Zusammenfassung
Im Jahr 2016 wurden auf dem ASCO-Kongress insbesondere Ergebnisse von Phase-II-Studien präsentiert, in denen wie auch im Jahr zuvor der Einsatz neuerer Medikamente (monoklonale Antikörper, „small molecules“) bei Patienten mit rezidivierten und metastasierten Plattenepithelkarzinomen des Kopf-Hals-Bereichs (R/M HNSCC) eine große Rolle spielte. Auffällig war die große Zahl an Studien bez. des Nasopharynxkarzinoms. Die nun hier vorgestellten Studien geben die verschiedenen Konzepte der medikamentösen Behandlung von R/M HNSCC wider und repräsentiert die Vielfalt der Therapieansätze in der Rezidiv- und Metastasensituation.
Abstract
This year particularly phase II studies were presented at the 2016 ASCO Annual Meeting, in which new drugs (monoclonal antibodies, small molecules) were investigated in patients with recurrent or metastatic head and neck squamous cell carcinoma (R/M-HNSCC). Notably, there was a great number of studies investigating carcinoma of the nasopharynx. The studies presented in this article summarize the different therapeutic concepts in the treatment of R/M-HNSCC and represent the variety of therapeutic approaches in the recurrent and metastatic setting.
Literatur
Ayyappan SR, Savvides P, Prabhakar D et al (2016) Correlation of hypomagnesemia from cetuximab with survival in metastatic squamous cell cancer of the head and neck (SCCHN). J Clin Oncol 34(suppl):abstr:6041
Baste N, Brana I, Viros D et al (2016) Impact of molecular prescreening for genomically-guided trials in head and neck cancer (HNC). J Clin Oncol 34(suppl):abstr:6030
Bhatia AK, Mehra R, Khan SA et al (2016) Phase II trial of carboplatin/paclitaxel and cetuximab, followed by carboplatin/paclitaxel/cetuximab and erlotinib, in metastatic or recurrent squamous cell carcinoma of the head and neck. J Clin Oncol 34(suppl):abstr:6027
Harrington KJ, Forster MD, Dillon M et al (2016) Patritumab (P) or placebo (PBO) plus cetuximab (C) and platinum-based therapy in squamous cell carcinoma of the head and neck (SCCHN): a phase 2 study. J Clin Oncol 34(suppl):abstr:TPS6104
Keam B, Tahara M, Lin J‑C et al (2016) An international, multicenter, randomized, double-blind, placebo-controlled, parallel-group phase 2 study of palbociclib (an oral CDK4/6 inhibitor) plus cetuximab in patients with recurrent/metastatic (R/M) squamous cell carcinoma of the head and neck (SCCHN). J Clin Oncol 34(suppl):abstr:TPS6102
Leeman JE, Li J‑G, Venigalla P et al (2016) Natural history following recurrence after definitive locoregional treatment in 1000+ cases of locally advanced head and neck squamous cell carcinoma. J Clin Oncol 34(suppl):abstr:6062
Licitra LF, Faivre SJ, Chol M et al (2016) BERIL-1: Biomarker results from targeted sequencing of circulating tumor DNA (ctDNA) and archival tissue in a randomized phase II study of buparlisib (BKM120) or placebo plus paclitaxel in patients with head and neck squamous cell carcinoma (HNSCC). J Clin Oncol 34(suppl):abstr:6045
Lopez-Pousa A, Sumarroca A, Quer M et al (2016) Risk of distant metastases in head and neck carcinoma patients and myeloperoxidase (MPO) expression. J Clin Oncol 34(suppl):abstr:6067
Mesia R, Bossi P, Hansen AR et al (2016) Interim results from a phase II study of CC-486 in previously treated patients (pts) with locally advanced/metastatic nasopharyngeal cancer (NPC). J Clin Oncol 34(suppl):abstr:6029
Prawira A, Oosting S, Chen TW-W et al (2016) Systemic therapies for recurrent/metastatic nasopharyngeal carcinoma (RM NPC). J Clin Oncol 34(suppl):abstr:6031
Rischin D, Boyer MJ, Brzezniak CE et al (2016) A phase 2 study of tarloxotinib bromide (TRLX) in patients (Pts) with recurrent or metastatic (R/M) squamous cell carcinoma of the head and neck (SCCHN) or skin (SCCS). J Clin Oncol 34(suppl):abstr:TPS6105
Soulieres D, Faivre SJ, Mesia R et al (2016) BERIL-1: A phase II, placebo-controlled study of buparlisib (BKM120) plus paclitaxel in patients with platinum-pretreated recurrent/metastatic head and neck squamous cell carcinoma (HNSCC). J Clin Oncol 34(suppl):abstr:6008
Tahara M, Kiyota N, Yokota T et al (2016) Phase II trial of combination treatment with paclitaxel, carboplatin and cetuximab (PCE) as first-line treatment in patients with recurrent and/or metastatic squamous cell carcinoma of the head and neck (CSPOR-HN02). J Clin Oncol 34(suppl):abstr:6026
Tan CS, Wang TT, Lim C‑M et al (2016) Randomised study of 2 low doses of sunitinib to modulate tumor microvasculature prior to chemotherapy in nasopharyngeal carcinoma (NPC). J Clin Oncol 34(suppl):abstr:6034
Vermorken JB, Mesia R, Rivera F et al (2008) Platinum-based chemotherapy plus cetuximab in head and neck cancer. N Engl J Med 359:1116–1127
Wan X, Fan X (2016) Molecular decision tree algorithms to predict individual recurrence pattern for locally advanced nasopharyngeal carcinoma. J Clin Oncol 34(suppl):abstr:6046
Zhang L, Yu G, Jia J et al (2016) Gemcitabine plus cisplatin (GP) versus 5‑FU plus cisplatin (FP) as first-line treatment for recurrent or metastatic nasopharyngeal carcinoma (NPC): A randomized, open-label, multicenter, phase III trial. J Clin Oncol 34(suppl):abstr:6007
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L. Bußmann und C.-J. Busch geben an, dass kein Interessenkonflikt besteht. R. Knecht gibt folgende Interessenskonflikte an: Advisory Board BMS, AstraZeneca, Aventis und Merck Serono.
Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.
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Bußmann, L., Busch, CJ. & Knecht, R. Therapie der rezidivierten und fernmetastasierten Kopf-Hals-Tumoren . HNO 64, 723–730 (2016). https://doi.org/10.1007/s00106-016-0235-6
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DOI: https://doi.org/10.1007/s00106-016-0235-6
Schlüsselwörter
- Konferenz und Proceedings
- Rezidiv
- Metastasierter Tumor
- Molekulare Targettherapie
- Biologische Tumormarker