Real-world Outcomes in Recurrent/Metastatic Squamous Cell Carcinoma of Head and Neck With Nivolumab: Galician Study

Leticia Iglesias1, Rocío Vílchez2, Santiago Aguín3

  • 1Department of Medical Oncology, Complejo Hospitalario Universitario de Ourense (CHUO), Ourense, Spain; leticia.iglesias.rey@sergas.es.

Anticancer Research
|March 4, 2025
PubMed
Abstract

Insights

This study shows nivolumab is effective and safe for head and neck squamous cell carcinoma (SCCHN) in real-world settings. Early use of nivolumab in metastatic SCCHN improved patient outcomes.

Area of Science:

  • Oncology
  • Immunotherapy
  • Head and Neck Cancer Research

Background:

  • Limited real-world data exists for nivolumab in metastatic squamous cell carcinoma of the head and neck (R/M SCCHN).
  • Understanding nivolumab's effectiveness and safety in routine clinical practice is crucial for treatment optimization.

Purpose of the Study:

  • To describe the clinical characteristics of R/M SCCHN patients treated with nivolumab.
  • To evaluate the outcomes and safety profile of nivolumab in a real-world R/M SCCHN patient cohort.
  • To assess the impact of treatment line on nivolumab efficacy in R/M SCCHN.

Main Methods:

  • Retrospective, observational study design.
  • Inclusion of 116 R/M SCCHN patients from nine healthcare network centers.
  • Data collection on patient characteristics, treatment lines, progression-free survival, overall survival, and adverse events between 2017 and 2019.

Main Results:

  • Median progression-free survival was 2.30 months and median overall survival was 8.1 months.
  • Nivolumab administered earlier in the treatment course (first or second line) correlated with better outcomes.
  • Grade 3/4 adverse events occurred in 21.27% of patients, indicating a manageable safety profile.

Conclusions:

  • Nivolumab demonstrates efficacy and a favorable safety profile in the real-world treatment of R/M SCCHN.
  • Early-line nivolumab administration may enhance survival outcomes in R/M SCCHN patients.
  • This study provides valuable real-world evidence supporting nivolumab's role in R/M SCCHN management.

Related Concept Videos

Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
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...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
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...
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...