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Review
. 2019 Dec;67(12):905-911.
doi: 10.1007/s00106-019-00761-8.

[Immunotherapy for head and neck cancer : Highlights of the 2019 ASCO Annual Meeting]

[Article in German]
Affiliations
Review

[Immunotherapy for head and neck cancer : Highlights of the 2019 ASCO Annual Meeting]

[Article in German]
J Doescher et al. HNO. 2019 Dec.

Abstract

Background: In the field of immunotherapy of head and neck squamous cell carcinoma (HNSCC), a high level of study activity can still be observed. The results of the Keynote-048 study on first-line therapy with pembrolizumab were a highlight at this year's meeting of the American Society of Clinical Oncology (ASCO).

Materials and methods: All abstracts and presentations on immunotherapy of head and neck tumors presented at ASCO 2019 were evaluated for relevance and the most interesting studies were summarized.

Results: The Keynote-048 study showed an improvement in overall survival with pembrolizumab monotherapy for patients with measurable programmed cell death ligand 1 (PD-L1) expression according to the combined positive score (CPS), and for the whole cohort with the combination of pembrolizumab and platin/5-fluorouracil (FU). The EAGLE study on durvalumab ± tremelimumab in second-line therapy did not demonstrate any improvement in response rates or overall survival compared to standard therapy. In addition, several new immunotherapeutic approaches and combinations were presented.

Conclusion: The results of the Keynote-048 study have already led to the approval of pembrolizumab in the first line for platin-sensitive HNSCC in the USA and the expected approval in Europe will presumably change the therapeutic landscape in the long term. In the future, effective therapies for patients without a response to programmed cell death 1 (PD-1)/PD-L1 inhibition will be needed.

Keywords: Antineoplastic agents; Head and neck neoplasms; Human papilloma viruses; Squamous cell carcinoma; Tumor antibodies.

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