Evidence map›Paper›PMID 40052634›Full record

ArticleCancer medicine2025

Statin Drugs Are Associated With Response to Immune Checkpoint Blockade in Recurrent/Metastatic Head and Neck Cancer.

Tyler J Kristoff, Sean Evans, Pranay Nayi, Marin Abousaud, Subir Goyal, Yuan Liu, Dong Shin, Conor E Steuer, Nabil F Saba, Nicole C Schmitt

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
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

10 authors.

Tyler J KristoffDepartment of Hematology and Medical Oncology, Emory University, Atlanta, Georgia, USA.
Sean EvansDepartment of Hematology and Medical Oncology, Emory University, Atlanta, Georgia, USA.
Pranay NayiChildren's Healthcare of Atlanta, Atlanta, Georgia, USA.
Marin AbousaudAstellas Pharma Global Development Inc, Northbrook, Illinois, USA.
Subir GoyalDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health of Emory University, Atlanta, Georgia, USA.
Yuan LiuDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health of Emory University, Atlanta, Georgia, USA.
Dong ShinDepartment of Hematology and Medical Oncology, Emory University, Atlanta, Georgia, USA.
Conor E SteuerDepartment of Hematology and Medical Oncology, Emory University, Atlanta, Georgia, USA.
Nabil F SabaDepartment of Hematology and Medical Oncology, Emory University, Atlanta, Georgia, USA.
Nicole C SchmittWinship Cancer Institute, Emory University, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-0571-3531

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Gregory B. Lesinski · 2009 to 2026
$47.5M
Patient Oriented Research in Communication and Swallowing DisordersK24DC022077 · NIDCD · EMORY UNIVERSITY · PI Nicole Cherie Schmitt · 2024 to 2026
$433k
NCI NIH HHS P30 CA138292NCI NIH HHS P30CA138292NIDCD NIH HHS K24 DC022077NIDCD NIH HHS K24DC022077
6 · The paper itself

Abstract

backgroundStatin drugs, frequently used to treat hyperlipidemia, are associated with improved survival outcomes in multiple solid tumor types, including head and neck squamous cell carcinoma (HNSCC). Preclinical studies suggest that manipulation of cholesterol with statins and other agents can enhance the function of multiple components involved in anti-tumor immune responses. Retrospective studies in other solid tumor types suggest that statin therapy is associated with improved responses to immune checkpoint blockade (ICB), but this has not yet been investigated in HNSCC.

methodsPharmacy records were searched for patients with recurrent/metastatic HNSCC treated at our institution with pembrolizumab or nivolumab from 2015 to 2022. Patients who received less than 3 doses of ICB were excluded. Univariate and multivariate analyses were performed to determine the association between statin use and objective response, progression-free survival (PFS) and overall survival (OS).

resultsA total of 158 patients were included. Statins were significantly associated with objective response; the strongest associations were seen with rosuvastatin and lovastatin. On multivariate analyses, statins were independently associated with objective response but not with PFS or OS.

conclusionsStatin therapy appears to be an independent predictor of response to ICB in HNSCC. Larger, prospective studies are needed to determine whether specific statin drugs can improve survival outcomes in ICB-treated patients.

Indexed as

Head and Neck NeoplasmsHydroxymethylglutaryl-CoA Reductase InhibitorsImmune Checkpoint InhibitorsNeoplasm Recurrence, LocalSquamous Cell Carcinoma of Head and NeckAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedFemaleHumansMaleMiddle AgedNivolumabProgression-Free SurvivalRetrospective StudiesAntibodies, Monoclonal, HumanizedHydroxymethylglutaryl-CoA Reductase InhibitorsImmune Checkpoint InhibitorsNivolumabpembrolizumabhead and neck cancerimmune checkpoint blockadeimmunotherapyPD‐1PD‐L1squamous cell carcinomastatins

Identifiers

PMID40052634
PMCPMC11886884

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.