New Research on Squamous Cell Carcinoma: Can Immunotherapy After Surgery Reduce Recurrence?

Last updated: July 7, 2026

Quick Answer

Yes, for a narrow group of very high-risk patients. A 2025 phase 3 trial called C-POST, published in the New England Journal of Medicine, showed that adjuvant cemiplimab given after surgery and radiation cut the risk of recurrence or death by 68% compared with placebo in adults with high-risk cutaneous squamous cell carcinoma (cSCC). The U.S. FDA approved this use in October 2025. It does not apply to routine SCC removed in a minor surgery setting, only to specific post-operative cases with features like major nodal involvement, extracapsular spread, or named-nerve invasion.

Key Takeaways

  • The C-POST phase 3 trial found adjuvant cemiplimab reduced recurrence or death by 68% (hazard ratio 0.32) versus placebo in high-risk cSCC after surgery and radiation.
  • Estimated 24-month disease-free survival was 87.1% with cemiplimab vs 64.1% with placebo.
  • The FDA approved cemiplimab-rwlc (Libtayo) for this adjuvant use on October 8, 2025, the first immunotherapy approved for this setting.
  • Eligibility is strict: extracapsular nodal extension, ≥3 involved nodes, T4 bone invasion, named-nerve perineural invasion, in-transit metastases, or locally recurrent tumors with added risk.
  • Grade 3+ side effects hit 23.9% of treated patients vs 14.2% on placebo; about 9.8% stopped due to toxicity.
  • Overall survival benefit isn't yet proven, the confidence interval is wide and follow-up is short.
  • Surgery remains the primary treatment for the vast majority of squamous cell skin cancers.
  • Transplant patients and those on immunosuppression were excluded from the trial, so evidence there is still lacking.

What Is Squamous Cell Carcinoma and How Is It Treated?

Squamous cell carcinoma (SCC) is the second most common skin cancer, growing from the flat squamous cells in the outer layer of skin. Most cases are cured with a straightforward surgical removal, sometimes with radiation added for higher-risk lesions.

Cutaneous SCC usually shows up as a scaly red patch, a firm bump, a sore that won't heal, or a wart-like growth, often on sun-exposed skin like the face, ears, scalp, neck, or backs of the hands. For a visual reference, see our guide to squamous cell carcinoma stages with pictures.

Standard treatment ladder:

  • Simple excision, the most common approach for small, low-risk tumors. Curative in the vast majority of cases.
  • Mohs micrographic surgery, for tumors on the face, recurrent lesions, or where tissue preservation matters.
  • Curettage and electrodesiccation, for very small, superficial lesions on low-risk sites.
  • Radiation therapy, either as primary treatment when surgery isn't feasible, or as adjuvant therapy after surgery for tumors with aggressive features.
  • Systemic therapy, immunotherapy (like cemiplimab or pembrolizumab) for advanced, metastatic, or now, in select high-risk cases, as adjuvant treatment.

For most people, that's where the story ends. But for a small subset of patients whose pathology shows aggressive features, the risk of recurrence stays high even after "successful" surgery. That's the group this new research is aimed at.

Does Immunotherapy Work After Squamous Cell Carcinoma Surgery?

Yes, but only for a specific high-risk group. The 2025 C-POST phase 3 trial showed a large recurrence reduction with adjuvant cemiplimab after surgery and radiation. This is now the first proven post-surgery systemic drug option for high-risk cutaneous SCC.

Here's what makes C-POST different from earlier attempts:

  • Design: Randomized, double-blind, placebo-controlled, the gold standard.
  • Population: 415 adults with completely resected cSCC who had already finished postoperative radiation, and who had one or more very high-risk features on pathology.
  • Drug: Cemiplimab (a PD-1 checkpoint inhibitor) 350 mg IV every 3 weeks for 12 weeks, then 700 mg every 6 weeks, for up to 48 weeks total.
  • Primary result: Disease-free survival hazard ratio 0.32 (95% CI 0.20-0.51; p<0.001), meaning a 68% relative reduction in recurrence or death [3].

Locoregional recurrence dropped by 80% and distant recurrence dropped by 65% versus placebo [3]. Those are unusually strong numbers for an adjuvant oncology trial.

Does Immunotherapy Work After Squamous Cell Carcinoma Surgery?

Decision rule: If pathology after your SCC surgery shows only "standard" features (clear margins, thin tumor, no perineural or lymphovascular invasion), you almost certainly won't need immunotherapy. If it shows nodal disease with extracapsular extension, three or more positive nodes, T4 bone invasion, named-nerve perineural invasion, or locally recurrent disease with extra risk features, that's when a medical oncology conversation about adjuvant cemiplimab becomes appropriate.

What Are the Latest Studies on Post-Surgery Immunotherapy for Skin Cancer?

The two big adjuvant trials for high-risk cSCC, C-POST (cemiplimab) and KEYNOTE-630 (pembrolizumab), landed very differently in 2024-2025. C-POST was positive; KEYNOTE-630 was stopped for futility on its primary endpoint but still showed a signal of benefit.

C-POST (cemiplimab):

  • 415 patients, adjuvant cemiplimab vs placebo after surgery + radiation.
  • Median follow-up 24 months.
  • 24-month disease-free survival: 87.1% vs 64.1%.
  • Hazard ratio 0.32; p<0.001 [3].
  • Led directly to FDA approval on October 8, 2025 [1][2].

KEYNOTE-630 (pembrolizumab):

  • Adjuvant pembrolizumab vs placebo after surgery + radiation in high-risk locally advanced cSCC.
  • Stopped in 2024 after failing to cross the statistical boundary for recurrence-free survival.
  • Post-hoc analysis showed roughly a 50% reduction in recurrence, but this didn't reach the pre-specified significance threshold [5].

Why the different results? The two trials used different eligibility definitions, different dosing, and different endpoint hierarchies. C-POST enriched more aggressively for very-high-risk features. That's a lesson in cSCC research: how you define "high risk" changes everything.

There's also active work moving immunotherapy earlier, before surgery instead of after. The ongoing NRG-HN014 phase 3 trial is testing neoadjuvant cemiplimab followed by response-adapted surgery for locally advanced cutaneous head-and-neck SCC. That trial is specifically stratified to include immunosuppressed patients and advanced nodal disease, populations C-POST excluded.

How Do Doctors Decide If You Need Immunotherapy After Squamous Cell Carcinoma Surgery?

Decisions come from your pathology report plus multidisciplinary review. Adjuvant cemiplimab is generally considered only if surgery + planned or completed radiation are already part of the plan AND the pathology shows one of the C-POST high-risk features.

The C-POST eligibility features are a practical starting checklist:

Nodal high-risk features (either one qualifies):

  • Extracapsular extension with the largest involved node ≥ 20 mm, or
  • Three or more involved lymph nodes.

Non-nodal high-risk features (any one qualifies):

  • In-transit metastases.
  • T4 disease with bone invasion.
  • Perineural invasion of a named nerve.
  • Locally recurrent tumor with at least one additional poor-risk feature.

Beyond those, doctors also weigh:

  • Age and comorbidity. Median trial age was 71, so older patients were well represented, but frailty still matters.
  • Autoimmune history. Active autoimmune disease requiring immunosuppression is a relative contraindication.
  • Transplant status. Solid organ transplant recipients were excluded from C-POST; anti-PD-1 in this group can trigger rejection.
  • Performance status. ECOG 0 or 1 (fully active or restricted only in strenuous activity).
  • Patient preference. A year of infusions is a real commitment.

Your pathology report is the anchor document for this whole conversation. If you're not sure how to read yours, our walk-through of a pathology report after mole or lesion removal can help you understand which findings matter.

How Much Does Immunotherapy Cost After Squamous Cell Carcinoma Removal?

Cemiplimab is expensive, U.S. list price is roughly USD $10,000,$12,000 per dose, and a full adjuvant course involves multiple infusions over 48 weeks, easily exceeding USD $250,000 without coverage. In Canada, cost is generally borne by provincial cancer programs or private insurance rather than the patient directly, but coverage timing after the 2025 approval varies by province.

Practical cost realities in 2026:

  • U.S.: Covered under Medicare Part B and most commercial plans for the FDA-approved adjuvant indication. Copay assistance programs are available through Regeneron.
  • Canada: Cemiplimab is Health Canada, approved for advanced cSCC. Adjuvant coverage under provincial cancer agencies (like Cancer Care Ontario, Alberta Health Services) typically follows FDA/EMA approval by 6-18 months.
  • Out-of-pocket if uninsured: Prohibitively expensive, this is not a "pay cash" treatment in the way a minor surgical procedure might be.
  • Additional costs: Infusion center fees, lab monitoring every 3 weeks, imaging surveillance, and management of any immune-related side effects.

For context on more routine skin surgery pricing that patients often pay out of pocket, see our minor surgery pricing page.

What's the Difference Between Immunotherapy and Chemotherapy for Squamous Cell Carcinoma?

Immunotherapy trains your immune system to attack cancer cells; chemotherapy directly kills fast-dividing cells (both cancerous and healthy). For advanced or high-risk cSCC, immunotherapy has largely replaced chemotherapy as the systemic treatment of choice.

FeatureImmunotherapy (PD-1 inhibitors)Traditional ChemotherapyMechanismBlocks PD-1 so T-cells attack tumorDirectly damages dividing cellsTypical scheduleEvery 3-6 weeks for up to 12 monthsMulti-day cycles, more frequentHair lossRareCommonKey side effectsImmune-related: thyroid, skin, colitis, lungsNausea, low blood counts, infection riskAdjuvant use in cSCCFDA-approved (cemiplimab, 2025)Not standardDurability of responseOften long-lasting when it worksUsually shorter

The bigger picture: chemotherapy was never a great fit for cSCC. Cetuximab (an EGFR-targeted drug) had modest activity, and platinum-based chemo had significant toxicity for often modest benefit. Immunotherapy has changed that entire landscape [8].

Who Is a Good Candidate for Immunotherapy After Squamous Cell Carcinoma Surgery?

The best candidates are adults with completely resected cutaneous SCC, at least one C-POST high-risk feature on pathology, planned or completed postoperative radiation, good performance status, and no significant autoimmune or transplant history.

Who Is a Good Candidate for Immunotherapy After Squamous Cell Carcinoma Surgery?

Good candidate profile:

  • Recently completed surgery for cSCC (typically head/neck).
  • Pathology shows nodal disease with extracapsular extension, ≥3 involved nodes, T4 bone invasion, named-nerve perineural invasion, in-transit metastases, or locally recurrent disease with additional risk features.
  • Postoperative radiation therapy already completed (at least 50 Gy) within 2-10 weeks before starting cemiplimab.
  • ECOG performance status 0 or 1.
  • No active autoimmune disease requiring systemic immunosuppression in the last 5 years.
  • No prior solid organ or stem-cell transplant.
  • No active hepatitis B, C, or uncontrolled HIV.

Poor candidate profile:

  • Low-risk primary SCC excised with clean margins and no aggressive pathology features.
  • Solid organ transplant recipient (higher rejection risk with anti-PD-1).
  • Active autoimmune disease on immunosuppression.
  • ECOG 2 or worse, too frail to tolerate immune toxicity.
  • Life expectancy limited by other conditions.

Edge case: Immunosuppressed patients (transplant recipients, chronic lymphocytic leukemia, long-term steroid users) are the highest-risk group for cSCC in the real world but were excluded from C-POST. For these patients, decisions are made case-by-case with transplant medicine, dermatology, and medical oncology together.

What Are the Side Effects of Immunotherapy After Squamous Cell Carcinoma?

Cemiplimab's main side effects are immune-related, the same immune system that's attacking tumor cells can also mistakenly attack healthy tissues. In C-POST, 23.9% of patients had grade 3 or higher adverse events vs 14.2% on placebo, and 9.8% stopped treatment because of side effects vs 1.5% on placebo.

Common (≥10% of patients):

  • Fatigue
  • Itching (pruritus)
  • Rash and maculopapular rash
  • Diarrhea
  • Joint pain (arthralgia)
  • Hypothyroidism

Serious but less common:

  • Immune-related colitis (severe diarrhea)
  • Pneumonitis (lung inflammation)
  • Hepatitis (liver inflammation)
  • Endocrine issues: adrenal insufficiency, type 1 diabetes, hypophysitis
  • Nephritis (kidney inflammation)
  • Severe skin reactions
  • Infusion reactions

The FDA label carries warnings for immune-mediated adverse reactions, infusion-related reactions, complications of allogeneic stem-cell transplantation, and embryo-fetal toxicity [1].

What patients often don't realize: Immune side effects can appear weeks or even months after a dose. Your oncology team monitors thyroid, liver, kidney, and blood counts throughout treatment, and any new symptom (persistent diarrhea, shortness of breath, unusual fatigue) needs to be reported promptly.

Reassuringly, patient-reported outcomes in C-POST showed that overall quality-of-life changes from baseline in global health, functioning, fatigue, and pain were small and similar between the cemiplimab and placebo arms, meaning most patients tolerated the treatment reasonably well from a day-to-day standpoint.

Can Immunotherapy Prevent Squamous Cell Carcinoma from Coming Back?

For high-risk patients who fit C-POST criteria, yes, the trial showed a 68% reduction in the risk of recurrence or death at 24 months. But immunotherapy doesn't eliminate recurrence risk entirely, and it hasn't yet proven to extend overall survival.

The numbers from C-POST [3]:

  • Any recurrence or death: 24 events in cemiplimab arm vs 65 in placebo arm.
  • Locoregional recurrence: 9 vs 40 events (hazard ratio 0.20, an 80% reduction).
  • Distant recurrence: 10 vs 26 events (hazard ratio 0.35, a 65% reduction).
  • 24-month disease-free survival: 87.1% cemiplimab vs 64.1% placebo.

Important caveats:

  • Overall survival hazard ratio at April 2025 cutoff was 0.78 with a 95% CI of 0.39-1.56, statistically compatible with anything from meaningful benefit to no effect.
  • The trial allowed patients on placebo who recurred to cross over to cemiplimab, which can dilute survival differences.
  • Cemiplimab is already active in advanced cSCC, so some patients "saved" by adjuvant therapy might have also been salvaged if treated at recurrence.

The honest framing: adjuvant cemiplimab meaningfully reduces recurrence, but whether it saves more lives overall than treating recurrences when they happen is still being sorted out. For high-risk patients, most oncologists now favor the adjuvant approach because a recurrence, especially a distant one, can be far harder to control [4].

What Happens If Squamous Cell Carcinoma Recurs After Surgery?

Recurrence after surgery ranges from a small local re-growth (usually re-excised or treated with radiation) to regional nodal spread or distant metastasis (which typically now involves systemic immunotherapy). The prognosis depends heavily on how early it's caught and where it comes back.

Local recurrence (at or near the original surgical site):

  • Often re-treated with wider excision or Mohs surgery.
  • Radiation may be added if not previously given.
  • Prognosis is generally reasonable if caught early.

Regional recurrence (lymph nodes):

  • Requires imaging (CT or PET), possible neck dissection, and radiation.
  • May trigger a conversation about systemic immunotherapy.

Distant metastasis (lung, liver, bone, other sites):

  • Considered advanced/metastatic cSCC.
  • First-line treatment is now cemiplimab or pembrolizumab as monotherapy, this is the standard-of-care setting where these drugs first got approved [8].
  • Response rates are around 40-50%, and responses can last years in some patients.

Follow-up is why this matters. Standard surveillance for high-risk cSCC includes clinical skin and lymph node exams every 3-6 months for the first 2 years, then less frequently. Any new skin lesion, lump, or symptom in a previously treated area deserves prompt evaluation. Understanding what normal healing looks like vs warning signs is useful for anyone recovering from skin surgery.

Is Immunotherapy Better Than Radiation Therapy After Squamous Cell Carcinoma Surgery?

They aren't alternatives, they're used together. Radiation is a well-established local treatment that kills residual cancer cells at the surgical site or in nearby lymph nodes. Immunotherapy is a systemic treatment that targets microscopic disease anywhere in the body. In the C-POST trial, every patient received radiation first, then immunotherapy on top.

Radiation therapy after surgery:

  • Targets the surgical bed and/or draining lymph nodes.
  • Given over 5-7 weeks, typically 5 days per week.
  • Reduces local recurrence.
  • Side effects: skin changes, fatigue, mucositis (if head/neck).

Immunotherapy after surgery:

  • Systemic, travels throughout the body.
  • Targets microscopic distant disease that surgery and radiation can't reach.
  • Given IV every 3-6 weeks for up to 12 months.
  • Side effects: immune-related organ inflammation.

Decision rule: For high-risk cSCC after surgery, radiation is the first adjuvant step. If additional high-risk features are present, cemiplimab is added on top, not instead of. Skipping indicated radiation and substituting immunotherapy is not supported by the trial data.

How Long Does Immunotherapy Take After Squamous Cell Carcinoma Removal?

The C-POST protocol runs up to 48 weeks, roughly 12 months of scheduled infusions. That's cemiplimab 350 mg IV every 3 weeks for the first 12 weeks (4 doses), then 700 mg every 6 weeks for another 36 weeks (6 more doses).

Total time commitment:

  • Radiation before immunotherapy: typically 5-7 weeks.
  • Gap between radiation and starting cemiplimab: 2-10 weeks.
  • Cemiplimab infusion course: up to 48 weeks.
  • Post-treatment surveillance: at least 2-5 years of clinic visits, exams, and imaging.

Each infusion visit takes about 30 minutes of drug administration plus check-in, labs, and monitoring, so plan on 2-3 hours per visit. Most patients continue normal work and daily life around the schedule.

What Are Common Mistakes People Make with Post-Surgery Skin Cancer Treatment?

The most common mistakes are skipping recommended follow-up, assuming a "clean margins" report means the risk is zero, ignoring new symptoms, and confusing routine SCC with the high-risk subset that needs multidisciplinary care.

Frequent pitfalls:

  • Assuming excision is the end of the story. For low-risk SCC it usually is. For high-risk SCC it's just step one. Read your pathology report and ask what "high risk" would look like for your specific case.
  • Skipping postoperative radiation when it's recommended. Radiation isn't optional in the high-risk setting, it's the foundation on which immunotherapy is layered.
  • Not getting a medical oncology referral. If your pathology shows nodal disease, extracapsular extension, or named-nerve invasion, ask for one.
  • Under-protecting the skin going forward. Anyone who's had one SCC has an elevated risk of another. Daily sun protection isn't optional.
  • Missing surveillance visits. Recurrences caught at 6-month checks are dramatically more treatable than those found at 18 months.
  • Confusing SCC with basal cell carcinoma. BCC almost never metastasizes and rarely needs anything beyond local treatment. SCC, especially the high-risk subtype, is different. For comparison, see our basal cell carcinoma treatment guide.
  • Believing "immunotherapy" is a single thing. Cemiplimab and pembrolizumab are similar drugs, but their adjuvant trial results in cSCC were very different. Trial specifics matter.

Are There Alternatives to Immunotherapy for Preventing Squamous Cell Carcinoma Recurrence?

For very high-risk cSCC after surgery and radiation, there is currently no other systemic treatment with proven adjuvant benefit. Alternatives are mostly about optimizing surgery, radiation, and surveillance, or, in some cases, choosing active observation with prompt treatment of recurrence.

Non-immunotherapy options for reducing recurrence risk:

  • Wider or Mohs-technique re-excision to ensure clear margins.
  • Postoperative radiation therapy, the standard adjuvant local treatment.
  • Neck dissection for regional nodal disease.
  • EGFR-targeted therapy (cetuximab), has modest activity in advanced cSCC but is not established as adjuvant therapy.
  • Enhanced surveillance, more frequent exams and imaging to catch recurrences early.
  • Clinical trial enrollment, the ongoing NRG-HN014 trial is testing neoadjuvant cemiplimab, and other trials are exploring combinations.

Emerging biology: Research into tumor biology, including work on ferroptosis resistance pathways like ALDH3A1 in squamous cell carcinoma, points toward future targets beyond checkpoint inhibitors. For now, though, cemiplimab is the only adjuvant systemic option with phase 3 evidence.

Active surveillance option: Some patients, especially those with significant comorbidities, transplant status, or personal preference against systemic treatment, reasonably choose surgery + radiation + close follow-up without adjuvant immunotherapy. This is a legitimate choice, particularly because cemiplimab remains an option if recurrence develops.

FAQ

Is cemiplimab (Libtayo) the same as pembrolizumab (Keytruda)?
Both are PD-1 checkpoint inhibitors and work similarly, but they're different drugs made by different companies. In cutaneous SCC specifically, cemiplimab has a positive phase 3 adjuvant trial (C-POST) and FDA approval; pembrolizumab's adjuvant trial (KEYNOTE-630) did not meet its primary endpoint.

Does adjuvant cemiplimab cure squamous cell carcinoma?
It substantially reduces the risk of recurrence at 24 months but doesn't guarantee cure. Some patients still recur despite treatment, and overall survival benefit has not yet been definitively proven.

Can I get immunotherapy if I've had an organ transplant?
Solid organ transplant recipients were excluded from the C-POST trial because PD-1 inhibitors can trigger organ rejection. These decisions require careful multidisciplinary discussion between transplant medicine and oncology.

How soon after surgery does immunotherapy start?
In C-POST, cemiplimab began 2 to 10 weeks after completion of postoperative radiation therapy, so typically 2-4 months after the original surgery.

Will I lose my hair on immunotherapy?
Hair loss is uncommon with cemiplimab. It's a chemotherapy side effect, not a typical immunotherapy one. Skin rash and itching are more common.

Is this treatment available in Canada?
Cemiplimab is Health Canada, approved for advanced cSCC. Adjuvant coverage under provincial cancer agencies typically follows FDA/EMA approval; ask your oncologist about current provincial funding status.

What if my SCC is small and on my arm, do I need immunotherapy?
Almost certainly not. Small, low-risk SCCs excised with clear margins are cured by surgery in the overwhelming majority of cases. Adjuvant immunotherapy is only for the specific high-risk features identified in C-POST.

How is high-risk cSCC different from ordinary skin cancer?
"High-risk" in the C-POST sense means specific pathology findings: major nodal involvement, extracapsular extension, T4 bone invasion, named-nerve perineural invasion, in-transit metastases, or locally recurrent disease with added risk features. Most SCCs don't have these.

What's the biggest risk of adjuvant cemiplimab?
Immune-related adverse events, inflammation of organs like the colon, lungs, liver, thyroid, or endocrine glands. Most are manageable if caught early, but some can be serious.

Should I get a second opinion before starting adjuvant immunotherapy?
Given the cost, duration, and toxicity profile, a second opinion at a comprehensive cancer center is very reasonable, especially if you're on the borderline of eligibility criteria.

Can I still get sun after finishing treatment?
You'll need lifelong strict sun protection. A history of one SCC, especially a high-risk one, dramatically raises your risk of another skin cancer.

Are there any dietary or lifestyle changes that help recovery?
Standard post-surgical healing advice applies: protein-rich diet, avoid smoking, manage other health conditions well. See our guide to foods that speed healing after minor skin surgery for practical basics.

Conclusion

The C-POST trial is the clearest evidence yet that immunotherapy after surgery can meaningfully reduce recurrence in cutaneous squamous cell carcinoma, but only for a narrowly defined high-risk group. For the vast majority of people who have a routine SCC removed in an outpatient or minor surgery setting, this research doesn't change anything. Surgery, sometimes with radiation, remains the definitive treatment.

The people this actually matters to are those whose post-operative pathology shows aggressive features: significant nodal disease, extracapsular extension, T4 bone invasion, named-nerve perineural invasion, in-transit metastases, or locally recurrent tumors with additional risk factors. If that's you, a conversation with a medical oncologist, after radiation is planned or completed, is now the standard step.

Practical next steps:

  1. Read your pathology report carefully. Ask your surgeon to walk you through the findings and whether any features are "high risk."
  2. Confirm postoperative radiation status. If it's been recommended, complete it, that's the foundation on which adjuvant immunotherapy is built.
  3. Ask for a medical oncology referral if any high-risk features are present.
  4. Get a second opinion at a comprehensive cancer center if you're weighing adjuvant treatment.
  5. Commit to surveillance follow-up for at least 2-5 years regardless of what systemic treatment you receive.
  6. Protect your skin going forward. Daily broad-spectrum sunscreen, hats, protective clothing, and regular skin checks.

If you're in the Greater Toronto Area and dealing with a new or suspicious skin lesion, the team at The Minor Surgery Center handles biopsies and small excisions across multiple clinics and can help ensure any suspicious lesion is evaluated and, if needed, referred appropriately. Understanding whether a skin change warrants professional evaluation is one of the most useful skills any patient can develop.

References

[1] FDA Approves Cemiplimab-rwlc for Adjuvant Treatment of Cutaneous Squamous Cell Carcinoma - https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-cemiplimab-rwlc-adjuvant-treatment-cutaneous-squamous-cell-carcinoma

[2] Libtayo (cemiplimab-rwlc) Approved in the U.S. as First and Only Immunotherapy for Adjuvant Treatment of Cutaneous Squamous Cell Carcinoma (CSCC) With a High Risk of Recurrence After Surgery and Radiation - https://www.globenewswire.com/news-release/2025/10/08/3163679/0/en/libtayo-cemiplimab-rwlc-approved-in-the-u-s-as-first-and-only-immunotherapy-for-adjuvant-treatment-of-cutaneous-squamous-cell-carcinoma-cscc-with-a-high-risk-of-recurrence-after-su.html

[3] Libtayo (cemiplimab) Phase 3 Data in Adjuvant Treatment Post Surgery and Radiation - https://newsroom.regeneron.com/news-releases/news-release-details/libtayor-cemiplimab-phase-3-data-adjuvant-treatment-post/

[4] Regeneron Announces Approval of Cemiplimab-rwlc for Adjuvant Treatment of Cutaneous Squamous Cell Carcinoma With a High Risk of Recurrence After Surgery and Radiation - https://aimwithimmunotherapy.org/press-releases/regeneron-announces-approval-of-cemiplimab-rwlc-for-adjuvant-treatment-of-cutaneous-squamous-cell-carcinoma-with-a-high-risk-of-recurrence-after-surgery-and-radiation/

[5] Adjuvant Immunotherapy in High-Risk Cutaneous Squamous Cell Carcinoma - https://consultqd.clevelandclinic.org/adjuvant-immunotherapy-in-high-risk-cutaneous-squamous-cell-carcinoma

[6] Recurrent Head and Neck Cutaneous Squamous Cell Carcinoma After Surgery and Radiotherapy - https://pubmed.ncbi.nlm.nih.gov/32627359/

[7] European Guidelines for Cutaneous Squamous Cell Carcinoma - https://pmc.ncbi.nlm.nih.gov/articles/PMC8427439/

[8] American Cancer Society: Treating Squamous Cell Skin Cancer - https://www.cancer.org/cancer/types/basal-and-squamous-cell-skin-cancer/treating/squamousl-cell-carcinoma.html

July 8, 2026