A novel neoadjuvant immunotherapy confers improved overall survival in oral cancer patients with low tumor PD-L1 expression The IT-MATTERS Clinical trial - Prognostic role of tumor PD-L1 expression.
Eyal Talor, Philip Lavin, John Cipriano et al.
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In 30 seconds
This Phase III randomized controlled trial evaluated the impact of neoadjuvant Leukocyte Interleukin Injection (LI) combined with CIZ on overall survival (OS) in patients with low-risk oral squamous cell carcinoma (OSCC) and soft palate cancer. The study found that patients receiving LI+CIZ+SOC had a superior OS compared to standard of care (SOC), with a hazard ratio of 0.34 (p=0.0012) in the selected cohort.
Key findings
- Overall survival (OS) was significantly improved with LI+CIZ+SOC compared to SOC, HR 0.64, p=0.0569.
- In the selected cohort (cN0, PD-L1 TPS <10%), OS reached HR 0.34, p=0.0012.
- The intention-to-treat low-risk cohort showed an OS HR of 0.26, p=0.0023.
- Progression-free survival (PFS) also improved, with HR 0.43, p=0.0178.
Why it matters
The findings suggest that incorporating neoadjuvant immunotherapy in low-risk OSCC patients may enhance survival outcomes, challenging current treatment paradigms and potentially improving patient management strategies.