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Alkylating agents

Cemiplimab + Chemotherapy for Head and Neck Cancer

Phase 2
Waitlist Available
Led By Marcelo R Bonomi, MD
Research Sponsored by Marcelo Bonomi
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 0-1
At least one measurable lesion as defined by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 on screening computed tomography (CT) or magnetic resonance imaging (MRI)
Must not have
Known infection human immunodeficiency virus (HIV), hepatitis B or C
Clinically significant cardiac disease (e.g., congestive heart failure, unstable or uncontrolled angina, myocardial infarction) within the past six months
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from the date of enrollment until documented disease progression, assessed up to 2 years
Awards & highlights
No Placebo-Only Group

Summary

This trial is testing a new treatment that helps the immune system fight cancer while also using drugs to kill cancer cells.

Who is the study for?
Adults with recurrent or metastatic squamous cell carcinoma of the head and neck, who haven't had systemic therapy for this condition before. Participants must have proper kidney function, no recent vaccines, not be on immunosuppressants, and agree to use contraception. Excluded are those with certain heart conditions, active infections like HIV or hepatitis B/C, known brain metastases unless stable, or a history of pneumonitis.
What is being tested?
The trial is testing cemiplimab (an immune system-boosting monoclonal antibody) combined with low-dose paclitaxel and carboplatin (chemotherapy drugs). The goal is to see if this combination is more effective in stopping cancer growth compared to other treatments for head and neck cancers that have spread or returned after treatment.
What are the potential side effects?
Possible side effects include immune-related reactions due to cemiplimab such as inflammation in organs; chemotherapy-related issues like nausea, hair loss from paclitaxel; fatigue; blood cell count changes leading to increased infection risk; and potential allergic reactions.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am fully active or can carry out light work.
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I have at least one tumor that can be measured on a CT or MRI scan.
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I am 18 years old or older.
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My cancer has returned or spread and is located in my mouth, throat, voice box, or the area below my pharynx.
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It has been at least 4 weeks since my last cancer treatment or surgery.
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I haven't received any systemic therapy for my recurrent/metastatic disease.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I do not have HIV, hepatitis B, or hepatitis C.
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I haven't had serious heart problems like heart failure or a heart attack in the last 6 months.
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I am not pregnant or breastfeeding.
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I have been treated with antibody-based immunotherapy before.
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I have been treated with PI3K inhibitors before.
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I have had pneumonitis in the last 5 years.
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My condition can be treated with the aim of curing it.
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My cancer is in the nasopharynx, salivary glands, lip, or sinonasal area.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from the date of enrollment until documented disease progression, assessed up to 2 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and from the date of enrollment until documented disease progression, assessed up to 2 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Heart rate
Secondary study objectives
Incidence of adverse events
Progression-free survival (PFS)

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (cemiplimab, paclitaxel, carboplatin)Experimental Treatment3 Interventions
Patients will be treated with a combination of cemiplimab 350 mg every three weeks, with weekly combination of paclitaxel 25 mg/m2 and carboplatin AUC 1. Treatment will continue for a total of 24 months or until disease progression or unacceptable toxicity. Weekly chemotherapy will stop after six months of treatment (24 weeks). A ten patient safety run-in phase will be initially performed.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Paclitaxel
2011
Completed Phase 4
~5810
Cemiplimab
2015
Completed Phase 3
~1450
Carboplatin
2014
Completed Phase 3
~6120

Research Highlights

Information in this section is not a recommendation. We encourage patients to speak with their healthcare team when evaluating any treatment decision.
Mechanism Of Action
Side Effect Profile
Prior Approvals
Other Research
Laryngeal Cancer treatments often involve a combination of immunotherapy and chemotherapy. Immunotherapy, such as Cemiplimab, uses monoclonal antibodies to help the body's immune system recognize and attack cancer cells by targeting specific proteins like PD-1 on the surface of these cells. Chemotherapy drugs like Paclitaxel and Carboplatin work by disrupting the growth and division of cancer cells. Paclitaxel stabilizes microtubules, preventing cell division, while Carboplatin forms DNA crosslinks, inhibiting DNA synthesis. These mechanisms are crucial for Laryngeal Cancer patients as they offer a multi-faceted approach to targeting and eliminating cancer cells, potentially improving treatment efficacy and patient outcomes.
Efficacy and safety of postoperative bio-chemoradiotherapy using cetuximab and docetaxel for high-risk head and neck cancer patients in Japan.A pyriform sinus cancer organ preservation strategy comprising induction chemotherapy with docetaxel, cisplatin, and 5-fluorouracil, followed by potentiated radiotherapy: a multicenter, retrospective study.

Find a Location

Who is running the clinical trial?

Marcelo BonomiLead Sponsor
Marcelo R Bonomi, MDPrincipal InvestigatorOhio State University Comprehensive Cancer Center

Media Library

Carboplatin (Alkylating agents) Clinical Trial Eligibility Overview. Trial Name: NCT04862650 — Phase 2
Squamous Cell Carcinoma Research Study Groups: Treatment (cemiplimab, paclitaxel, carboplatin)
Squamous Cell Carcinoma Clinical Trial 2023: Carboplatin Highlights & Side Effects. Trial Name: NCT04862650 — Phase 2
Carboplatin (Alkylating agents) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04862650 — Phase 2
~2 spots leftby Dec 2024