p16在分子靶向药物或免疫检查点抑制剂治疗的头颈部鳞状细胞癌患者中的预测和预后价值:TRIUMPH研究的亚组分析

IF 1.9 4区 医学 Q3 ONCOLOGY
Cancer Investigation Pub Date : 2026-05-01 Epub Date: 2026-02-06 DOI:10.1080/07357907.2026.2618577
Hyerim Ha, Sang Hoon Chun, Yun-Gyoo Lee, Hyun Chang, Jang Ho Cho, Der Sheng Sun, Sang Hee Cho, Jung Hye Kwon, Kyoung Eun Lee, In Gyu Hwang, Hyo Jung Kim, Bhumsuk Keam, Seong Hoon Shin, Sung-Bae Kim, Joo Hang Kim, Hwan Jung Yun
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引用次数: 0

摘要

目的:本研究的目的是评估p16在接受分子靶向药物(mta)或免疫检查点抑制剂(ICIs)治疗的复发/转移性HNSCC患者中的预测和预后价值。研究设计:TRIUMPH试验(NCT03292250)是一项针对HNSCC患者使用下一代测序的多组II期伞式试验。患者被分配到特定的治疗组,包括PIK3CA、EGFR/HER2、FGFR、CDK4/6抑制剂和基于其基因组谱的ICI。我们对86例有p16免疫组化结果的患者进行了事后分析。以p16阳性分析ORR、PFS、OS。结果:p16阳性率为33.7%。p16(+)组的ORR为20.7%,而p16(-)组为8.8% (P = 0.072)。p16(+)的中位PFS为3.8个月,p16(-)的中位PFS为1.8个月(P = 0.030)。p16(+)组中位OS为12.9个月,p16(-)组中位OS为6.2个月(P = 0.100)。结论:与p16(-)患者相比,p16(+)患者的PFS和OS时间更长。这表明p16在接受mta或ICIs治疗的HNSCC患者中具有预后和预测价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictive and Prognostic Value of p16 in Head and Neck Squamous Cell Carcinoma Patients Treated with Molecular Targeted Agents or Immune Checkpoint Inhibitors: Subgroup Analysis of the TRIUMPH Study.

Objective: The aim of this study is to assess the predictive and prognostic value of p16 in recurrent/metastatic HNSCC patients treated with molecular targeted agents (MTAs) or immune checkpoint inhibitors (ICIs).

Study design: The TRIUMPH trial (NCT03292250) was a multi-arm phase II umbrella trial using next-generation sequencing for patients with HNSCC. Patients were assigned to specific treatment arms including PIK3CA, EGFR/HER2, FGFR, CDK4/6 inhibitors, and ICI based on their genomic profiles. We performed post hoc analysis using 86 patients who had available p16 immunohistochemistry results. ORR, PFS, and OS were analyzed by p16 positivity.

Results: The p16 positivity rate was 33.7%. ORR was 20.7% for p16 (+) compared to 8.8% for p16 (-) patients (P = 0.072). Median PFS was 3.8 months for p16 (+) and 1.8 months for p16 (-) (P = 0.030). Median OS was 12.9 months for p16 (+) and 6.2 months for p16 (-) (P = 0.100).

Conclusion: Patients with p16 (+) showed longer PFS and OS compared to p16 (-) patients. This suggests that p16 has prognostic and predictive values in HNSCC patients who are treated with MTAs or ICIs.

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来源期刊
Cancer Investigation
Cancer Investigation 医学-肿瘤学
CiteScore
3.80
自引率
4.20%
发文量
71
审稿时长
8.5 months
期刊介绍: Cancer Investigation is one of the most highly regarded and recognized journals in the field of basic and clinical oncology. It is designed to give physicians a comprehensive resource on the current state of progress in the cancer field as well as a broad background of reliable information necessary for effective decision making. In addition to presenting original papers of fundamental significance, it also publishes reviews, essays, specialized presentations of controversies, considerations of new technologies and their applications to specific laboratory problems, discussions of public issues, miniseries on major topics, new and experimental drugs and therapies, and an innovative letters to the editor section. One of the unique features of the journal is its departmentalized editorial sections reporting on more than 30 subject categories covering the broad spectrum of specialized areas that together comprise the field of oncology. Edited by leading physicians and research scientists, these sections make Cancer Investigation the prime resource for clinicians seeking to make sense of the sometimes-overwhelming amount of information available throughout the field. In addition to its peer-reviewed clinical research, the journal also features translational studies that bridge the gap between the laboratory and the clinic.
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