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Combining Panitumumab With Anti-PD-1 Antibody in Cutaneous Squamous Cell Carcinoma of the Head and Neck After Inadequate Response to Anti-PD-1 Antibody Alone.

Abstract
Anti-epidermal growth factor receptor (EGFR) antibodies and anti-programmed cell death 1 protein (PD-1) antibodies have been used separately to treat metastatic cutaneous squamous cell carcinoma (cSCC). While two anti-EGFR antibodies have similar clinical activity, cetuximab is administered weekly, whereas panitumumab is administered every two weeks. This report details findings using panitumumab in combination with anti-PD-1 antibody in patients with relapsed refractory cSCC. Three consecutive patients with poor performance status and rapidly progressive recurrent cutaneous squamous cell carcinoma (cSCC) of the face or scalp signed informed consent to receive an anti-PD-1 antibody with the option to add panitumumab were there inadequate response. After 2, 5, and 7 cycles of anti-PD-1 antibody treatment, respectively, panitumumab was added and the combination was continued for 27, 7, and 5 cycles, respectively. Fatigue, rash, and hypomagnesemia were reported, consistent with expectations for either agent alone. All three patients achieved durable complete response. The favorable clinical outcomes support further evaluation of the combination of anti-PD1 and anti-EGFR antibodies to control refractory cSCC of the face or scalp. J Drugs Dermatol. 2021;20(8):901-904. doi:10.36849/JDD.6175.
AuthorsEmily Hsu, Omar Eton, Akshay V Patel, Richard Cartun, Jonathan S Earle, Laila O Mnayer, Jennifer Kotowitz, Peter P Yu
JournalJournal of drugs in dermatology : JDD (J Drugs Dermatol) Vol. 20 Issue 8 Pg. 901-904 (Aug 01 2021) ISSN: 1545-9616 [Print] United States
PMID34397194 (Publication Type: Journal Article)
Chemical References
  • Panitumumab
Topics
  • Carcinoma, Squamous Cell (drug therapy)
  • Head and Neck Neoplasms (drug therapy)
  • Humans
  • Neoplasm Recurrence, Local
  • Panitumumab (therapeutic use)
  • Skin Neoplasms (drug therapy)
  • Squamous Cell Carcinoma of Head and Neck (drug therapy)

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