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Novel immune-modulating drugs for advanced head and neck cancer
Tien-Hua Chen1, Peter M-H Chang1,2, Muh-Hwa Yang1,3
1Division of Medical Oncology, Department of Oncology, Taipei Veterans General Hospital, Taipei, Taiwan.
Background:
Recently, two anti-PD-1 immune checkpoint inhibitors, pembrolizumab and nivolumab, have been approved by the US Food and Drug Administration for patients who fail on platinum-based chemotherapy. However, overall response and progression-free survival are still limited, and multiple novel agents are under development to fulfill this unmet clinical need.
Methods:
Publications between 1992 and 2019 regarding the immunological/biological mechanisms and early phase clinical trial outcomes of immunomodulatory agents for head and neck cancer were described in this review article.
Results:
Eleven immunomodulatory agents for advanced head and neck, including small molecules, antibodies, and therapeutic vaccines were described. Treatment responses were noted in nearly all 11 agents, as monotherapy or combination therapy.
Conclusions:
Potentials of the novel immunomodulatory agents to improve treatment efficacy of head and neck cancer and to maintain tolerable safety profile have been disclosed.
Insights
Novel immunomodulatory agents show promise for head and neck cancer treatment. These agents, including small molecules and vaccines, demonstrated treatment responses, offering new hope beyond current therapies.
Area of Science:
- Oncology
- Immunology
- Drug Development
Background:
- Approved anti-PD-1 therapies (pembrolizumab, nivolumab) offer limited efficacy for head and neck cancer post-chemotherapy.
- Significant unmet clinical need exists for improved head and neck cancer treatments.
- Novel immunomodulatory agents are under active investigation.
Purpose of the Study:
- To review immunological mechanisms of immunomodulatory agents in head and neck cancer.
- To summarize early-phase clinical trial outcomes of these agents.
- To assess the potential of novel agents for head and neck cancer treatment.
Main Methods:
- Systematic review of publications from 1992-2019.
- Focused on immunomodulatory agents for head and neck cancer.
- Included small molecules, antibodies, and therapeutic vaccines.
Main Results:
- Eleven immunomodulatory agents were identified for advanced head and neck cancer.
- Treatment responses observed with nearly all agents as monotherapy or combination therapy.
- Agents showed potential for improving treatment efficacy and safety.
Conclusions:
- Novel immunomodulatory agents demonstrate potential to enhance head and neck cancer treatment efficacy.
- These agents may offer a tolerable safety profile.
- Further development is warranted to address limitations of current therapies.
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