
Michael Topf
Associate Professor of Otolaryngology-Head and Neck Surgery and Biomedical Engineering at Vanderbilt University Medical Center, specializing in head and neck surgical oncology.
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Aug 12, 2026
Episode 160: Head and Neck Cancer Series, Pt. 3 – Discussion with ENT
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13:49
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14:19
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13:31VivekHOST
Which patient do you think would be most amenable to getting this perioperative pembrolizumab strategy?

Michael TopfGUEST
I'm so excited you guys are up on these two super recent head and neck studies with KEYNOTE-six eight nine and NIVO-PostOp.

Michael TopfGUEST
And yeah, so for the perioperative pembro, I mean, I just want to say how exciting it is in head and neck cancer.

Michael TopfGUEST
We haven't really had an advancement, a practice-changing clinical trial like the KEYNOTE-six eight nine trial i, in a couple of decades, right? We thought that cetuximab was gonna work out, and I'm not sure if you guys talked about DeESCALATE or ten sixteen, but you know, that was a big swing in the miss.

Michael TopfGUEST
And we thought that-- But I think it still needs to be investigated, and the timing's really important, but immunotherapy added to definitive chemoradiation for non-surgical patients was gonna be a huge home run, and it just hasn't panned out quite yet.

Michael TopfGUEST
But this perioperative immunotherapy, giving the patient two cycles of pembro prior to surgery and realistically delaying their surgery, depending on how quick your disease team can work, four to six weeks to show a event-free survival benefit.
V
17:46VivekHOST
Could you tell us a little about what this is and how you utilize this and what sorts of patients you think are best served by this sort of surgery?