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Chemotherapy Agent

Xevinapant + Chemoradiotherapy for Head and Neck Cancer

Phase 3
Waitlist Available
Research Sponsored by Debiopharm International SA
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Eastern Cooperative Oncology Group performance status (ECOG PS) 0 or 1
For OroPharyngeal Cancer (OPC) participants, primary tumors must be human papillomavirus (HPV)-negative as determined by p16 expression using immunohistochemistry
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from signed informed consent to eos (within 6.8 years)
Awards & highlights

Study Summary

This trial is testing whether adding the drug Xevinapant to standard chemoradiotherapy treatment can improve outcomes for people with locally advanced squamous cell carcinoma of the head and neck.

Who is the study for?
This trial is for adults with untreated locally advanced squamous cell carcinoma of the head and neck (stages III, IVa, or IVb), specifically not from nasopharynx or oral cavity origins. Participants must have good performance status (ECOG PS 0 or 1), manageable peripheral neuropathy (< grade 2), non-HPV related tumors for those with oropharyngeal cancer, and adequate organ function. Those with allergies to study drugs, metastatic disease, significant recent weight loss without nutritional support, low albumin levels, prior head/neck radiation or surgery that affects treatment area are excluded.Check my eligibility
What is being tested?
The TrilynX study tests whether adding Xevinapant (Debio 1143) to standard chemoradiotherapy improves outcomes in patients with locally advanced squamous cell carcinoma of the head and neck. Patients will receive either Xevinapant plus cisplatin chemotherapy and intensity-modulated radiotherapy (IMRT) or a placebo alongside the same chemo-radiotherapy regimen.See study design
What are the potential side effects?
Potential side effects include reactions typical of chemotherapy like nausea, vomiting, hair loss; radiotherapy such as skin irritation and dry mouth; plus any specific effects from Xevinapant which could involve changes in blood counts leading to increased infection risk among others.

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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My oropharyngeal cancer is not caused by HPV.
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I have a specific type of throat cancer that has not been treated yet.
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My nerve damage does not severely affect my daily activities.
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My cancer can be measured by scans according to specific criteria.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from signed informed consent to eos (within 6.8 years)
This trial's timeline: 3 weeks for screening, Varies for treatment, and from signed informed consent to eos (within 6.8 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
Event-Free Survival (EFS)
Secondary outcome measures
Changes from Baseline in Global Health Status/Quality of Life (GHS/QoL) and Fatigue Symptom
Changes from Baseline in Swallowing and Pain Symptoms
Complete Response Rate (CRR)
+8 more

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Xevinapant (Debio 1143)Experimental Treatment3 Interventions
Participants will receive: Concomitant chemo-radiation therapy period (Cycles 1-3): Radiotherapy Cisplatin Xevinapant (Debio 1143) Monotherapy period (Cycles 4-6): • Xevinapant (Debio 1143)
Group II: PlaceboActive Control3 Interventions
Participants will receive: Concomitant chemo-radiation therapy period (Cycles 1-3): Radiotherapy Cisplatin Matched placebo Monotherapy period (Cycles 4-6): • Matched placebo
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
DEBIO-1143
Not yet FDA approved
Cisplatin
2013
Completed Phase 3
~1940

Find a Location

Who is running the clinical trial?

Debiopharm International SALead Sponsor
49 Previous Clinical Trials
6,067 Total Patients Enrolled
EMD Serono Research & Development Institute, Inc.Lead Sponsor
76 Previous Clinical Trials
30,130 Total Patients Enrolled
GORTEC (Head and Neck Oncology and Radiotherapy Group)UNKNOWN

Media Library

Cisplatin (Chemotherapy Agent) Clinical Trial Eligibility Overview. Trial Name: NCT04459715 — Phase 3
Squamous Cell Carcinoma Research Study Groups: Xevinapant (Debio 1143), Placebo
Squamous Cell Carcinoma Clinical Trial 2023: Cisplatin Highlights & Side Effects. Trial Name: NCT04459715 — Phase 3
Cisplatin (Chemotherapy Agent) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04459715 — Phase 3

Frequently Asked Questions

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

How many test subjects are there in this ongoing medical experiment?

"The clinical trial is searching for 700 participants across 49 locations."

Answered by AI

Are there any other research papers which explore Xevinapant's efficacy?

"City of Hope Comprehensive Cancer Center first studied Xevinapant (Debio 1143) in 1997 and, since then, there have been 19192 completed clinical trials. As of now, there are 714 active trials recruiting patients with a significant portion based in San Francisco and Missouri."

Answered by AI

Are participants currently being accepted for this research project?

"The public information available on clinicaltrials.gov supports that this research is still recruiting individuals. This experiment was originally announced on 8/7/2020, with the latest update being 10/18/2022. In total, 49 different facilities are looking to enroll 700 patients for this study."

Answered by AI

How many places are participating in this research project?

"Enrollment for this study is currently underway at 49 different hospitals and medical centres. If you are interested in enrolling, it would be best to choose a location near you from the list of available sites which include locations such as San Francisco, Kansas City and Birmingham among others."

Answered by AI

Could you please summarize the safety data for Xevinapant (Debio 1143)?

"Xevinapant (Debio 1143) has received a score of 3 for safety. This is based on it being a Phase 3 trial, which means that there is both supportive efficacy data as well as multiple rounds of safety data available."

Answered by AI

What medical conditions does Xevinapant (Debio 1143) target?

"Xevinapant (Debio 1143) is a medication typically used to treat advanced ovarian cancer. However, it can also be taken as a last resort for patients with refractory testicular cancer or those with advance directives."

Answered by AI
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~100 spots leftby Dec 2024