Top advances of the year: Developments of immunotherapy in cutaneous squamous cell carcinoma, 2023-2024

Cancer. 2025 Jun 1;131(11):e35920. doi: 10.1002/cncr.35920.

Abstract

Antibodies against PD-1 (PD1i), such as cemiplimab and pembrolizumab, have demonstrated significant efficacy in advanced, unresectable cutaneous squamous cell carcinoma (cSCC). These agents elicit durable responses in approximately 45% of patients, contributing to improved aesthetic, functional, and survival outcomes in a subset of individuals with advanced cSCC. This review highlights recent and ongoing research investigating the safety and efficacy of immune checkpoint inhibitors for cSCC in the curative intent perioperative settings, advanced/metastatic setting, and within the immunocompromised patient populations.

Keywords: PD‐1 inhibitors (PD1i); cutaneous squamous cell carcinoma; immune checkpoint inhibitors (ICI); immunosuppression; neoadjuvant.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Carcinoma, Squamous Cell* / drug therapy
  • Carcinoma, Squamous Cell* / immunology
  • Carcinoma, Squamous Cell* / pathology
  • Carcinoma, Squamous Cell* / therapy
  • Humans
  • Immune Checkpoint Inhibitors* / pharmacology
  • Immune Checkpoint Inhibitors* / therapeutic use
  • Immunotherapy* / methods
  • Immunotherapy* / trends
  • Programmed Cell Death 1 Receptor / antagonists & inhibitors
  • Programmed Cell Death 1 Receptor / immunology
  • Skin Neoplasms* / drug therapy
  • Skin Neoplasms* / immunology
  • Skin Neoplasms* / pathology
  • Skin Neoplasms* / therapy

Substances

  • Immune Checkpoint Inhibitors
  • Antibodies, Monoclonal, Humanized
  • Programmed Cell Death 1 Receptor
  • cemiplimab
  • pembrolizumab
  • PDCD1 protein, human