Immune-related adverse events following checkpoint inhibitor treatment in head and neck cancers: A comprehensive review

Head and neck cancers are a heterogeneous group of highly aggressive tumors and collectively represent the sixth most common cancer worldwide. Most head and neck cancers are squamous cell carcinomas (HNSCCs). Immunotherapy agents, namely anti-PD-1/PD-L1 and CTLA-4 inhibitors, are the cornerstone of...

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Main Authors: Remi Kessler, Subramanya Pandruvada
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906023000262
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author Remi Kessler
Subramanya Pandruvada
author_facet Remi Kessler
Subramanya Pandruvada
author_sort Remi Kessler
collection DOAJ
description Head and neck cancers are a heterogeneous group of highly aggressive tumors and collectively represent the sixth most common cancer worldwide. Most head and neck cancers are squamous cell carcinomas (HNSCCs). Immunotherapy agents, namely anti-PD-1/PD-L1 and CTLA-4 inhibitors, are the cornerstone of treatment for recurrent/metastatic HNSCC. Immune-related adverse events (irAEs) of varying severity are a known phenomenon associated with administering such agents to patients. Currently, there is no elucidating literature on the incidence, types, and treatment of irAEs in HNSCC and how managing such events impacts the temporary or permanent discontinuation of a particular immunotherapeutic agent. In this comprehensive literature review conducted through PubMed, we sought to analyze all available research on irAEs in HNSCC. Our initial search results were in 34 articles, 33 of which ultimately met the criteria for inclusion. Of those 33, four were systematic reviews/meta-analyses, four were retrospective reviews, and nine were case reports. A synthesis of the available research underscored the dearth of information available on which patients may be at greater risk for irAEs and why certain agents may not be successful in specific patient populations. The results of our study highlight the need for future clinical trials to be focused on immune-related adverse events and how they impact the overall management of patients with recurrent/metastatic HNSCC.
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spelling doaj-art-6af0d296c39e48d19e13adb6b3d0f2d22025-08-20T02:02:55ZengElsevierOral Oncology Reports2772-90602023-06-01610003610.1016/j.oor.2023.100036Immune-related adverse events following checkpoint inhibitor treatment in head and neck cancers: A comprehensive reviewRemi Kessler0Subramanya Pandruvada1Department of Oral Health Sciences, James B Edwards College of Dental Medicine, Medical University of South Carolina, Charleston, SC, 29425, USACorresponding author. Medical University of South Carolina, 173 Ashley Ave., Charleston, SC, 29425, USA.; Department of Oral Health Sciences, James B Edwards College of Dental Medicine, Medical University of South Carolina, Charleston, SC, 29425, USAHead and neck cancers are a heterogeneous group of highly aggressive tumors and collectively represent the sixth most common cancer worldwide. Most head and neck cancers are squamous cell carcinomas (HNSCCs). Immunotherapy agents, namely anti-PD-1/PD-L1 and CTLA-4 inhibitors, are the cornerstone of treatment for recurrent/metastatic HNSCC. Immune-related adverse events (irAEs) of varying severity are a known phenomenon associated with administering such agents to patients. Currently, there is no elucidating literature on the incidence, types, and treatment of irAEs in HNSCC and how managing such events impacts the temporary or permanent discontinuation of a particular immunotherapeutic agent. In this comprehensive literature review conducted through PubMed, we sought to analyze all available research on irAEs in HNSCC. Our initial search results were in 34 articles, 33 of which ultimately met the criteria for inclusion. Of those 33, four were systematic reviews/meta-analyses, four were retrospective reviews, and nine were case reports. A synthesis of the available research underscored the dearth of information available on which patients may be at greater risk for irAEs and why certain agents may not be successful in specific patient populations. The results of our study highlight the need for future clinical trials to be focused on immune-related adverse events and how they impact the overall management of patients with recurrent/metastatic HNSCC.http://www.sciencedirect.com/science/article/pii/S2772906023000262Head and Neck cancerImmunotherapyTreatment failureImmune-related adverse eventsPDL-1PD-1
spellingShingle Remi Kessler
Subramanya Pandruvada
Immune-related adverse events following checkpoint inhibitor treatment in head and neck cancers: A comprehensive review
Oral Oncology Reports
Head and Neck cancer
Immunotherapy
Treatment failure
Immune-related adverse events
PDL-1
PD-1
title Immune-related adverse events following checkpoint inhibitor treatment in head and neck cancers: A comprehensive review
title_full Immune-related adverse events following checkpoint inhibitor treatment in head and neck cancers: A comprehensive review
title_fullStr Immune-related adverse events following checkpoint inhibitor treatment in head and neck cancers: A comprehensive review
title_full_unstemmed Immune-related adverse events following checkpoint inhibitor treatment in head and neck cancers: A comprehensive review
title_short Immune-related adverse events following checkpoint inhibitor treatment in head and neck cancers: A comprehensive review
title_sort immune related adverse events following checkpoint inhibitor treatment in head and neck cancers a comprehensive review
topic Head and Neck cancer
Immunotherapy
Treatment failure
Immune-related adverse events
PDL-1
PD-1
url http://www.sciencedirect.com/science/article/pii/S2772906023000262
work_keys_str_mv AT remikessler immunerelatedadverseeventsfollowingcheckpointinhibitortreatmentinheadandneckcancersacomprehensivereview
AT subramanyapandruvada immunerelatedadverseeventsfollowingcheckpointinhibitortreatmentinheadandneckcancersacomprehensivereview