Immunotherapy versus targeted therapy in management of recurrent squamous cell carcinoma of oral tongue

Background: Targeted therapies, and more recently immunotherapy, have dramatically changed the landscape of treatments in oral cavity cancers and improved clinical outcomes. The benefit from targeted therapy and immune checkpoint inhibitors is however tampered by toxicities that affect different sit...

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Main Authors: Nadimul Hoda, Aastha Moza, K.P. Amith, K.S. Sabitha
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024002930
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author Nadimul Hoda
Aastha Moza
K.P. Amith
K.S. Sabitha
author_facet Nadimul Hoda
Aastha Moza
K.P. Amith
K.S. Sabitha
author_sort Nadimul Hoda
collection DOAJ
description Background: Targeted therapies, and more recently immunotherapy, have dramatically changed the landscape of treatments in oral cavity cancers and improved clinical outcomes. The benefit from targeted therapy and immune checkpoint inhibitors is however tampered by toxicities that affect different sites, including the oral cavity. Agents frequently reported to be associated with oral complications include tyrosine kinase inhibitors (TKIs), inhibitors of the VEGF receptor (VEGFR), anti-epidermal growth factor receptor (anti-EGFR), vascular endothelial growth factor (VEGF), mammalian target of rapamycin inhibitors (mTORis), and, more recently, immune checkpoint inhibitors (ICIs). Herein, our review talks about the comparison of immunotherapy and targeted therapy being the newer advances and its relevance for oral tongue carcinomas. Method: ology: A sample size pertaining to 14 relevant articles on immunotherapy and targeted therapy were chosen to combat squamous cell carcinoma of oral tongue. The primary and secondary parameters were overall survival and recurrence rate. Results: The basis of our statistical analysis were 14 articles selected wherein immunotherapy and targeted therapy was chosen. An overall recurrence rate of 4.0 % ± 0.1 % and overall survival rate of 75.3 % ± 11.4 % was substantiated. Our analysis consisted of both the forms of therapies where in immunotherapy precedes targeted therapy in terms of confirmed clinical trials. Conclusion: This newer modality of the cancer treatment forms the fourth pillar supporting surgery, chemotherapy, and radiotherapy. Therefore careful selection of patient is the key for success rate of immunotherapy, which is based on patient's immunological contexture. Based on the targeted drug delivery systems with specific physiochemical properties and tailored structure, carriers can load anti-cancer drugs to target the malignant cells.
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spelling doaj-art-a785b83cfdd34270b79471559fa192b02025-01-09T06:16:18ZengElsevierOral Oncology Reports2772-90602024-06-0110100447Immunotherapy versus targeted therapy in management of recurrent squamous cell carcinoma of oral tongueNadimul Hoda0Aastha Moza1K.P. Amith2K.S. Sabitha3Oral Onco Surgery at Kidwai Memorial Institute of Oncology, Bangalore, IndiaCorresponding author. 720, KMS Elite, 7th cross road, Brindavan nagar, S.G.Palya, Bangalore, 560029, India.; Oral Onco Surgery at Kidwai Memorial Institute of Oncology, Bangalore, IndiaOral Onco Surgery at Kidwai Memorial Institute of Oncology, Bangalore, IndiaOral Onco Surgery at Kidwai Memorial Institute of Oncology, Bangalore, IndiaBackground: Targeted therapies, and more recently immunotherapy, have dramatically changed the landscape of treatments in oral cavity cancers and improved clinical outcomes. The benefit from targeted therapy and immune checkpoint inhibitors is however tampered by toxicities that affect different sites, including the oral cavity. Agents frequently reported to be associated with oral complications include tyrosine kinase inhibitors (TKIs), inhibitors of the VEGF receptor (VEGFR), anti-epidermal growth factor receptor (anti-EGFR), vascular endothelial growth factor (VEGF), mammalian target of rapamycin inhibitors (mTORis), and, more recently, immune checkpoint inhibitors (ICIs). Herein, our review talks about the comparison of immunotherapy and targeted therapy being the newer advances and its relevance for oral tongue carcinomas. Method: ology: A sample size pertaining to 14 relevant articles on immunotherapy and targeted therapy were chosen to combat squamous cell carcinoma of oral tongue. The primary and secondary parameters were overall survival and recurrence rate. Results: The basis of our statistical analysis were 14 articles selected wherein immunotherapy and targeted therapy was chosen. An overall recurrence rate of 4.0 % ± 0.1 % and overall survival rate of 75.3 % ± 11.4 % was substantiated. Our analysis consisted of both the forms of therapies where in immunotherapy precedes targeted therapy in terms of confirmed clinical trials. Conclusion: This newer modality of the cancer treatment forms the fourth pillar supporting surgery, chemotherapy, and radiotherapy. Therefore careful selection of patient is the key for success rate of immunotherapy, which is based on patient's immunological contexture. Based on the targeted drug delivery systems with specific physiochemical properties and tailored structure, carriers can load anti-cancer drugs to target the malignant cells.http://www.sciencedirect.com/science/article/pii/S2772906024002930Dendritic cellsTumor micro environmentVascular endothelial growth factorImmunosurvillenceImmunoediting
spellingShingle Nadimul Hoda
Aastha Moza
K.P. Amith
K.S. Sabitha
Immunotherapy versus targeted therapy in management of recurrent squamous cell carcinoma of oral tongue
Oral Oncology Reports
Dendritic cells
Tumor micro environment
Vascular endothelial growth factor
Immunosurvillence
Immunoediting
title Immunotherapy versus targeted therapy in management of recurrent squamous cell carcinoma of oral tongue
title_full Immunotherapy versus targeted therapy in management of recurrent squamous cell carcinoma of oral tongue
title_fullStr Immunotherapy versus targeted therapy in management of recurrent squamous cell carcinoma of oral tongue
title_full_unstemmed Immunotherapy versus targeted therapy in management of recurrent squamous cell carcinoma of oral tongue
title_short Immunotherapy versus targeted therapy in management of recurrent squamous cell carcinoma of oral tongue
title_sort immunotherapy versus targeted therapy in management of recurrent squamous cell carcinoma of oral tongue
topic Dendritic cells
Tumor micro environment
Vascular endothelial growth factor
Immunosurvillence
Immunoediting
url http://www.sciencedirect.com/science/article/pii/S2772906024002930
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