Metastatic Penile Squamous Cell Carcinoma Responsive to Enfortumab Vedotin

Penile squamous cell carcinoma is a rare disease with very limited data to guide treatment decisions. In particular, there is minimal evidence for effective therapies in the metastatic setting. Here, we present a case of metastatic penile squamous cell carcinoma with response to the Nectin-4 inhibit...

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Main Authors: Catherine C. Fahey, Caroline A. Nebhan, Sally York, Nancy B. Davis, Paula J. Hurley, Jennifer B. Gordetsky, Kerry R. Schaffer
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/22/16109
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author Catherine C. Fahey
Caroline A. Nebhan
Sally York
Nancy B. Davis
Paula J. Hurley
Jennifer B. Gordetsky
Kerry R. Schaffer
author_facet Catherine C. Fahey
Caroline A. Nebhan
Sally York
Nancy B. Davis
Paula J. Hurley
Jennifer B. Gordetsky
Kerry R. Schaffer
author_sort Catherine C. Fahey
collection DOAJ
description Penile squamous cell carcinoma is a rare disease with very limited data to guide treatment decisions. In particular, there is minimal evidence for effective therapies in the metastatic setting. Here, we present a case of metastatic penile squamous cell carcinoma with response to the Nectin-4 inhibitor enfortumab-vedotin-ejfv (EV). EV was selected due to the evidence of the high expression of Nectin-4 in squamous cell carcinomas, including penile carcinoma. The patient had both radiographic and symptomatic improvement after two cycles of treatment, despite having been treated with multiple prior lines of traditional chemotherapy. This case provides support for the use of antibody–drug conjugates (ADC), including EV, in this disease with few other options in the advanced setting. Further studies examining Nectin-4 and ADCs in penile squamous cell carcinoma should be completed, as high-quality evidence is needed to guide treatment after initial progression for these patients.
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spelling doaj.art-fb14be73bfc64840a4529b243d029d192023-11-24T14:46:02ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-11-0124221610910.3390/ijms242216109Metastatic Penile Squamous Cell Carcinoma Responsive to Enfortumab VedotinCatherine C. Fahey0Caroline A. Nebhan1Sally York2Nancy B. Davis3Paula J. Hurley4Jennifer B. Gordetsky5Kerry R. Schaffer6Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USAIntermountain Health, Murry, UT 84107, USADepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USADepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USADepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USAVanderbilt-Ingram Cancer Center, Nashville, TN 37232, USADepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USAPenile squamous cell carcinoma is a rare disease with very limited data to guide treatment decisions. In particular, there is minimal evidence for effective therapies in the metastatic setting. Here, we present a case of metastatic penile squamous cell carcinoma with response to the Nectin-4 inhibitor enfortumab-vedotin-ejfv (EV). EV was selected due to the evidence of the high expression of Nectin-4 in squamous cell carcinomas, including penile carcinoma. The patient had both radiographic and symptomatic improvement after two cycles of treatment, despite having been treated with multiple prior lines of traditional chemotherapy. This case provides support for the use of antibody–drug conjugates (ADC), including EV, in this disease with few other options in the advanced setting. Further studies examining Nectin-4 and ADCs in penile squamous cell carcinoma should be completed, as high-quality evidence is needed to guide treatment after initial progression for these patients.https://www.mdpi.com/1422-0067/24/22/16109penile squamous cell carcinomaNectin-4antibody-drug conjugatetargeted therapymetastatic penile cancer
spellingShingle Catherine C. Fahey
Caroline A. Nebhan
Sally York
Nancy B. Davis
Paula J. Hurley
Jennifer B. Gordetsky
Kerry R. Schaffer
Metastatic Penile Squamous Cell Carcinoma Responsive to Enfortumab Vedotin
International Journal of Molecular Sciences
penile squamous cell carcinoma
Nectin-4
antibody-drug conjugate
targeted therapy
metastatic penile cancer
title Metastatic Penile Squamous Cell Carcinoma Responsive to Enfortumab Vedotin
title_full Metastatic Penile Squamous Cell Carcinoma Responsive to Enfortumab Vedotin
title_fullStr Metastatic Penile Squamous Cell Carcinoma Responsive to Enfortumab Vedotin
title_full_unstemmed Metastatic Penile Squamous Cell Carcinoma Responsive to Enfortumab Vedotin
title_short Metastatic Penile Squamous Cell Carcinoma Responsive to Enfortumab Vedotin
title_sort metastatic penile squamous cell carcinoma responsive to enfortumab vedotin
topic penile squamous cell carcinoma
Nectin-4
antibody-drug conjugate
targeted therapy
metastatic penile cancer
url https://www.mdpi.com/1422-0067/24/22/16109
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AT nancybdavis metastaticpenilesquamouscellcarcinomaresponsivetoenfortumabvedotin
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