Major and durable responses to photon and electron-beam palliative radiotherapies after immune-checkpoint inhibitors in head and neck cancer

被引:1
|
作者
Cabezas-Camarero, Santiago [1 ,3 ]
Masedo, Gonzalo V. azquez [2 ]
Puebla-Diaz, Fernando [2 ]
Corona, Juan Antonio [2 ]
Perez-Seguraa, Pedro [1 ]
机构
[1] Hosp Clin Univ San Carlos, Inst Invest Sanitaria San Carlos IdISSC, Med Oncol Dept, Head & Neck Canc Neurooncol & Familiar Canc Unit, Madrid, Spain
[2] Hosp Clin Univ San Carlos, Inst Invest Sanitaria San Carlos IdISSC, Dept Radiat Oncol, Madrid, Spain
[3] Hosp Clin Univ San Carlos, Inst Invest Sanitaria San Carlos IdISSC, Med Oncol Dept, Madrid, Spain
关键词
Head and neck cancer; Radiotherapy; Electron beam radiotherapy; Photon beam radiotherapy; Immunotherapy; PDL1; Durvalumab; SQUAMOUS-CELL CARCINOMA; CETUXIMAB; RECURRENT; PHASE; CARE;
D O I
10.1016/j.oraloncology.2024.106719
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: The immuno-modulatory effects of ionizing radiation are well-known and preclinical studies suggest a synergistic effect of combining radiotherapy (RT) and IO. However, data regarding the clinical activity and safety of this approach are limited. Methods: We present the cases of two patients with SCCHN primary progressing to PDL1-based IO within a clinical trial (NCT03383094), that received subsequent but not concurrent palliative RT using two different modalities (electron beam and photon beam therapies). Results: Both patients achieved major and durable responses at 4 irradiated sites, with excellent tolerance and no grade >= 3 toxicities. Complete response occurred in 3 of the disease areas (all locoregional) and partial response in 1 metastatic lesion. Conclusion: Palliative radiotherapy after progression to IO was safe and demonstrated profound and durable responses in the cases presented.
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页数:4
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