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UC San Diego Launches Clinical Trial of Sequenced Radiotherapy and Immunotherapy for Head and Neck Cancer

It follows Nature Communications findings that timing lymph-node preservation before immunotherapy eradicated tumors by improving dendritic cell trafficking.

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Overview

  • A clinical trial at Providence Earl Chiles Cancer Center will test whether preserving tumor-draining lymph nodes during radiotherapy enhances the effects of subsequent immunotherapy in head and neck squamous cell carcinoma patients.
  • Preclinical results published in Nature Communications showed that this treatment sequence achieved complete and durable tumor regression in 15 of 20 mice with oral cancer.
  • Mechanistic studies revealed that preserved lymph nodes facilitated migration of activated CCR7⁺ dendritic cells into the immune system, triggering a stronger anti-tumor response.
  • Head and neck squamous cell carcinoma accounts for about 890,000 new cases and 450,000 deaths worldwide each year under current standards of care.
  • The collaboration between UC San Diego School of Medicine and Providence Earl Chiles Cancer Center aims to translate mouse-model synergy into improved patient outcomes by optimizing the order of therapies.