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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Head and Neck Tumors</journal-id><journal-title-group><journal-title xml:lang="en">Head and Neck Tumors</journal-title><trans-title-group xml:lang="ru"><trans-title>Опухоли головы и шеи</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2222-1468</issn><issn publication-format="electronic">2411-4634</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">271</article-id><article-id pub-id-type="doi">10.17650/2222-1468-2017-7-2-99-105</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>ОБЗОРНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">NEW OPPORTUNITIES FOR IMMUNE THERAPY IN PATIENTS WITH DISSEMINATED RECURRENT SQUAMOUS CELL CARCINOMA OF THE HEAD AND NECK</article-title><trans-title-group xml:lang="ru"><trans-title>НОВЫЕ ВОЗМОЖНОСТИ ИММУНОТЕРАПИИ В ЛЕЧЕНИИ РАСПРОСТРАНЕННОГО РЕЦИДИВНОГО ПЛОСКОКЛЕТОЧНОГО РАКА ОРГАНОВ ГОЛОВЫ И ШЕИ</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Mudunov</surname><given-names>A. M.</given-names></name><name xml:lang="ru"><surname>Мудунов</surname><given-names>А. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>23 Kashirskoe shosse, Moscow, 115478</p></bio><bio xml:lang="ru"><p>115478 Москва, Каширское шоссе, 24</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Narimanov</surname><given-names>M. N.</given-names></name><name xml:lang="ru"><surname>Нариманов</surname><given-names>М. Н.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>23 Kashirskoe shosse, Moscow, 115478</p></bio><bio xml:lang="ru"><p>Мехти Нариманович Нариманов.</p><p>115478 Москва, Каширское шоссе, 24</p></bio><email>mehtin@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Safarov</surname><given-names>D. A.</given-names></name><name xml:lang="ru"><surname>Сафаров</surname><given-names>Д. А.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>23 Kashirskoe shosse, Moscow, 115478</p></bio><bio xml:lang="ru"><p>115478 Москва, Каширское шоссе, 24</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">N.N. Blokhin Russian Cancer Research Center, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБУ «Российский онкологический научный центр им. Н.Н. Блохина» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2017-06-26" publication-format="electronic"><day>26</day><month>06</month><year>2017</year></pub-date><volume>7</volume><issue>2</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>99</fpage><lpage>105</lpage><history><date date-type="received" iso-8601-date="2017-06-27"><day>27</day><month>06</month><year>2017</year></date><date date-type="accepted" iso-8601-date="2017-06-27"><day>27</day><month>06</month><year>2017</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2017, Mudunov A.M., Narimanov M.N., Safarov D.A.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2017, Мудунов А.М., Нариманов М.Н., Сафаров Д.А.</copyright-statement><copyright-year>2017</copyright-year><copyright-holder xml:lang="en">Mudunov A.M., Narimanov M.N., Safarov D.A.</copyright-holder><copyright-holder xml:lang="ru">Мудунов А.М., Нариманов М.Н., Сафаров Д.А.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://ogsh.abvpress.ru/jour/article/view/271">https://ogsh.abvpress.ru/jour/article/view/271</self-uri><abstract xml:lang="en"><p>Patients with head and neck squamous cell carcinoma diagnosed with recurrent tumor or distant metastases usually have the worst prognosis. Chemotherapeutic options are very limited in these patients; there is a probability of drug resistance development. The researchers continue to search more effective and less toxic drugs. In the current article, we analyze the results of the latest randomized clinical trials devoted the assessment of novel antitumor immunotherapeutic drugs – PD-1 inhibitors – in patients with head and neck squamous cell carcinoma. This studies reveal new possibilities for the treatment of these patients.</p></abstract><trans-abstract xml:lang="ru"><p>Пациенты с плоскоклеточным раком в области головы и шеи, у которых диагностированы рецидивные опухоли или отдаленные метастазы, имеют наихудший прогноз при данном заболевании. Возможности современной химиотерапии весьма ограничены у пациентов этой группы с перспективой постепенного развития резистентности к проводимой терапии. В связи с этим продолжается поиск более эффективных и менее токсичных препаратов.</p><p>В статье приводится анализ последних рандомизированных исследований по эффективности противоопухолевых препаратов нового поколения иммунотерапевтической направленности – ингибиторов PD-1 рецепторов у пациентов с плоскоклеточным раком головы и шеи. Полученные данные открывают новые возможности в лечении этой сложной группы пациентов.</p></trans-abstract><kwd-group xml:lang="en"><kwd>head and neck tumors</kwd><kwd>squamous cell carcinoma</kwd><kwd>PD-1</kwd><kwd>immune therapy</kwd><kwd>nivolumab</kwd><kwd>pembrolizumab</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>опухоли головы и шеи</kwd><kwd>плоскоклеточный рак</kwd><kwd>PD-1</kwd><kwd>иммунотерапия</kwd><kwd>ниволюмаб</kwd><kwd>пембролизумаб</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">1. International Agency for Research on Cancer. GLOBOCAN 2012: estimated cancer incidence, mortality, and prevalence worldwide in 2012. Available at: http://globocan.iarc.fr (accessed Jan 13, 2016).</mixed-citation><mixed-citation xml:lang="ru">International Agency for Research on Cancer. GLOBOCAN 2012: estimated cancer incidence, mortality, and prevalence worldwide in 2012. Available at: http://globocan.iarc.fr (accessed Jan 13, 2016).</mixed-citation></citation-alternatives></ref><ref id="B2"><label>2.</label><citation-alternatives><mixed-citation xml:lang="en">2. Seiwert T.Y., Salama J.K., Vokes E.E. The chemoradiation paradigm in head and neck cancer. Nat Clin Pract Oncol 2007;4(3):156–71. DOI: 10.1038/ncponc0750. PMID: 17327856.</mixed-citation><mixed-citation xml:lang="ru">Seiwert T.Y., Salama J.K., Vokes E.E. The chemoradiation paradigm in head and neck cancer. Nat Clin Pract Oncol 2007;4(3):156–71. DOI: 10.1038/ncponc0750. PMID: 17327856.</mixed-citation></citation-alternatives></ref><ref id="B3"><label>3.</label><citation-alternatives><mixed-citation xml:lang="en">3. Vermorken J.B., Mesia R., Rivera F. et al. Platinum-based chemotherapy plus cetuximab in head and neck cancer. N Engl J Med 2008; 359(11):1116–27. DOI: 10.1056/NEJMoa0802656. PMID: 18784101.</mixed-citation><mixed-citation xml:lang="ru">Vermorken J.B., Mesia R., Rivera F. et al. Platinum-based chemotherapy plus cetuximab in head and neck cancer. N Engl J Med 2008; 359(11):1116–27. DOI: 10.1056/NEJMoa0802656. PMID: 18784101.</mixed-citation></citation-alternatives></ref><ref id="B4"><label>4.</label><citation-alternatives><mixed-citation xml:lang="en">4. Seiwert T.Y., Zuo Z., Keck M.K. et al. Integrative and comparative genomic analysis of HPV-positive and HPV-negative head and neck squamous cell carcinomas. Clin Cancer Res 2015;21(3):632–41. DOI: 10.1158/1078–0432.CCR-13–3310. PMID: 25056374.</mixed-citation><mixed-citation xml:lang="ru">Seiwert T.Y., Zuo Z., Keck M.K. et al. Integrative and comparative genomic analysis of HPV-positive and HPV-negative head and neck squamous cell carcinomas. Clin Cancer Res 2015;21(3):632–41. DOI: 10.1158/1078–0432.CCR-13–3310. PMID: 25056374.</mixed-citation></citation-alternatives></ref><ref id="B5"><label>5.</label><citation-alternatives><mixed-citation xml:lang="en">5. Keck M.K., Zuo Z., Khattri A. et al. Integrative analysis of head and neck cancer identiﬁ es two biologically distinct HPV and three non-HPV subtypes. Clin Cancer Res 2015;21(4):870–81. DOI: 10.1158/1078–0432.CCR-14–2481. PMID: 25492084.</mixed-citation><mixed-citation xml:lang="ru">Keck M.K., Zuo Z., Khattri A. et al. Integrative analysis of head and neck cancer identiﬁ es two biologically distinct HPV and three non-HPV subtypes. Clin Cancer Res 2015;21(4):870–81. DOI: 10.1158/1078–0432.CCR-14–2481. PMID: 25492084.</mixed-citation></citation-alternatives></ref><ref id="B6"><label>6.</label><citation-alternatives><mixed-citation xml:lang="en">6. The Cancer Genome Atlas Network. Comprehensive genomic characterization of head and neck squamous cell carcinomas. Nature 2015;517(7536):576–82. DOI: 10.1038/nature14129. PMID: 25631445.</mixed-citation><mixed-citation xml:lang="ru">The Cancer Genome Atlas Network. Comprehensive genomic characterization of head and neck squamous cell carcinomas. Nature 2015;517(7536):576–82. DOI: 10.1038/nature14129. PMID: 25631445.</mixed-citation></citation-alternatives></ref><ref id="B7"><label>7.</label><citation-alternatives><mixed-citation xml:lang="en">7. Keir M.E., Butte M.J., Freeman G.J., Sharpe A.H. PD-1 and its ligands in tolerance and immunity. Annu Rev Immunol 2008;26:677–704. DOI: 10.1146/annurev.immunol.26.021607.090331. PMID: 18173375.</mixed-citation><mixed-citation xml:lang="ru">Keir M.E., Butte M.J., Freeman G.J., Sharpe A.H. PD-1 and its ligands in tolerance and immunity. Annu Rev Immunol 2008;26:677–704. DOI: 10.1146/annurev.immunol.26.021607.090331. PMID: 18173375.</mixed-citation></citation-alternatives></ref><ref id="B8"><label>8.</label><citation-alternatives><mixed-citation xml:lang="en">8. Latchman Y., Wood C.R., Chernova T. et al. PD–L2 is a second ligand for PD-1 and inhibits T cell activation. Nat Rev Immunol 2001;2 (3):261–68. DOI: 10.1038/85330. PMID: 11224527.</mixed-citation><mixed-citation xml:lang="ru">Latchman Y., Wood C.R., Chernova T. et al. PD–L2 is a second ligand for PD-1 and inhibits T cell activation. Nat Rev Immunol 2001;2 (3):261–68. DOI: 10.1038/85330. PMID: 11224527.</mixed-citation></citation-alternatives></ref><ref id="B9"><label>9.</label><citation-alternatives><mixed-citation xml:lang="en">9. Pardoll D.M. The blockade of immune checkpoints in cancer immunotherapy. Nat Rev Cancer 2012;12(4):252–64. DOI: 10.1038/nrc3239. PMID: 22437870.</mixed-citation><mixed-citation xml:lang="ru">Pardoll D.M. The blockade of immune checkpoints in cancer immunotherapy. Nat Rev Cancer 2012;12(4):252–64. DOI: 10.1038/nrc3239. PMID: 22437870.</mixed-citation></citation-alternatives></ref><ref id="B10"><label>10.</label><citation-alternatives><mixed-citation xml:lang="en">10. McDermott D. F., Atkins M.B. PD-1 as a potential target in cancer therapy. Cancer Med 2013;2(5):662–73. DOI: 10.1002/cam4.106. PMID: 24403232.</mixed-citation><mixed-citation xml:lang="ru">McDermott D. F., Atkins M.B. PD-1 as a potential target in cancer therapy. Cancer Med 2013;2(5):662–73. DOI: 10.1002/cam4.106. PMID: 24403232.</mixed-citation></citation-alternatives></ref><ref id="B11"><label>11.</label><citation-alternatives><mixed-citation xml:lang="en">11. Lyford-Pike S., Peng S., Young G.D. et al. Evidence for a role of the PD-1: PD–L1 pathway in immune resistance of HPV-associated head and neck squamous cell carcinoma. Cancer Res 2013;73(6):1733–41. DOI: 10.1158/0008–5472.CAN-12–2384. PMID: 23288508.</mixed-citation><mixed-citation xml:lang="ru">Lyford-Pike S., Peng S., Young G.D. et al. Evidence for a role of the PD-1: PD–L1 pathway in immune resistance of HPV-associated head and neck squamous cell carcinoma. Cancer Res 2013;73(6):1733–41. DOI: 10.1158/0008–5472.CAN-12–2384. PMID: 23288508.</mixed-citation></citation-alternatives></ref><ref id="B12"><label>12.</label><citation-alternatives><mixed-citation xml:lang="en">12. Saloura V., Zou Z., Koeppen H. Correlation of T-cell inﬂamed phenotype with mesenchymal subtype, expression of PD–L1, and other immune checkpoints in head and neck cancer. Proc Soc Am Clin Oncol 2014;32(5s): 6009 (abstr).</mixed-citation><mixed-citation xml:lang="ru">Saloura V., Zou Z., Koeppen H. Correlation of T-cell inﬂamed phenotype with mesenchymal subtype, expression of PD–L1, and other immune checkpoints in head and neck cancer. Proc Soc Am Clin Oncol 2014;32(5s): 6009 (abstr).</mixed-citation></citation-alternatives></ref><ref id="B13"><label>13.</label><citation-alternatives><mixed-citation xml:lang="en">13. Ferris R., Blumenschein G., Fayette J. et al. Nivolumab for recurrent squamous-cell carcinoma of the head and neck. N Engl J Med 2016;375(19):1856–67. DOI: 10.1056/NEJMoa1602252. PMID: 27718784.</mixed-citation><mixed-citation xml:lang="ru">Ferris R., Blumenschein G., Fayette J. et al. Nivolumab for recurrent squamous-cell carcinoma of the head and neck. N Engl J Med 2016;375(19):1856–67. DOI: 10.1056/NEJMoa1602252. PMID: 27718784.</mixed-citation></citation-alternatives></ref><ref id="B14"><label>14.</label><citation-alternatives><mixed-citation xml:lang="en">14. Hamid O., Robert C., Daud A. et al. Safety and tumor responses with lambrolizumab (anti-PD-1) in melanoma. N Engl J Med 2013;369 (2):134–44. DOI: 10.1056/NEJMoa1305133. PMID: 23724846..</mixed-citation><mixed-citation xml:lang="ru">Hamid O., Robert C., Daud A. et al. Safety and tumor responses with lambrolizumab (anti-PD-1) in melanoma. N Engl J Med 2013;369 (2):134–44. DOI: 10.1056/NEJMoa1305133. PMID: 23724846..</mixed-citation></citation-alternatives></ref><ref id="B15"><label>15.</label><citation-alternatives><mixed-citation xml:lang="en">15. Garon E.B., Rizvi N.A., Hui R. et al. Pembrolizumab for the treatment of nonsmall-cell lung cancer. N Engl J Med 2015;372(21):2018–28. DOI: 10.1056/NEJMoa1501824. PMID: 25891174.</mixed-citation><mixed-citation xml:lang="ru">Garon E.B., Rizvi N.A., Hui R. et al. Pembrolizumab for the treatment of nonsmall-cell lung cancer. N Engl J Med 2015;372(21):2018–28. DOI: 10.1056/NEJMoa1501824. PMID: 25891174.</mixed-citation></citation-alternatives></ref><ref id="B16"><label>16.</label><citation-alternatives><mixed-citation xml:lang="en">16. Topalian S.L., Hodi F.S., Brahmer J.R. et al. Safety, activity, and immune correlates of anti-PD-1 antibody in cancer. N Engl J Med 2012;366(26):2443–54. DOI: 10.1056/NEJMoa1200690. PMID: 22658127.</mixed-citation><mixed-citation xml:lang="ru">Topalian S.L., Hodi F.S., Brahmer J.R. et al. Safety, activity, and immune correlates of anti-PD-1 antibody in cancer. N Engl J Med 2012;366(26):2443–54. DOI: 10.1056/NEJMoa1200690. PMID: 22658127.</mixed-citation></citation-alternatives></ref><ref id="B17"><label>17.</label><citation-alternatives><mixed-citation xml:lang="en">17. Bauml J., Siewert T., Pfister D.G. et al. Preliminary results from KEYNOTE-055: Pembrolizumab after Cisplatin and Cetuximab failure in Head and Neck squamous cell carcinoma. ASCO Annual Meeting, Best of ASCO designation: 2016. J Clin Oncol. 2016;34 (suppl): abstr 6011.</mixed-citation><mixed-citation xml:lang="ru">Bauml J., Siewert T., Pfister D.G. et al. Preliminary results from KEYNOTE-055: Pembrolizumab after Cisplatin and Cetuximab failure in Head and Neck squamous cell carcinoma. ASCO Annual Meeting, Best of ASCO designation: 2016. J Clin Oncol. 2016;34 (suppl): abstr 6011.</mixed-citation></citation-alternatives></ref><ref id="B18"><label>18.</label><citation-alternatives><mixed-citation xml:lang="en">18. Machiels J.P., Haddad R.I., Fayette J. et al: Afatinib versus methotrexate as second-line treatment in patients with recurrent or metastatic squamous-cell carcinoma of the head and neck progressing on or after platinum-based therapy (LUX-Head &amp; Neck 1): an open-label, randomised phase 3 trial. Lancet Oncol 2015;16(5):583–94. DOI: 10.1016/S1470–2045(15)70124–5. PMID: 25892145</mixed-citation><mixed-citation xml:lang="ru">Machiels J.P., Haddad R.I., Fayette J. et al: Afatinib versus methotrexate as second-line treatment in patients with recurrent or metastatic squamous-cell carcinoma of the head and neck progressing on or after platinum-based therapy (LUX-Head &amp; Neck 1): an open-label, randomised phase 3 trial. Lancet Oncol 2015;16(5):583–94. DOI: 10.1016/S1470–2045(15)70124–5. PMID: 25892145</mixed-citation></citation-alternatives></ref><ref id="B19"><label>19.</label><citation-alternatives><mixed-citation xml:lang="en">19. Seiwert T.Y., Fayette J., Cupissol D. et al. A randomized, phase II study of afatinib versus cetuximab in metastatic or recurrent squamous cell carcinoma of the head and neck. Ann Oncol 2014;25(9):1813–20. DOI: 10.1093/annonc/mdu216. PMID: 24928832.</mixed-citation><mixed-citation xml:lang="ru">Seiwert T.Y., Fayette J., Cupissol D. et al. A randomized, phase II study of afatinib versus cetuximab in metastatic or recurrent squamous cell carcinoma of the head and neck. Ann Oncol 2014;25(9):1813–20. DOI: 10.1093/annonc/mdu216. PMID: 24928832.</mixed-citation></citation-alternatives></ref><ref id="B20"><label>20.</label><citation-alternatives><mixed-citation xml:lang="en">20. Chow L.Q. M., Haddad R., Gupta S. et al: Antitumor activity of pembrolizuamb in biomarker-unselected patients with recurrent/metastatic head and neck squamous cell carcinoma: Results from the phase 1b KEYNOTE-012 expansion cohort. J Clin Oncol 2016;34:3838–45.</mixed-citation><mixed-citation xml:lang="ru">Chow L.Q. M., Haddad R., Gupta S. et al: Antitumor activity of pembrolizuamb in biomarker-unselected patients with recurrent/metastatic head and neck squamous cell carcinoma: Results from the phase 1b KEYNOTE-012 expansion cohort. J Clin Oncol 2016;34:3838–45.</mixed-citation></citation-alternatives></ref></ref-list></back></article>
