Essential Concepts in Harnessing the Immune System in Head and Neck Cancer.

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Presentation transcript:

Essential Concepts in Harnessing the Immune System in Head and Neck Cancer

1899: Coley’s Toxin

2016: PD-1 Inhibition

2016: PD-1 Inhibition

Overview

Tumor Immunology Cycle

The Yin and Yang of Immune Escape

Cancer Is Highly Immunosuppressive

T Cells Killing a Tumor Cell

Inflamed Phenotype in HNC TILs

Inflamed/Mesenchymal Intrinsic HNC Subtype

Clinical Activity

Recurrent and/or Metastatic HNC

Some of the PD-1/PD-L1 and CTLA-4 Targeting Agents in Development

KEYNOTE-055: Phase 2 Trial of Pembrolizumab After Progression

KEYNOTE-055: ORR

EXTREME vs Immunotherapy The Tail at the End of the Curve

Tumor Shrinkage

Case Study

Case Study (cont)

CheckMate 141: Phase 3 Trial of Nivolumab After Progression

CheckMate 141: OS

How Do We Select Patients? Biomarkers

PD-L1 Expression in Head and Neck Cancer

CheckMate 141: OS by Tumor PD-L1 Expression

Association of IFN-γ Signature and PFS

PFS and OS by IFN-γ 6-Gene Signature Score

CheckMate 141: OS by p16 Status

Adverse Effect Management

KEYNOTE-055: TRAEs With Pembrolizumab

Overview of irAEs

The Future: Immunotherapy Combinations

Combination Therapy

Immunotherapy in the First-Line Setting

Immunotherapy in the First-Line Setting (cont)

Immunotherapy in the First-Line Setting (cont)

Making Tumors Inflamed: T-VEC

Changing the Immunosuppressive ME: IDO

Ongoing and Future Clinical Concepts

Take-Home Messages

Abbreviations

Abbreviations (cont)

Abbreviations (cont)

Abbreviations (cont)