Related Experiment Video
Updated: Jan 6, 2026

Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Immune checkpoint inhibitors for head and neck squamous cell carcinoma: Current landscape and future directions
Hsiang-Fong Kao1,2,3, Pei-Jen Lou4
1Department of Oncology, National Taiwan University Hospital, Taipei City, Taiwan.
Background:
Immune checkpoint inhibitors (ICIs) can reinvigorate T cells and activate the immune system to eliminate cancer cells. Head and neck squamous cell carcinoma (HNSCC) is a malignancy with a poor prognosis. The roles of ICIs for HNSCC treatments are emerging.
Method:
We reviewed the study results of Programmed-Death 1 (PD-1) and PD-ligand-1 (PD-L1) monoclonal antibodies for HNSCC. The ongoing trials of anti-PD-1 and anti-PD-L1 were also reviewed.
Results:
Nivolumab showed a significant overall survival benefit in platinum-refractory HNSCC patients. For platinum-sensitive or first-line patients, pembrolizumab monotherapy (patients with PD-L1 Combined Positive Score ≥ 20) or pembrolizumab-platinum-fluorouracil improved overall survival vs the EXTREME (cetuximab-platinum-fluorouracil). Many HNSCC studies have combined anti-PD1/PD-L1 therapy with various anticancer agents or radiotherapy to improve treatment efficacy.
Conclusion:
ICIs demonstrate their efficacies for R/M HNSCC patients. The incorporation of ICIs showed a great impact on the treatment landscape of HNSCC.
Insights
Immune checkpoint inhibitors (ICIs) show promise in treating head and neck squamous cell carcinoma (HNSCC). Nivolumab and pembrolizumab offer survival benefits, impacting HNSCC treatment strategies.
Area of Science:
- Oncology
- Immunotherapy
Background:
- Head and neck squamous cell carcinoma (HNSCC) presents a poor prognosis.
- Immune checkpoint inhibitors (ICIs) activate T cells to combat cancer.
Purpose of the Study:
- To review the efficacy of Programmed-Death 1 (PD-1) and PD-ligand-1 (PD-L1) inhibitors in HNSCC.
- To assess the impact of ICIs on the HNSCC treatment landscape.
Main Methods:
- Literature review of clinical trial results for anti-PD-1 and anti-PD-L1 antibodies in HNSCC.
- Analysis of ongoing trials involving these immunotherapies.
Main Results:
- Nivolumab demonstrated significant overall survival benefits in platinum-refractory HNSCC.
- Pembrolizumab-based regimens improved overall survival in platinum-sensitive or first-line HNSCC patients.
- Combination therapies involving ICIs with other agents or radiotherapy are being explored to enhance efficacy.
Conclusions:
- Immune checkpoint inhibitors are effective for recurrent or metastatic (R/M) HNSCC.
- The integration of ICIs is transforming the therapeutic approach to HNSCC.
Related Concept Videos
Tumor Immunotherapy
Cancer Vaccines
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Targeted Cancer Therapies
There are several types of targeted therapies against...
Treatment Resistant Cancers
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...

