modulating drugs.

Conclusion: The real challenge will be to find the most fitting therapy for each patient out of a large panel of available regimens. Therefore, it is most important to find a set of reliable biomarkers that together could predict treatment response.

Keywords: Biomarker; CTLA-4; Head and neck cancer; Immune modulation; PD-1 receptor.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal / therapeutic use*
  • Biomarkers, Tumor / immunology*
  • Cancer Vaccines / therapeutic use*
  • Carcinoma, Squamous Cell / diagnosis
  • Carcinoma, Squamous Cell / immunology*
  • Carcinoma, Squamous Cell / therapy*
  • Evidence-Based Medicine
  • Head and Neck Neoplasms / diagnosis
  • Head and Neck Neoplasms / immunology*
  • Head and Neck Neoplasms / therapy*
  • Humans
  • Immunotherapy / trends
  • Molecular Targeted Therapy / trends*
  • Squamous Cell Carcinoma of Head and Neck
  • Treatment Outcome

Substances

  • Antibodies, Monoclonal
  • Biomarkers, Tumor
  • Cancer Vaccines