← Back to Search

Enzyme Inhibitor

BAY 1895344 + Radiation + Pembrolizumab for Head and Neck Cancer

Phase 1
Waitlist Available
Led By Yvonne M Mowery
Research Sponsored by National Cancer Institute (NCI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Eastern Cooperative Oncology Group (ECOG) performance status =< 2 (Karnofsky >= 50%) and a life expectancy of >= 3 months
Patients must have histologically confirmed recurrent, unresectable head and neck squamous cell carcinoma, including various specific locations
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 2 years
Awards & highlights

Study Summary

This trial is testing a combination of drugs to see if they are effective in treating head and neck squamous cell cancer that has come back and cannot be removed through surgery. The drugs being tested are BAY 1895344, stereotactic body radiation therapy, and pembrolizumab. This combination of drugs may help to shrink or stabilize the cancer for a longer period of time than treatment with radiation and immunotherapy without BAY 1895344.

Who is the study for?
Adults with recurrent, unresectable head and neck squamous cell carcinoma are eligible for this trial. They must have had disease progression on or after anti-PD-1/L1/L2 therapy or be new to such treatment. Prior radiotherapy should be completed at least 6 months before joining, and they should not have contraindications to pembrolizumab. Participants need a negative HIV test under certain conditions, no severe cardiac issues, agree to contraception if applicable, and meet specific health criteria.Check my eligibility
What is being tested?
The trial is testing the combination of BAY 1895344 (elimusertib), stereotactic body radiation therapy, and pembrolizumab in patients with advanced head and neck cancer. It aims to find the optimal dose while assessing the potential benefits and side effects of this regimen compared to standard treatments involving radiation and immunotherapy without elimusertib.See study design
What are the potential side effects?
Potential side effects include reactions related to immune system activation by pembrolizumab which could affect various organs; complications from high precision radiation potentially affecting nearby normal tissues; plus any risks associated with elimusertib that might involve blocking enzymes needed for cell growth.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
I can care for myself and doctors expect me to live for at least 3 more months.
Select...
My cancer is a type of head and neck cancer that cannot be removed with surgery.
Select...
I am 18 years old or older.
Select...
My cancer in the head or neck area has come back or is new in a previously treated area.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 2 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Incidence of late adverse events (Dose Expansion Phase)
Maximum-tolerated dose of elimusertib (BAY 1895344) and concurrent stereotactic body radiation therapy (Dose Escalation Phase)
Secondary outcome measures
1-year overall survival
Incidence of adverse events
Locoregional control
+3 more
Other outcome measures
Potential predictive biomarkers of response

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (pembrolizumab, BAY 1895344, SBRT)Experimental Treatment7 Interventions
Patients receive pembrolizumab IV over 30 minutes on day 1 of each cycle. Starting on day 7, patients also receive BAY 1895344 PO BID on days 7-9 and 14-16 during cycle 1, and before and after each SBRT treatment during cycle 2 for a total of 9 doses. Beginning cycle 2, patients undergo SBRT starting between days 2 and 8 for 3 fractions with 2-3 days between fractions. Treatment repeats every 21 days for up to 2 cycles in the absence of disease progression or unacceptable toxicity. Patients also undergo CT scan and/or PET-CT scan and collection of blood samples throughout the trial.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Positron Emission Tomography
2008
Completed Phase 2
~2240
Biospecimen Collection
2004
Completed Phase 2
~1730
Computed Tomography
2017
Completed Phase 2
~2720
Stereotactic Body Radiation Therapy
2012
Completed Phase 2
~780
Pembrolizumab
2017
Completed Phase 2
~2010

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)Lead Sponsor
13,654 Previous Clinical Trials
40,933,116 Total Patients Enrolled
Yvonne M MoweryPrincipal InvestigatorUniversity of Pittsburgh Cancer Institute LAO

Media Library

Elimusertib (Enzyme Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT04576091 — Phase 1
Squamous Cell Carcinoma Research Study Groups: Treatment (pembrolizumab, BAY 1895344, SBRT)
Squamous Cell Carcinoma Clinical Trial 2023: Elimusertib Highlights & Side Effects. Trial Name: NCT04576091 — Phase 1
Elimusertib (Enzyme Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04576091 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

To what maladies does Stereotactic Body Radiation Therapy typically provide a remedy?

"Stereotactic Body Radiation Therapy is generally administered to patients with malignant neoplasms, but can also be useful in treating unresectable melanoma, microsatellite instability high, and cases where chemotherapy has not yielded the desired outcomes."

Answered by AI

With what outcomes is this clinical study aiming to conclude?

"The aim of this 90-day clinical trial is to establish the maximum tolerated dosage of elimusertib (BAY 1895344) in conjunction with stereotactic body radiation therapy. Secondary objectives include assessing locoregional control by competing risk analysis, cataloging adverse events according to CTCAE version 5, and calculating overall response rate based on Response Evaluation Criteria for Solid Tumors 1.1 criteria."

Answered by AI

What is the extant number of centers that are conducting this research?

"This medical investigation is conducted at Montefiore Medical Center-Einstein Campus in Bronx, New york, Montefiore Medical Center - Moses Campus in Durham, North carolina and Duke University Medical Centre in Chicago, Illinois. Furthermore, it's being administered across 8 additional sites."

Answered by AI

How many participants are being recruited for this medical trial?

"Affirmative. Clinicaltrials.gov has a listing indicating that this clinical trial is currently accepting participants, which first appeared on February 12th 2021 and was upgraded as recently as October 15th 2022. The recruitment effort seeks 37 candidates from 8 different medical facilities."

Answered by AI

Are there any other empirical studies that have looked into the efficacy of Stereotactic Body Radiation Therapy?

"At the moment, 961 trials investigating Stereotactic Body Radiation Therapy are in progress. Of these live studies, 122 have entered Phase 3 and 35731 locations across the nation are conducting related research. Notably, Houston Texas has an especially high concentration of such initiatives."

Answered by AI

What safeguards are taken to ensure the safe utilization of Stereotactic Body Radiation Therapy?

"Considering the limited amount of clinical data for Stereotactic Body Radiation Therapy, our team at Power assessed its safety with a score of 1."

Answered by AI

Are there still opportunities to join this investigation?

"Affirmative. The clinicaltrials.gov site verifies that this research is currently in need of subjects, having been first posted on February 12th 2021 and most recently updated on October 15th 2022. They are aiming to recruit 37 patients from 8 distinct locations."

Answered by AI

Who else is applying?

What state do they live in?
New York
What portion of applicants met pre-screening criteria?
Met criteria
~9 spots leftby Nov 2024