METHODS TO PREDICT THE EFFICACY OF NEOADJUVANT ANTI-PD-1 THERAPY IN RESECTABLE ORAL-CAVITY SQUAMOUS CELL CARCINOMA AND TARGET POST-SURGICAL RELAPSES

    公开(公告)号:US20240393339A1

    公开(公告)日:2024-11-28

    申请号:US18694670

    申请日:2022-09-23

    Inventor: Roger S. Lo

    Abstract: Methods of treating resectable head and neck cancer based on analyses of blood and tumor samples collected over the course of a clinical trial and during follow-up after the clinical trial. Omic or multi-plex molecular tools were used to analyze the tissues and identify objective molecular markers and pathogenic mechanisms associated with favorable or unfavorable outcomes. These analyses form the basis for a treatment strategy that improves outcomes by tailoring the treatment to the molecular features of individual patients' blood samples and tumors. This method for personalized treatment distinguishes between subjects who respond to neoadjuvant anti-PD-1/L1 therapy and patients who do not respond to such neoadjuvant therapy, so that treatment is tailored to the subject's responder profile. This approach avoids exposing patients to unnecessary toxicity, and avoids delaying surgical resection when no advantage will be gained by delaying surgery to allow for neoadjuvant therapy.

    METHODS TO ENHANCE EFFICACY OF COMBINED TARGETING OF IMMUNE CHECKPOINT AND MAPK PATHWAYS

    公开(公告)号:US20250066480A1

    公开(公告)日:2025-02-27

    申请号:US18294767

    申请日:2022-08-01

    Inventor: Roger S. Lo

    Abstract: A method of enhancing efficacy of mitogen-activated protein kinase inhibitor (MAPKi) therapy or immune checkpoint therapy (ICT), as well as a method of suppressing melanoma brain metastasis in a subject, and a method of inhibiting intratumoral M2-like tumor associated macrophages (TAMs) or regulatory T cells (TREG) in a subject comprises (a) pretreating a subject appropriate for and in need of MAPKi therapy by administering one or more doses of ICT to the subject; and (b) subsequent to the pretreating of (a), administering to the subject a combination of MAPKi and ICT. The ICT typically comprises an anti-PD-1 or anti-PD-L1 agent. Optionally, the ICT further comprises additional agents (such as anti-CTLA4 and/or anti-LAG3) to enhance the efficacy of MAPKi therapy.

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