Neoadjuvant Immunotherapy in Head and Neck Cancers: A Paradigm Shift in Treatment Approach

Checkpoint inhibitors (ICIs) have demonstrated substantial efficacy in the treatment of numerous solid tumors, including head and neck cancer. Their inclusion in the therapeutic paradigm in metastatic lines of treatment has certainly improved the outcomes of these patients. Starting from this assump...

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Main Authors: Alessia Zotta, Maria Luisa Marciano, Francesco Sabbatino, Alessandro Ottaiano, Marco Cascella, Monica Pontone, Massimo Montano, Ester Calogero, Francesco Longo, Morena Fasano, Teresa Troiani, Fortunato Ciardiello, Fabiana Raffaella Rampetta, Giovanni Salzano, Giovanni Dell’Aversana Orabona, Luigi Califano, Franco Ionna, Francesco Perri
Format: Article
Language:English
Published: MDPI AG 2024-10-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/12/10/2337
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author Alessia Zotta
Maria Luisa Marciano
Francesco Sabbatino
Alessandro Ottaiano
Marco Cascella
Monica Pontone
Massimo Montano
Ester Calogero
Francesco Longo
Morena Fasano
Teresa Troiani
Fortunato Ciardiello
Fabiana Raffaella Rampetta
Giovanni Salzano
Giovanni Dell’Aversana Orabona
Luigi Califano
Franco Ionna
Francesco Perri
author_facet Alessia Zotta
Maria Luisa Marciano
Francesco Sabbatino
Alessandro Ottaiano
Marco Cascella
Monica Pontone
Massimo Montano
Ester Calogero
Francesco Longo
Morena Fasano
Teresa Troiani
Fortunato Ciardiello
Fabiana Raffaella Rampetta
Giovanni Salzano
Giovanni Dell’Aversana Orabona
Luigi Califano
Franco Ionna
Francesco Perri
author_sort Alessia Zotta
collection DOAJ
description Checkpoint inhibitors (ICIs) have demonstrated substantial efficacy in the treatment of numerous solid tumors, including head and neck cancer. Their inclusion in the therapeutic paradigm in metastatic lines of treatment has certainly improved the outcomes of these patients. Starting from this assumption, numerous studies have been conducted on ICIs in other earlier disease settings, including studies conducted in patients in neoadjuvant settings. However, how many and which studies are truly significant? Can they lay concrete foundations for further future studies and therefore allow us to continue to have this interesting future perspective? Through a review of the existing literature, coupled with insights gleaned from clinical practice and from the main recently published studies, we aim to examine the therapeutic potential of ICIs in patients affected by head and neck cancer in a neoadjuvant treatment setting and encourage researchers to set up successful future clinical trials.
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series Biomedicines
spelling doaj-art-1fdce2e9e6d04b4c9f9c62fcc5e2ab632025-08-20T02:11:09ZengMDPI AGBiomedicines2227-90592024-10-011210233710.3390/biomedicines12102337Neoadjuvant Immunotherapy in Head and Neck Cancers: A Paradigm Shift in Treatment ApproachAlessia Zotta0Maria Luisa Marciano1Francesco Sabbatino2Alessandro Ottaiano3Marco Cascella4Monica Pontone5Massimo Montano6Ester Calogero7Francesco Longo8Morena Fasano9Teresa Troiani10Fortunato Ciardiello11Fabiana Raffaella Rampetta12Giovanni Salzano13Giovanni Dell’Aversana Orabona14Luigi Califano15Franco Ionna16Francesco Perri17Medical Oncology, Department of Precision Medicine, Università degli Studi della Campania Luigi Vanvitelli, 80128 Naples, ItalyHead and Neck Oncology Unit, Istituto Nazionale Tumori di Napoli IRCCS “G. Pascale”, 80131 Naples, ItalyMedical Oncology Department, Università degli Studi di Salerno, 84084 Salerno, ItalyAbdominal Oncology Unit, Istituto Nazionale Tumori di Napoli IRCCS “G. Pascale”, 80131 Naples, ItalyAnesthesiology and Pain Therapy Unit, Università degli Studi di Salerno, 84084 Salerno, ItalyHead and Neck Oncology Unit, Istituto Nazionale Tumori di Napoli IRCCS “G. Pascale”, 80131 Naples, ItalyHead and Neck Oncology Unit, Istituto Nazionale Tumori di Napoli IRCCS “G. Pascale”, 80131 Naples, ItalyHead and Neck Oncology Unit, Istituto Nazionale Tumori di Napoli IRCCS “G. Pascale”, 80131 Naples, ItalyMaxillofacial and ENT Surgery Unit, Istituto Nazionale Tumori di Napoli IRCCS “G. Pascale”, 80131 Naples, ItalyMedical Oncology, Department of Precision Medicine, Università degli Studi della Campania Luigi Vanvitelli, 80128 Naples, ItalyMedical Oncology, Department of Precision Medicine, Università degli Studi della Campania Luigi Vanvitelli, 80128 Naples, ItalyMedical Oncology, Department of Precision Medicine, Università degli Studi della Campania Luigi Vanvitelli, 80128 Naples, ItalyHead and Neck Oncology Unit, Istituto Nazionale Tumori di Napoli IRCCS “G. Pascale”, 80131 Naples, ItalyHead and Neck Section, Department of Neurosciences, Reproductive and Odontostomatological Science, Federico II University of Naples, 80138 Naples, ItalyHead and Neck Section, Department of Neurosciences, Reproductive and Odontostomatological Science, Federico II University of Naples, 80138 Naples, ItalyHead and Neck Section, Department of Neurosciences, Reproductive and Odontostomatological Science, Federico II University of Naples, 80138 Naples, ItalyMaxillofacial and ENT Surgery Unit, Istituto Nazionale Tumori di Napoli IRCCS “G. Pascale”, 80131 Naples, ItalyHead and Neck Oncology Unit, Istituto Nazionale Tumori di Napoli IRCCS “G. Pascale”, 80131 Naples, ItalyCheckpoint inhibitors (ICIs) have demonstrated substantial efficacy in the treatment of numerous solid tumors, including head and neck cancer. Their inclusion in the therapeutic paradigm in metastatic lines of treatment has certainly improved the outcomes of these patients. Starting from this assumption, numerous studies have been conducted on ICIs in other earlier disease settings, including studies conducted in patients in neoadjuvant settings. However, how many and which studies are truly significant? Can they lay concrete foundations for further future studies and therefore allow us to continue to have this interesting future perspective? Through a review of the existing literature, coupled with insights gleaned from clinical practice and from the main recently published studies, we aim to examine the therapeutic potential of ICIs in patients affected by head and neck cancer in a neoadjuvant treatment setting and encourage researchers to set up successful future clinical trials.https://www.mdpi.com/2227-9059/12/10/2337immunotherapyneoadjuvantcheckpoint inhibitorshead and neck squamous cell carcinomatumor mutational burden
spellingShingle Alessia Zotta
Maria Luisa Marciano
Francesco Sabbatino
Alessandro Ottaiano
Marco Cascella
Monica Pontone
Massimo Montano
Ester Calogero
Francesco Longo
Morena Fasano
Teresa Troiani
Fortunato Ciardiello
Fabiana Raffaella Rampetta
Giovanni Salzano
Giovanni Dell’Aversana Orabona
Luigi Califano
Franco Ionna
Francesco Perri
Neoadjuvant Immunotherapy in Head and Neck Cancers: A Paradigm Shift in Treatment Approach
Biomedicines
immunotherapy
neoadjuvant
checkpoint inhibitors
head and neck squamous cell carcinoma
tumor mutational burden
title Neoadjuvant Immunotherapy in Head and Neck Cancers: A Paradigm Shift in Treatment Approach
title_full Neoadjuvant Immunotherapy in Head and Neck Cancers: A Paradigm Shift in Treatment Approach
title_fullStr Neoadjuvant Immunotherapy in Head and Neck Cancers: A Paradigm Shift in Treatment Approach
title_full_unstemmed Neoadjuvant Immunotherapy in Head and Neck Cancers: A Paradigm Shift in Treatment Approach
title_short Neoadjuvant Immunotherapy in Head and Neck Cancers: A Paradigm Shift in Treatment Approach
title_sort neoadjuvant immunotherapy in head and neck cancers a paradigm shift in treatment approach
topic immunotherapy
neoadjuvant
checkpoint inhibitors
head and neck squamous cell carcinoma
tumor mutational burden
url https://www.mdpi.com/2227-9059/12/10/2337
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