PMID- 35907001 OWN - NLM STAT- MEDLINE DCOM- 20230106 LR - 20230111 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 280 IP - 1 DP - 2023 Jan TI - PD-1/PD-L1 inhibitor plus chemotherapy versus standard of care in the first-line treatment for recurrent or metastatic head and neck squamous cell carcinoma. PG - 1-9 LID - 10.1007/s00405-022-07571-9 [doi] AB - OBJECTIVE: This study aimed to evaluate the efficacy and safety of programmed cell death-1/programmed cell death-ligand 1 (PD-1/PD-L1) inhibitor plus chemotherapy vs standard of care (SoC) treatment in the first-line treatment for recurrent or metastatic head and neck squamous cell carcinoma (R/M-SCCHN). METHODS: Randomized controlled trials (RCTs) that investigated PD-1/PD-L1 inhibitor plus chemotherapy vs SoC as first-line treatment for R/M-SCCHN were searched from electronic databases (PubMed, Embase and Cochrane Library). The primary outcomes were overall survival (OS), progression-free survival (PFS), objective response rate (ORR), and adverse events (AEs). RESULTS: In total, three phase 3 RCTs (KEYNOTE-048, CAPTAIN-1st, and JUPITER-02; n = 1120) with three PD-1 inhibitors (pembrolizumab, camrelizumab and toripalimab) were included in the analysis. Compared with SoC, PD-1 inhibitor plus chemotherapy significantly prolonged PFS (hazard ratio [HR] 0.66, 95% CI 0.40-0.93, p < 0.001) and OS (HR 0.73, 95% CI 0.60-0.86, p < 0.001) of patients. There was no statistical differences in ORR (odds ratio [OR] 1.26; 95% CI 0.97-1.64, p = 0.086), grade 3 or higher AEs (OR 0.77, 95% CI 0.50-1.17, p = 0.221), and treatment-related deaths (OR 1.34, 95% CI 0.60-2.98, p = 0.470) between the two groups. CONCLUSION: PD-1 inhibitor plus chemotherapy showed more survival benefit than SoC in the first-line treatment for R/M-SCCHN, with a similar safety profile. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Mo, Dun-Chang AU - Mo DC AUID- ORCID: 0000-0003-1316-2810 AD - Radiotherapy Department, The Third Affiliated Hospital of Guangxi Medical University, Dan-Cun Road No.13, Nanning, 530000, Guangxi, China. modunchang2018@163.com. FAU - Huang, Jian-Feng AU - Huang JF AD - Radiotherapy Department, The Third Affiliated Hospital of Guangxi Medical University, Dan-Cun Road No.13, Nanning, 530000, Guangxi, China. FAU - Luo, Peng-Hui AU - Luo PH AD - Radiotherapy Department, The Third Affiliated Hospital of Guangxi Medical University, Dan-Cun Road No.13, Nanning, 530000, Guangxi, China. FAU - Chen, Long AU - Chen L AD - ENT & HN Surgery Department, The Third Affiliated Hospital of Guangxi Medical University, Nanning, 530000, Guangxi, China. FAU - Zou, Biao AU - Zou B AD - Radiotherapy Department, The Third Affiliated Hospital of Guangxi Medical University, Dan-Cun Road No.13, Nanning, 530000, Guangxi, China. FAU - Wang, Han-Lei AU - Wang HL AD - Radiotherapy Department, The Third Affiliated Hospital of Guangxi Medical University, Dan-Cun Road No.13, Nanning, 530000, Guangxi, China. LA - eng PT - Journal Article PT - Review DEP - 20220730 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 RN - 0 (Immune Checkpoint Inhibitors) RN - 0 (Programmed Cell Death 1 Receptor) RN - 0 (Antineoplastic Agents, Immunological) RN - 0 (B7-H1 Antigen) SB - IM MH - Humans MH - Squamous Cell Carcinoma of Head and Neck/drug therapy MH - Immune Checkpoint Inhibitors/therapeutic use MH - Programmed Cell Death 1 Receptor/therapeutic use MH - Standard of Care MH - *Antineoplastic Agents, Immunological/therapeutic use MH - *Head and Neck Neoplasms/drug therapy MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - B7-H1 Antigen/metabolism MH - *Lung Neoplasms/pathology OTO - NOTNLM OT - Efficacy and safety OT - Head and neck squamous cell carcinoma OT - Meta-analysis OT - Programmed cell death-1/programmed cell death-ligand 1 EDAT- 2022/07/31 06:00 MHDA- 2023/01/07 06:00 CRDT- 2022/07/30 11:12 PHST- 2022/07/01 00:00 [received] PHST- 2022/07/22 00:00 [accepted] PHST- 2022/07/31 06:00 [pubmed] PHST- 2023/01/07 06:00 [medline] PHST- 2022/07/30 11:12 [entrez] AID - 10.1007/s00405-022-07571-9 [pii] AID - 10.1007/s00405-022-07571-9 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2023 Jan;280(1):1-9. doi: 10.1007/s00405-022-07571-9. Epub 2022 Jul 30.