Evidence map›Paper›PMID 35653116›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2022

Phase II Trial of Adjuvant Nivolumab Following Salvage Resection in Patients with Recurrent Squamous Cell Carcinoma of the Head and Neck.

Jennifer L Leddon, Shuchi Gulati, Sulsal Haque, Casey Allen, Sarah Palackdharry, Maria Mathews, Nicky Kurtzweil, Muhammed Kashif Riaz, Vinita Takiar, Misako Nagasaka and 11 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03355560 (A Single Arm Phase 2 Study of Adjuvant Nivolumab After Salvage Resection in Head and Neck Squamous Cell Carcinoma Patients Previously Treated With Definitive Therapy), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03355560 phase2completednot on this map

A Single Arm Phase 2 Study of Adjuvant Nivolumab After Salvage Resection in Head and Neck Squamous Cell Carcinoma Patients Previously Treated With Definitive Therapy

TypeinterventionalSponsorTrisha Wise-DraperRan2017 to 2026Enrolled39ConditionsHead and Neck CancerArmsNivolumab
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Redefining oropharyngeal cancer in the HPV era: integrating precision medicine and immunotherapeutic frontiers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  8. Postoperative adjuvant immunotherapy versus standard of care in resectable locally advanced head and neck squamous cell carcinoma with intermediate- and high-risk factors: a real-world retrospective study.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 · 2025
    Article
  9. Review
  10. Article
  11. PATH classification: a proposal for patients with HNSCC treated with salvage surgery.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 · 2025
    Article
  12. Article
  13. Review
  14. Review
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 7 institutions in 1 country.

Jennifer L Leddon *Division of Hematology/Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0002-9953-0882
Shuchi Gulati *Division of Hematology/Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0001-6793-9694
Sulsal Haque *Division of Hematology/Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio.
Casey AllenUniversity of Cincinnati Cancer Center, Cincinnati, Ohio.
Sarah PalackdharryDivision of Hematology/Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio.
Maria MathewsUniversity of Cincinnati Cancer Center, Cincinnati, Ohio.
Nicky KurtzweilUniversity of Cincinnati Cancer Center, Cincinnati, Ohio.
Muhammed Kashif RiazDivision of Hematology/Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio.
Vinita TakiarDepartment of Radiation Oncology, University of Cincinnati and Cincinnati VA Medical Center, Cincinnati, Ohio.
Misako NagasakaDivision of Hematology and Oncology, Department of Medicine, University of California Irvine School of Medicine, Orange, California.ORCID 0000-0001-5308-615X
Yash PatilDepartment of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio.
Chad ZenderDepartment of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio.
Alice TangDepartment of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio.
Brian CervenkaDepartment of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio.
Julie McGrathCaris Life Sciences, Phoenix, Arizona.
W Michael KornCaris Life Sciences, Phoenix, Arizona.ORCID 0000-0002-0124-6841
Benjamin H HinrichsDepartment of Pathology, University of Cincinnati, Cincinnati, Ohio.
Roman JandarovDivision of Biostatistics and Bioinformatics, Department of Environmental Health, University of Cincinnati, Cincinnati, Ohio.
Nusrat HarunDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.ORCID 0000-0002-0802-3413
Ammar SukariDepartment of Oncology, Karmanos Cancer Institute/Wayne State University, Detroit, Michigan.
Trisha M Wise-DraperDivision of Hematology/Oncology, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0002-7279-4028
University of Cincinnati · USCaris Life Sciences (United States) · USCincinnati Children's Hospital Medical Center · USCincinnati Health Department · USCincinnati VA Medical Center · USThe Barbara Ann Karmanos Cancer Institute · USUniversity of California, Irvine · US

Funding

KL2 Training ProgramKL2TR001426 · NCATS · UNIVERSITY OF CINCINNATI · PI ZELLER, MARGARET H · 2015 to 2024
$6.8M
Post-Graduate Hematology/Oncology Translational (PG-HOT) Training ProgramT32CA236764 · NCI · UNIVERSITY OF CINCINNATI · PI QI, XIAOYANG, SCAGLIONI, PIER PAOLO · 2019 to 2023
$2.1M
Optimization of peripheral blood mononuclear cell (PBMC) processing for robust downstream functional immune cell analysis and correlation with therapeutic efficacyU01CA267985 · NCI · UNIVERSITY OF CINCINNATI · PI Kelsey Dillehay McKillip, Trisha M Wise-Draper · 2022 to 2026
$1.8M
Combination of Transcriptomic and Metallomic Biomarkers for Risk Assessment in Locoregional Clear Cell Renal Cell CarcinomaK08CA273542 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Shuchi Gulati · 2022 to 2026
$1.3M
Translational Research Career Development: Overcoming Resistance to RadiotherapyIK2BX004360 · VA · CINCINNATI VA MEDICAL CENTER RESEARCH · PI Vinita Takiar · 2019 to 2026
–
BLRD VA IK2 BX004360NCATS NIH HHS KL2 TR001426NCI NIH HHS T32 CA236764NCI NIH HHS U01 CA267985
6 · The paper itself

Abstract

purposeLocoregional relapse in patients with head and neck squamous cell carcinoma (HNSCC) is common, approaching 50% for some subsites despite multimodality therapy. Salvage surgery is the standard of care, but able to achieve durable control in only a minority of patients. While adjuvant radiotherapy or chemo-radiotherapy is offered to select patients, this approach can be prohibitively toxic. Given the activity and tolerability of programmed death-1 inhibitors in metastatic HNSCC, we investigated the safety and efficacy of adjuvant nivolumab after salvage surgical resection. PATIENTS AND

methodsThis was an open-label, multi-institutional phase II clinical trial (NCT03355560). Patients with recurrent, resectable HNSCC were enrolled within 6 weeks of salvage surgery. Six 28-day cycles of adjuvant nivolumab were planned. The primary endpoint was 2-year disease-free survival (DFS) more than 58%, based on an institutional historical control group of 71 patients with recurrent HNSCC who underwent salvage surgery.

resultsBetween February 2018 and February 2020, 39 patients were enrolled. At a median follow-up of 22.1 months, 2-year DFS was 71.4% [95% confidence interval (CI), 57.8-88.1] and the 2-year overall survival (OS) was 73% (95% CI, 58-91.8). Three of 39 (8%) patients experienced grade 3 treatment-related adverse events and 3 of 39 (8%) discontinued treatment due to side effects. Ten of 39 had locoregional recurrence, while 2 of 10 also had synchronous metastatic disease. There was no difference in DFS between PD ligand-1 (PD-L1)-positive and PD-L1-negative patients. There was a nonsignificant trend toward improved DFS in patients with high tumor mutational burden (P = 0.083).

conclusionsAdjuvant nivolumab after salvage surgery in locally recurrent HNSCC is well tolerated and showed improved DFS compared with historical controls.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsB7-H1 AntigenHumansNeoplasm Recurrence, LocalNivolumabSquamous Cell Carcinoma of Head and NeckB7-H1 AntigenNivolumab

Identifiers

PMID35653116
PMCPMC9378458
OpenAlexW4281977435

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.