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Molecular Cancer Therapeutics
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Targeting the EGFR and Immune Pathways in Squamous Cell Carcinoma of the Head and Neck (SCCHN): Forging a New Alliance

Nabil F. Saba, Zhuo Gerogia Chen, Missak Haigentz, Paolo Bossi, Alessandra Rinaldo, Juan P. Rodrigo, Antti A. Mäkitie, Robert P. Takes, Primoz Strojan, Jan B. Vermorken and Alfio Ferlito
Nabil F. Saba
1Department of Hematology and Medical oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.
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  • For correspondence: nfsaba@emory.edu
Zhuo Gerogia Chen
1Department of Hematology and Medical oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.
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Missak Haigentz
2Atlantic Health System, Morristown, New Jersey.
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  • ORCID record for Missak Haigentz
Paolo Bossi
3Medical Oncology Department, University of Brescia, Brescia, Italy.
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Alessandra Rinaldo
4University of Udine School of Medicine, Udine, Italy.
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Juan P. Rodrigo
5Hospital Universitario Central de Asturias, Oviedo, Spain.
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Antti A. Mäkitie
6Department of Otorhinolaryngology–Head and Neck Surgery, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland.
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  • ORCID record for Antti A. Mäkitie
Robert P. Takes
7Radboud University Medical Center, Nijmegen, the Netherlands.
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Primoz Strojan
8Institute of Oncology, Ljubljana, Slovenia.
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Jan B. Vermorken
9Antwerp University Hospital, Edegem, Belgium.
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Alfio Ferlito
10Coordinator of the International Head and Neck Scientific Group, Padua, Italy.
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DOI: 10.1158/1535-7163.MCT-19-0214 Published November 2019
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Abstract

Despite the recent approval of immune-modulatory agents, EGFR inhibition continues to be a cornerstone in the management of squamous cell carcinoma of the head and neck (SCCHN) namely in combination with radiotherapy in the treatment of locoregionally advanced disease as well as in platinum-sensitive recurrent or metastatic disease in the first-line setting. Importantly, recent evidence has emerged supporting also an immune-modulatory effect of EGFR inhibition, and interest has now focused on utilizing these effects in the current treatment approaches for SCCHN. In this report, we review the rationale and evidence supporting the forging of this new alliance in optimizing the treatment of SCCHN.

Footnotes

  • Mol Cancer Ther 2019;18:1909–15

  • Received March 7, 2019.
  • Revision received June 11, 2019.
  • Accepted September 4, 2019.
  • Published first November 1, 2019.
  • ©2019 American Association for Cancer Research.
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Molecular Cancer Therapeutics: 18 (11)
November 2019
Volume 18, Issue 11
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Targeting the EGFR and Immune Pathways in Squamous Cell Carcinoma of the Head and Neck (SCCHN): Forging a New Alliance
Nabil F. Saba, Zhuo Gerogia Chen, Missak Haigentz, Paolo Bossi, Alessandra Rinaldo, Juan P. Rodrigo, Antti A. Mäkitie, Robert P. Takes, Primoz Strojan, Jan B. Vermorken and Alfio Ferlito
Mol Cancer Ther November 1 2019 (18) (11) 1909-1915; DOI: 10.1158/1535-7163.MCT-19-0214

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Targeting the EGFR and Immune Pathways in Squamous Cell Carcinoma of the Head and Neck (SCCHN): Forging a New Alliance
Nabil F. Saba, Zhuo Gerogia Chen, Missak Haigentz, Paolo Bossi, Alessandra Rinaldo, Juan P. Rodrigo, Antti A. Mäkitie, Robert P. Takes, Primoz Strojan, Jan B. Vermorken and Alfio Ferlito
Mol Cancer Ther November 1 2019 (18) (11) 1909-1915; DOI: 10.1158/1535-7163.MCT-19-0214
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    • Abstract
    • Rationale for Inhibiting EGFR in SCCHN
    • The Limitations of Anti-EGFR Targeting in SCCHN
    • Resistance Mechanisms to EGFR Inhibition
    • Emergence of Immunotherapy as an Effective Therapeutic Modality in SCCHN
    • Immune Implications of EGFR Targeting
    • Forging the Alliance
    • Disclosure of Potential Conflicts of Interest
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Molecular Cancer Therapeutics
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