Amivantamab + Chemotherapy for Head and Neck Cancer

(CAPT-HN Trial)

Enrolling by invitation at 2 trial locations
SC
Overseen BySWOG Clinical Trials Partnerships
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: SWOG Cancer Research Network
Must be taking: PD-(L)1 inhibitors
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new treatment combination for head and neck cancer that has returned or spread. Researchers are testing the effectiveness of a drug called amivantamab, a monoclonal antibody, alongside chemotherapy. The goal is to determine if this combination can benefit patients who have not responded to other treatments. The trial seeks participants with a specific type of head and neck cancer who have already tried therapies such as immunotherapy. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Is there any evidence suggesting that this treatment is likely to be safe for humans?

Research has shown that amivantamab, when combined with paclitaxel, has been tested in people with head and neck cancer. The safety profile of this treatment aligns with earlier studies, revealing no new safety concerns. Dr. Ranee Mehra noted that the side effects matched expectations for this type of treatment, deeming it safe for patients with recurring or spreading head and neck squamous cell carcinoma (HNSCC).

In other studies, combining amivantamab with pembrolizumab (another cancer treatment) proved both effective and safe for patients. Overall, these findings suggest that amivantamab is well-tolerated with known side effects, making it a promising option for treating this type of cancer.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for head and neck cancer, which typically involve chemotherapy drugs like cisplatin and fluorouracil, Amivantamab is unique because it combines with chemotherapy in a new way. It targets specific proteins on cancer cells, making it potentially more effective at halting tumor growth and spread. Researchers are excited about Amivantamab because it offers a novel approach by combining targeted therapy with traditional chemotherapy, potentially leading to better outcomes for patients with unresectable recurrent or metastatic head and neck squamous cell carcinoma (HNSCC). This combination might enhance the effectiveness of chemotherapy while minimizing some of its traditional side effects.

What evidence suggests that Amivantamab might be an effective treatment for head and neck cancer?

Studies have shown that amivantamab yields promising results for treating head and neck cancer that has spread or returned. In research involving patients with this type of cancer, amivantamab shrank tumors in 45% of the patients, meaning almost half saw their tumors reduce in size. The treatment also allowed patients to live for nearly 7 months on average without their cancer worsening. Additionally, 74% of patients experienced positive effects, such as tumor shrinkage or disease stabilization. These results suggest amivantamab could be a promising option for this challenging condition. Participants in this trial will receive a combination of Carboplatin, Paclitaxel, and Amivantamab hyaluronidase to evaluate its effectiveness in treating unresectable recurrent or metastatic head and neck squamous cell carcinoma (HNSCC).46789

Who Is on the Research Team?

PS

Paul Swiecicki, MD

Principal Investigator

SWOG Cancer Research Network

Are You a Good Fit for This Trial?

Inclusion Criteria

I am fully active or can carry out light work.
My cancer, regardless of HPV status, is in the head or neck area.
I have a tumor that can be measured by scans taken within the last 28 days.
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a combination of Carboplatin, Paclitaxel, and Amivantamab hyaluronidase

6 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 2 years

What Are the Treatments Tested in This Trial?

Interventions

  • Amivantamab

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Participants with unresectable recurrent or metastatic HNSCCExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

SWOG Cancer Research Network

Lead Sponsor

Trials
403
Recruited
267,000+

Janssen Medical Affairs

Industry Sponsor

Trials
4
Recruited
1,100+

SWOG Clinical Trials Partnerships, LLC

Collaborator

Citations

Subcutaneous amivantamab delivers promising 45 percent ...

Responses were rapid and durable, and tumor shrinkage was observed in 82 percent of patients New findings from this investigational study ...

Preliminary results from the phase 1b/2 OrigAMI-4 study

Median progression-free survival was 6.8 months (95 % CI, 4.2–9.0). Subcutaneous amivantamab as second-/third-line treatment among participants with R/M HNSCC ...

Dr Mehra on the Efficacy of Subcutaneous Amivantamab ...

She noted that initial data from cohort 1 of OrigAMI-4 presented at the 2025 ESMO Congress showed an overall response rate (ORR) of 45% (95% CI, ...

amivantamab-in-recurrent-metastatic-head-and-neck- ...

aAs of data cutoff, 38 participants had ≥2 disease assessments (or discontinued for any reason) and were included in the efficacy analysis.

Subcutaneous Amivantamab Earns Breakthrough Therapy ...

Among 38 efficacy-evaluable patients treated with subcutaneous amivantamab, an overall response rate (ORR) of 45% (95% CI, 29%-62%) was observed ...

RYBREVANT FASPRO™ (amivantamab and ...

Ten percent complete response and rapid, durable antitumor activity reported with RYBREVANT FASPRO™; results surpass current standards of ...

Use of RYBREVANT FASPRO in Head & Neck Cancer

Safety data are included in Table: Safety Profile for the Amivantamab SC plus Paclitaxel Combination Cohort 3a. Safety Profile for the ...

RYBREVANT FASPRO™ (amivantamab and ...

Ten percent complete response and rapid, durable antitumor activity reported with RYBREVANT FASPRO™; results surpass current standards of ...

Subcutaneous Amivantamab Displays Activity in Recurrent ...

The safety profile of amivantamab was consistent with previous reports in this HNSCC population, with no new signals reported.