2022
DOI: 10.1007/s12325-022-02044-1
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New Emerging Treatment Options for Advanced Basal Cell Carcinoma and Squamous Cell Carcinoma

Abstract: Non-melanoma skin cancers, also known as keratinocyte tumors, have an increasing incidence worldwide, with basal cell carcinoma and squamous cell carcinoma being the most represented ones. Although surgery represents the gold-standard treatment for both tumors, some cases can progress to an advanced or a metastatic state and targeted therapy is required. Hedgehog signaling pathway has an important role in the development of basal cell carcinoma, and its inhibition is the key to new treatment options available … Show more

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Cited by 46 publications
(45 citation statements)
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“…Despite BCCs rarely distant metastasizes, some cases may cause severe local aggression including soft tissue, cartilage, and bone. There are various treatment options for BCC including curettage, electrodesiccation, cryosurgery, surgical excision, radiotherapy, photodynamic therapy, and drug therapy with topical chemotherapy, oral, or intralesional injections 2,3 . For the treatment of BCCs, oncological radicality is crucial.…”
Section: Introductionmentioning
confidence: 99%
“…Despite BCCs rarely distant metastasizes, some cases may cause severe local aggression including soft tissue, cartilage, and bone. There are various treatment options for BCC including curettage, electrodesiccation, cryosurgery, surgical excision, radiotherapy, photodynamic therapy, and drug therapy with topical chemotherapy, oral, or intralesional injections 2,3 . For the treatment of BCCs, oncological radicality is crucial.…”
Section: Introductionmentioning
confidence: 99%
“…Finally, like advanced basal cell carcinomas, advanced cutaneous squamous cell carcinomas may have high mutational burdens, a feature that correlates with response to immunotherapy. The anti-PD1 agent cemiplimab is active in advanced cutaneous squamous cell cancers and is FDA approved for this indication [ 79 , 93 , 94 ].…”
Section: Discussionmentioning
confidence: 99%
“…Republished from [77] with permission from MDPI (Multidisciplinary Digital Publishing Institute), Barcelona, Spain immunotherapy is also a treatment option for patients with advanced and metastatic BCCs [73,75,76,78]. Currently, cemiplimab-a PD1 inhibitor-is the only FDA-approved immunotherapy agent for Hedgehog inhibitorresistant advanced and metastatic BCCs [74,78,79]. However, there are several reports of other anti-PD1 agents (such as nivolumab or pembrolizumab) that have been successfully used to treat advanced (Figs.…”
Section: Basal Cell Carcinoma (Bcc)mentioning
confidence: 99%
“…3 Future perspective PD-1/PD-L1 antibodies are generally approved for NSCLC and can be used in clinical practice in Japan as well as in the US and EU, except for cemiplimab. However, in solid tumors other than NSCLC, pembrolizumab for cervical cancer was approved by the FDA in 2018, cemiplimab and pembrolizumab for cSCC in 2018 and 2020, respectively, and cemiplimab for cBCC in 2021; however, none of these agents were approved for in Japan because Japanese patients were not enrolled in pivotal trials (119)(120)(121). In addition, a number of PD-1/PD-L1 antibodies developed in China have not been approved by the PMDA, FDA, or EMA, which is thought to be due in part to the rise of emerging biopharma companies (EBPs)-those with an estimated expenditure on research and development (R&D) of less than $200 million and less than $500 million in revenuewhich contributed more than 70% of the FDA regulatory submission for approval (122,123).…”
Section: Other Novel Immunotherapy Agentsmentioning
confidence: 99%