1. p16 status and choice of chemotherapy in the KEYNOTE-040 study.
- Author
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Wei, Wei, Ji, Mei, Wu, Chang-ping, and Yang, Xin
- Subjects
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CANCER chemotherapy , *HEAD & neck cancer , *SQUAMOUS cell carcinoma , *APOPTOSIS - Abstract
In the KEYNOTE-040 study,[1] published in The Lancet, Ezra Cohen and colleagues reported that pembrolizumab provides a survival benefit compared with standard-of-care treatment (methotrexate, docetaxel, or cetuximab) in patients with recurrent or metastatic head-and-neck squamous cell carcinoma. Human papillomavirus (HPV)-positive metastatic head-and-neck squamous cell carcinomas have stronger T-cell infiltration and increased concentrations of immunoregulatory proteins, including programmed cell death 1 and cytotoxic T lymphocyte-associated protein 4, compared with HPV-negative metastatic head-and-neck squamous cell carcinomas,[3] suggesting that patients with HPV-positive disease could be good candidates for immunotherapy. This suggestion was confirmed by KEYNOTE-012,[4] in which pembrolizumab-treated patients with HPV-positive disease tended to have longer overall survival than that of patients with HPV-negative disease. [Extracted from the article]
- Published
- 2019
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