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Published byJerome Watson Modified over 6 years ago
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Essential Concepts in Harnessing the Immune System in Head and Neck Cancer
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1899: Coley’s Toxin
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2016: PD-1 Inhibition
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2016: PD-1 Inhibition
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Overview
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Tumor Immunology Cycle
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The Yin and Yang of Immune Escape
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Cancer Is Highly Immunosuppressive
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T Cells Killing a Tumor Cell
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Inflamed Phenotype in HNC TILs
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Inflamed/Mesenchymal Intrinsic HNC Subtype
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Clinical Activity
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Recurrent and/or Metastatic HNC
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Some of the PD-1/PD-L1 and CTLA-4 Targeting Agents in Development
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KEYNOTE-055: Phase 2 Trial of Pembrolizumab After Progression
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KEYNOTE-055: ORR
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EXTREME vs Immunotherapy The Tail at the End of the Curve
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Tumor Shrinkage
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Case Study
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Case Study (cont)
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CheckMate 141: Phase 3 Trial of Nivolumab After Progression
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CheckMate 141: OS
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How Do We Select Patients? Biomarkers
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PD-L1 Expression in Head and Neck Cancer
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CheckMate 141: OS by Tumor PD-L1 Expression
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Association of IFN-γ Signature and PFS
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PFS and OS by IFN-γ 6-Gene Signature Score
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CheckMate 141: OS by p16 Status
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Adverse Effect Management
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KEYNOTE-055: TRAEs With Pembrolizumab
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Overview of irAEs
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The Future: Immunotherapy Combinations
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Combination Therapy
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Immunotherapy in the First-Line Setting
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Immunotherapy in the First-Line Setting (cont)
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Immunotherapy in the First-Line Setting (cont)
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Making Tumors Inflamed: T-VEC
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Changing the Immunosuppressive ME: IDO
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Ongoing and Future Clinical Concepts
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Take-Home Messages
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Abbreviations
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Abbreviations (cont)
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Abbreviations (cont)
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Abbreviations (cont)
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