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Alkylating agents

Immunotherapy + Radiation for Head and Neck Cancer

Phase 2
Recruiting
Research Sponsored by Loren Mell, MD
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
High-Intermediate Risk Disease as defined by specific criteria
p16-positive squamous cell carcinoma of the pharynx, larynx or oral cavity
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 years
Awards & highlights

Study Summary

This trial is testing whether adding the immunotherapy drug pembrolizumab to standard radiation therapy improves outcomes for patients with head and neck squamous cell carcinoma.

Who is the study for?
This trial is for adults with certain high-risk head and neck cancers, including oropharynx, larynx, nasopharynx, and oral cavity squamous cell carcinoma. Participants must have no distant metastases, be HIV negative, not pregnant or breastfeeding, agree to use contraception during the study period and have adequate organ function.Check my eligibility
What is being tested?
The trial compares pembrolizumab (an experimental immunotherapy drug) plus radiation therapy against the standard treatment of cisplatin chemotherapy plus radiation therapy in treating head and neck squamous cell carcinoma.See study design
What are the potential side effects?
Pembrolizumab may cause immune-related side effects such as inflammation in various organs, skin reactions, fatigue and infusion-related reactions. Cisplatin can lead to nausea/vomiting, kidney damage, hearing loss and nerve damage.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My condition is considered high-intermediate risk.
Select...
My cancer is p16-positive in the throat, voice box, or mouth.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and 3 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
progression-free survival (PFS)
Secondary outcome measures
Acute toxicity
Late toxicity
Patterns of failure
+1 more
Other outcome measures
PD-L1 expression correlations

Side effects data

From 2024 Phase 2 trial • 57 Patients • NCT03004183
21%
Fatigue
13%
Nausea
11%
Back pain
9%
Shortness of Breath
9%
Anemia
9%
Abdominal pain
9%
Diarrhea
7%
Pneumonia
7%
Kidney Injury and/or Infection
7%
Dyspnea
7%
Weight Loss
5%
Malnutrition, Hypercalcemia and Weakness
5%
Pneumothorax
5%
Intractable pain, back pain, hip pain
5%
Activated partial thromboplastin time prolonged
4%
Pleural effusion
4%
Atrial fibrillation with rapid ventricular response
2%
Thrombocytopenia
2%
Respiratory failure
2%
Skin rash
2%
colitis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Single Arm

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Experimental-Radiotherapy/pembrolizumabExperimental Treatment2 Interventions
Intensity-modulated radiation therapy to 70 Gy in 33-35 fractions over 6.5 weeks plus concurrent and adjuvant pembrolizumab 200 mg IV infusion every 3 weeks x 20 cycles
Group II: Control-radiotherapy/cisplatinActive Control2 Interventions
Intensity-modulated radiation therapy to 70 Gy in 33-35 fractions over 6.5 weeks plus concurrent cisplatin 100 mg/m2 every 3 weeks for 3 cycles (7 weeks)
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Pembrolizumab
FDA approved
Radiation therapy
2013
Completed Phase 3
~2850

Find a Location

Who is running the clinical trial?

Merck Sharp & Dohme LLCIndustry Sponsor
3,888 Previous Clinical Trials
5,054,890 Total Patients Enrolled
Loren Mell, MDLead Sponsor
1 Previous Clinical Trials
42 Total Patients Enrolled

Media Library

Cisplatin (Alkylating agents) Clinical Trial Eligibility Overview. Trial Name: NCT03383094 — Phase 2
Head and Neck Cancers Research Study Groups: Control-radiotherapy/cisplatin, Experimental-Radiotherapy/pembrolizumab
Head and Neck Cancers Clinical Trial 2023: Cisplatin Highlights & Side Effects. Trial Name: NCT03383094 — Phase 2
Cisplatin (Alkylating agents) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03383094 — Phase 2

Frequently Asked Questions

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

In how many different places is this trial organized and taking place?

"The 7 locations where this study is recruiting patients are: Washington University School of Medicine, Siteman Cancer Center in Saint Louis, Vanderbilt-Ingram Cancer Center in Nashville, H. Lee Moffitt Cancer Center & Research Facility in Tampa, and other sites."

Answered by AI

Could you provide the estimated enrollment for this clinical trial?

"Based on the information available on clinicaltrials.gov, this trial is currently looking for participants. The study was posted on 3/15/2018 and was most recently updated on 10/7/2021. 114 individuals are needed across 7 sites."

Answered by AI

What are Pembrolizumab's main therapeutic benefits?

"Pembrolizumab is a standard intervention for malignant neoplasms, but can also be used to treat unresectable melanoma, microsatellite instability high, and other conditions where there is a high risk of recurrence."

Answered by AI

Are new patients currently being accepted into this clinical trial?

"That is correct. The clinical trial detailed on clinicaltrials.gov has an open call for 114 participants at 7 sites. This particular trial was posted on 3/15/2018 and updated as recently as 10/7/2021."

Answered by AI

Are there any other ongoing investigations with Pembrolizumab?

"Pembrolizumab is currently being studied in 1619 active clinical trials, with 365 of those studies classified as Phase 3. Many of these research centres are located in Shanghai; however, Pembrolizumab is being investigated at 70348 different locations worldwide."

Answered by AI

When was Pembrolizumab officially accepted by the FDA?

"While there is some data supporting the safety of Pembrolizumab, it only exists for Phase 2 trials. Efficacy has not been proven yet so it receives a score of 2."

Answered by AI
~4 spots leftby Aug 2024