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Published on: April 22, 2019
Promising newer molecular-targeted therapies in head and neck cancer
1Division of Hematology/Oncology, Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois, USA.
Abstract:
Head and neck cancer (HNC) is the fifth most common cancer in the world. In the US alone, HNC accounts for 3-5% of all malignancies annually. Squamous cell carcinoma arising from the mucosa of the upper aerodigestive tract is the most common type of HNC and accounts for 90% of HNC diagnoses. Despite continued advances in the therapeutic options, the disease-free survival, functional outcome, toxicity of therapy and overall survival have remained less than optimal for patients with locally advanced, recurrent or metastatic disease. Therefore, new approaches for the treatment of patients with HNC, particularly patients with advanced stage, are clearly needed. Among the new therapies, molecular-targeted and biological therapies have gained special attention. While clinical trial data support the use of epidermal growth factor receptor (EGFR) inhibition in metastatic and locally advanced HNC, numerous trials are seeking to establish a clear role for new therapies targeting EGFR, the receptor for the type I insulin-like growth factor, as well as anti-angiogenesis agents.
Insights
New molecular-targeted and biological therapies are needed for head and neck cancer (HNC). Research is exploring therapies like epidermal growth factor receptor (EGFR) inhibition and anti-angiogenesis agents for advanced HNC.
Area of Science:
- Oncology
- Cancer Research
- Head and Neck Oncology
Background:
- Head and neck cancer (HNC) is a significant global health concern, representing the fifth most common cancer worldwide.
- Squamous cell carcinoma of the upper aerodigestive tract accounts for 90% of HNC diagnoses.
- Current therapeutic options yield suboptimal outcomes for patients with locally advanced, recurrent, or metastatic HNC.
Purpose of the Study:
- To highlight the urgent need for novel treatment strategies in head and neck cancer, particularly for advanced stages.
- To review emerging molecular-targeted and biological therapies showing promise in HNC treatment.
- To discuss the ongoing investigation of therapies targeting the epidermal growth factor receptor (EGFR) and anti-angiogenesis agents.
Main Methods:
- Review of existing clinical trial data on targeted therapies for HNC.
- Exploration of novel therapeutic agents, including EGFR inhibitors and anti-angiogenesis agents.
- Analysis of the potential role of these new therapies in improving patient outcomes.
Main Results:
- Clinical trials support the use of epidermal growth factor receptor (EGFR) inhibition in metastatic and locally advanced HNC.
- Numerous trials are actively investigating the efficacy of new targeted therapies.
- The potential of anti-angiogenesis agents in HNC treatment is under evaluation.
Conclusions:
- Advanced head and neck cancer necessitates innovative therapeutic approaches.
- Molecular-targeted and biological therapies, including EGFR inhibition and anti-angiogenesis agents, represent promising avenues for HNC treatment.
- Further clinical trials are crucial to establish the definitive role of these novel therapies in improving survival and outcomes for HNC patients.
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