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ATR Inhibitor
Peposertib + Radiation for Advanced Head and Neck Cancer
Phase 1
Recruiting
Led By Maura L Gillison
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
Known HIV infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months and CD4 T cell count >= 200
Age >= 70 with moderate to severe comorbidity, defined as having one or more of the specified conditions within 30 days prior to registration
Timeline
Screening 3 weeks
Treatment Varies
Follow Up at 6 months and 1 year
Awards & highlights
Study Summary
This trial is testing the safety and efficacy of peposertib as a treatment for head and neck cancer that has spread to other parts of the body.
Who is the study for?
This trial is for adults with advanced head and neck cancer who can't take cisplatin. Participants must be HIV-positive on effective treatment, able to swallow tablets, willing to use contraception, have certain types of oropharynx cancer stages, measurable disease per RECIST 1.1 criteria, specific blood cell counts within range, and no history of distant metastatic disease.Check my eligibility
What is being tested?
The trial tests the safety and optimal dose of peposertib combined with intensity-modulated radiation therapy in patients with advanced head and neck cancer. It aims to determine if this combination is more effective than radiation alone for those unable to receive cisplatin.See study design
What are the potential side effects?
Potential side effects include reactions related to blocking enzymes needed for cell growth (which may affect normal cells as well), typical risks associated with radiation such as skin irritation or damage at the treatment site, fatigue, nausea, and other symptoms depending on which organs are affected by the therapy.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am HIV positive, on treatment, with undetectable viral load and CD4 count >= 200.
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I am 70 or older with one or more serious health conditions.
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My cancer is in the early to mid stages and located in my mouth, throat, or voice box.
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I cannot take cisplatin due to health reasons.
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I have been mostly active and able to carry out all pre-disease activities without restriction in the last 30 days.
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I am 18 or older and cannot take cisplatin due to health reasons.
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I can swallow pills without any issues.
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My throat cancer is p16 positive and falls within specific stages.
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My cancer is confirmed in the mouth, throat, voice box, or below the voice box.
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My oropharynx cancer is p16 positive, confirmed by a specific test.
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I am 18 years old or older.
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I am under 70 and have two or more severe health conditions.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ at 6 months and 1 year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~at 6 months and 1 year
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Dose-limiting toxicity
Secondary outcome measures
Clinical response rate
Incidence of acute toxicity
Incidence of late toxicity
+2 moreOther outcome measures
Pharmacokinetic (PK) parameter of M3814 (peposertib)
Trial Design
1Treatment groups
Experimental Treatment
Group I: Treatment (peposertib, IMRT)Experimental Treatment6 Interventions
Beginning 60-90 minutes before each radiation treatment, patients receive peposertib PO QD and undergo IMRT daily Monday-Friday for 7 weeks in the absence of disease progression or unacceptable toxicity. Patients also undergo CT, MRI, or 18F-FDG PET/CT during screening and follow-up.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Peposertib
2021
Completed Phase 1
~20
Computed Tomography
2017
Completed Phase 2
~2720
Intensity-Modulated Radiation Therapy
2010
Completed Phase 3
~2160
Positron Emission Tomography
2008
Completed Phase 2
~2240
Magnetic Resonance Imaging
2017
Completed Phase 3
~1190
Find a Location
Who is running the clinical trial?
National Cancer Institute (NCI)Lead Sponsor
13,667 Previous Clinical Trials
40,926,090 Total Patients Enrolled
NRG OncologyOTHER
231 Previous Clinical Trials
100,810 Total Patients Enrolled
Maura L GillisonPrincipal InvestigatorNRG Oncology
1 Previous Clinical Trials
180 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am HIV positive, on treatment, with undetectable viral load and CD4 count >= 200.I am 70 or older with one or more serious health conditions.My cancer is in the early to mid stages and located in my mouth, throat, or voice box.I am not using proton pump inhibitors or can stop them 5 days before treatment.I cannot take cisplatin due to health reasons.I have been mostly active and able to carry out all pre-disease activities without restriction in the last 30 days.I am 18 or older and cannot take cisplatin due to health reasons.I have had radiation in the same area where my current cancer is located.My cancer has spread beyond the neck area.I can swallow pills without any issues.Your heart's electrical activity (QTcF) is longer than 450 ms if you're male, or longer than 470 ms if you're female.I agree to use effective birth control during and for 12 weeks after my treatment.Your blood test results must be within certain ranges in the month before joining the study.My throat cancer is p16 positive and falls within specific stages.You have a visible and measurable tumor according to specific guidelines.I had hepatitis B or C but now have no detectable virus.My cancer is confirmed in the mouth, throat, voice box, or below the voice box.I cannot stop taking certain medications or substances as required.I have not received any live vaccines in the last 28 days.My cancer originates in the neck but the primary site is unknown.I have been cancer-free for at least 3 years from a previous cancer.I haven't had chemotherapy for my current cancer in the last 3 years.I have oral cavity cancer and am not eligible for surgery according to a specialist.My oropharynx cancer is p16 positive, confirmed by a specific test.All of my cancer and affected lymph nodes have been surgically removed.My cancer's primary site is confirmed through tests on my cervical lymph nodes.I am 18 years old or older.I am under 70 and have two or more severe health conditions.Women who could become pregnant must have a negative pregnancy test within 14 days before joining the study.
Research Study Groups:
This trial has the following groups:- Group 1: Treatment (peposertib, IMRT)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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