Response to immunotherapy rechallenge after interval chemotherapy in a patient with head and neck cancer.

Abstract:

:Patients with metastatic squamous cell cancer of the head and neck (SCCHN) have a poor prognosis, with most patients surviving less than a year. Immunotherapy (IO) is changing the natural history of the disease and programmed death-ligand 1 (PD-L1) inhibitors are showing notable improvements in survival with a more favourable toxicity profile than chemotherapy. To our knowledge, there are no data regarding how checkpoint blockade inhibitors may behave at rechallenge in SCCHN. We present the case of a metastatic hypopharyngeal cancer patient who after progressing clinically and radiologically to PD-L1-based IO and then to second-line cetuximab-based chemotherapy, achieved a partial response to third-line nivolumab. Our case shows that PD(L)1 rechallenge after interval chemotherapy may be worth considering in SCCHN. Studies should try to address which is the optimal treatment sequence in the era of IO in SCCHN.

journal_name

Anticancer Drugs

journal_title

Anti-cancer drugs

authors

Cabezas-Camarero S,Cabrera-Martín MN,Pérez-Segura P

doi

10.1097/CAD.0000000000000706

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

149-152

issue

2

eissn

0959-4973

issn

1473-5741

journal_volume

30

pub_type

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