Title |
A robust response to combination immune checkpoint inhibitor therapy in HPV-related small cell cancer: a case report
|
---|---|
Published in |
Journal for Immunotherapy of Cancer, May 2018
|
DOI | 10.1186/s40425-018-0348-4 |
Pubmed ID | |
Authors |
Won Jin Ho, Lisa Rooper, Sarah Sagorsky, Hyunseok Kang |
Abstract |
Human papillomavirus-related small cell carcinoma of the head and neck is an extremely rare, aggressive subtype with poor outcomes. Therapeutic options are limited and are largely adopted from small cell lung cancer treatment paradigms. This report describes a 69-year old male who was diagnosed of HPV-related oropharyngeal cancer with mixed small cell and squamous cell pathology which was clinically aggressive and progressed through multimodal platinum-based therapies. Upon manifestation of worsening metastatic disease, the patient was initiated on a combination of ipilimumab and nivolumab. Within 2 months of starting immunotherapy, a robust partial response was observed. During the treatment course, the patient developed immune-related adverse effects including new diabetes mellitus, colitis, and hypothyroidism. The disease-specific survival was 26 months. Combination immunotherapy may be an attractive option for HPV-related small cell head and neck cancers resistant to other treatment modalities and thus warrants further evaluation. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 5 | 83% |
Spain | 1 | 17% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 67% |
Practitioners (doctors, other healthcare professionals) | 1 | 17% |
Science communicators (journalists, bloggers, editors) | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 42 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 7 | 17% |
Student > Master | 5 | 12% |
Professor | 3 | 7% |
Researcher | 3 | 7% |
Student > Postgraduate | 3 | 7% |
Other | 7 | 17% |
Unknown | 14 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 20 | 48% |
Biochemistry, Genetics and Molecular Biology | 2 | 5% |
Unspecified | 1 | 2% |
Computer Science | 1 | 2% |
Agricultural and Biological Sciences | 1 | 2% |
Other | 2 | 5% |
Unknown | 15 | 36% |