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Updated: Jan 16, 2026

Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Head and neck cancer - emerging targeted therapies
Yasser Abouelkheer1, Aarti Bhatia2
1Department of Internal Medicine, Norwalk Hospital/Yale University, Norwalk, CT, United States.
Abstract:
Systemic therapy remains the cornerstone of treatment for recurrent and metastatic (R/M) head and neck squamous cell cancers (HNSCC). However, there is a dearth of effective treatments beyond platinum combinations, anti-programmed death-1 (PD-1) agents and the epidermal growth factor receptor (EGFR)-targeting monoclonal antibody cetuximab. Recent years have seen several exciting new agents being tested in clinical trials. These are designed to target alternate oncogenic signaling pathways and have novel mechanistic compositions, including bi-specific antibodies and antibody-drug conjugates. This review will delve into the clinical limitations of currently approved systemic therapies, explore newer agents in development and highlight ongoing clinical trials using targeted therapies in this disease.
Insights
Systemic therapy is crucial for recurrent head and neck cancers. New targeted agents and clinical trials offer hope beyond current treatments for head and neck squamous cell carcinoma (HNSCC).
Area of Science:
- Oncology
- Cancer Therapeutics
- Head and Neck Cancer Research
Background:
- Systemic therapy is the primary treatment for recurrent and metastatic head and neck squamous cell cancers (HNSCC).
- Current effective treatments are limited, including platinum combinations, anti-PD-1 agents, and cetuximab targeting EGFR.
- There is a significant unmet need for novel and more effective therapeutic strategies.
Purpose of the Study:
- To review the clinical limitations of current approved systemic therapies for R/M HNSCC.
- To explore emerging targeted agents and novel therapeutic approaches in development for HNSCC.
- To highlight ongoing clinical trials investigating targeted therapies in advanced HNSCC.
Main Methods:
- Literature review of current systemic therapies for HNSCC.
- Analysis of recent clinical trial data for novel agents.
- Exploration of emerging therapeutic targets and mechanisms of action.
Main Results:
- Current therapies like platinum, anti-PD-1, and cetuximab have limitations in efficacy for R/M HNSCC.
- New agents targeting alternate oncogenic pathways are under investigation.
- Novel mechanisms including bi-specific antibodies and antibody-drug conjugates show promise.
Conclusions:
- There is a critical need for improved systemic treatments for R/M HNSCC.
- Emerging targeted therapies and novel drug conjugates represent promising avenues for future treatment.
- Ongoing clinical trials are essential for advancing the care of patients with advanced HNSCC.
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