Checkpoint inhibitors in head and neck cancer: current knowledge and perspectives

J Investig Med. 2018 Oct;66(7):1023-1030. doi: 10.1136/jim-2018-000743. Epub 2018 Jun 25.

Abstract

The emergence of immunotherapy has provided significant clinical improvements in the treatment of metastatic solid tumors. Recurrent/metastatic head and neck squamous cell carcinoma (HNSCC) has dismal prognosis with median survival ranging between 6and12 months. Our aim is to review the current knowledge on the role of the immune system and immune checkpoint inhibitors in HNSCC. We will focus on the landmark trials that led to the regulatory approvals of pembrolizumab and nivolumab, and discuss a few promising contenders in clinical development and highlight the need to identify better biomarkers other than programmed death-ligand 1 to improve patient selection and help predict response.

Keywords: adoptive; antibodies; cancer; carcinoma; immunotherapy; monoclonal; neoplasms; squamous cell.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use
  • Biomarkers, Tumor / metabolism
  • Clinical Trials as Topic
  • Head and Neck Neoplasms / drug therapy
  • Head and Neck Neoplasms / immunology*
  • Head and Neck Neoplasms / therapy*
  • Humans
  • Immunotherapy*
  • Models, Biological

Substances

  • Antineoplastic Agents
  • Biomarkers, Tumor