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Updated: Jul 26, 2025

Chromogenic In Situ Hybridization as a Tool for HPV-Related Head and Neck Cancer Diagnosis
Published on: June 14, 2019
Current Status of Human Papillomavirus-Targeted Therapies Development in Head and Neck Cancer
Jong Chul Park1,2, Brittany Bertaux3, Junseok Park4
1Department of Medicine, Massachusetts General Hospital, Boston, MA.
Purpose:
While the incidence of smoking-related head and neck squamous cell carcinoma (HNSCC) has been declining, that of human papillomavirus (HPV)-mediated HNSCC has rapidly increased in the past decades worldwide. Despite rapid advances in therapeutics for solid tumors with novel immunotherapy and targeted therapeutic agents, no breakthroughs have yet been made in the treatment of advanced HPV+ HNSCCs. This review aims to summarize the concepts and designs, early trial results, and future directions of various HPV-targeted experimental therapeutics for HPV+ HNSCC.
Materials And Methods:
Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, a systemic literature search of PubMed was conducted for HPV-targeted therapeutics using the following search terms: HPV, head and neck squamous cell carcinoma, and therapy. For clinical trial data, publications, major oncology conference abstracts, and the National Institutes of Health Clinical Trials Registry (ClinicalTrials.gov) information were reviewed. This review focused on the ones that are in the clinical stage and currently in active ongoing evaluation. The therapeutics not actively evaluated in HNSCC, in the preclinical stage, or terminated for further development were excluded.
Results:
Diverse approaches are being actively explored to target HPV+ HNSCC, including therapeutic vaccines of various modalities, HPV-specific immune cell-activating agents, and adaptive cellular therapeutics. All these novel agents use immune-based mechanisms and target constitutively expressed oncogenic HPV E6 and/or E7 viral proteins. Most therapeutics demonstrated excellent safety but single-agent activities are only modest. Many are being tested in combination with immune checkpoint inhibitors.
Conclusion:
Our review summarized various novel HPV-targeted therapeutics that are in the clinical phase for HPV+ HNSCC. Early-phase trial data suggest the feasibility and promising efficacy. Further strategies, including selecting the optimal combination and understanding and overcoming resistant mechanisms, are warranted for successful development.
Insights
Novel therapies targeting human papillomavirus (HPV)-mediated head and neck squamous cell carcinoma (HNSCC) show promise. While safe, current HPV-targeted treatments for advanced HPV+ HNSCC have modest single-agent activity, necessitating combination strategies.
Area of Science:
- Oncology
- Virology
- Immunotherapy
Background:
- Incidence of human papillomavirus (HPV)-mediated head and neck squamous cell carcinoma (HNSCC) is rising globally.
- Smoking-related HNSCC rates are declining, contrasting with the increasing HPV-driven cases.
- Despite advances in cancer therapeutics, effective treatments for advanced HPV+ HNSCC remain elusive.
Purpose of the Study:
- To review current HPV-targeted experimental therapeutics for HPV+ HNSCC.
- To summarize the concepts, designs, and early trial results of these novel agents.
- To outline future directions for developing effective HPV+ HNSCC treatments.
Main Methods:
- Systematic literature search of PubMed using keywords: HPV, head and neck squamous cell carcinoma, and therapy.
- Review of clinical trial data from publications, conference abstracts, and ClinicalTrials.gov.
- Focus on therapeutics in the clinical stage and actively under evaluation, excluding preclinical or terminated agents.
Main Results:
- Diverse HPV-targeted therapeutic approaches are under investigation, including vaccines, immune cell activators, and cellular therapeutics.
- These novel agents employ immune-based mechanisms targeting HPV E6/E7 oncoproteins.
- Most agents exhibit good safety profiles, but single-agent efficacy is modest; many are being evaluated with immune checkpoint inhibitors.
Conclusions:
- Novel HPV-targeted therapeutics in clinical trials show feasibility and promising efficacy for HPV+ HNSCC.
- Further research is needed to identify optimal combination therapies.
- Understanding and overcoming resistance mechanisms are crucial for successful therapeutic development.
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