Evidence map›Paper›PMID 41693025›Full record

ArticleThe oncologist2026

Second-line treatments for patients with programmed cell death protein 1-refractory cutaneous squamous cell carcinomas: a brief report.

Hisham AlSharif, Veronika Danchine, Kira Deekollu, Merve Hasanov, Richard Wu, Tarek Haykal, Antonio Faieta, Claire F Verschraegen

Abstract read
In one paragraph

Article in The oncologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Hisham AlSharifDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, United States.
Veronika DanchineDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, United States.
Kira DeekolluDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, United States.
Merve HasanovDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, United States.
Richard WuDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, United States.
Tarek HaykalDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, United States.
Antonio FaietaDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, United States.
Claire F VerschraegenDivision of Medical Oncology, Department of Internal Medicine, The Ohio State University Comprehensive Cancer Center, Columbus, OH 43210, United States.ORCID 0000-0001-6544-3089

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
NCI NIH HHS P30CA016058
6 · The paper itself

Abstract

backgroundPatients with locally advanced or metastatic cutaneous squamous cell carcinoma (cSCC), who failed cemiplimab, have a poor prognosis, with most patients dying of disease. Second-line therapies consist of additional immunotherapy, epidermal growth factor receptor (EGFR) inhibitors, chemotherapy, salvage surgery, or radiotherapy. Outcomes in this setting remain poorly characterized. We review the first 2 options for our population. The study objective was to describe non-clinical-trial/off-label immunotherapy treatments for advanced, recurrent, or refractory cSCC. PATIENTS: This single-institution retrospective case series took place at The Ohio State University Comprehensive Cancer Center, a high-volume academic medical oncology practice.

methodsWe reviewed the electronic medical records of patients who underwent systemic treatments for advanced cSCC. Patient demographics, clinicopathologic history, cancer data, treatments, and outcomes were abstracted. Overall response and progression-free survival by clinical judgment and overall survival rates were described.

resultsA total of 21 patients were included. Thirteen received cetuximab and 12 ipilimumab after failure of surgery and/or radiation, and of a programmed cell death protein 1 (PD-1) monoclonal inhibitor (primarily cemiplimab). Four patients are included in both cohorts. Durable complete responses were observed only in patients treated with ipilimumab. Otherwise, all other surviving patients had salvage surgery after some response to second line therapy.

conclusionsIn this salvage setting, ipilimumab demonstrated a 33% response rate, including complete responses with durable survival. Cetuximab induced response in patients pretreated with cemiplimab whether they had responded or not to this immunotherapy. Most cetuximab-treated patients died within 1-2 years, unless salvaged with surgery.

Indexed as

Carcinoma, Squamous CellCutaneous Squamous Cell CarcinomaProgrammed Cell Death 1 ReceptorSkin NeoplasmsAgedAged, 80 and overAntibodies, Monoclonal, HumanizedCetuximabDrug Resistance, NeoplasmFemaleHumansIpilimumabMaleMiddle AgedRetrospective StudiesSalvage TherapyAntibodies, Monoclonal, HumanizedcemiplimabCetuximabIpilimumabPDCD1 protein, humanProgrammed Cell Death 1 Receptorbiological therapycancer outcomescutaneous squamous cell carcinomatreatment immunotherapy

Identifiers

PMID41693025
PMCPMC12987603

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Registered trials

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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.