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Alkylating agents

Pembrolizumab + Chemotherapy for Head and Neck Cancer

Phase 4
Waitlist Available
Research Sponsored by Merck Sharp & Dohme Corp.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Has histologically or cytologically-confirmed diagnosis of R/M HNSCC that is considered incurable by local therapies
Female participants are not pregnant or breastfeeding and are either not a woman of child-bearing potential (WOCBP) or use a contraceptive method that is highly effective or are abstinent from heterosexual intercourse during the intervention period and for at least 120 days after pembrolizumab or 30 days after paclitaxel or 6 months after carboplatin whichever occurs last, and agree not to donate or freeze eggs during this period
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to ~47 months
Awards & highlights

Study Summary

This trial will look at whether a new cancer drug is effective and safe for people with a certain type of cancer that has come back or spread.

Who is the study for?
This trial is for adults with recurrent/metastatic head and neck squamous cell carcinoma that can't be cured by surgery or radiation. They must have good organ function, not be pregnant or breastfeeding, agree to use contraception, and not have certain infections or a history of severe lung disease.Check my eligibility
What is being tested?
The study tests the combination of pembrolizumab (an immunotherapy drug) with carboplatin and paclitaxel (chemotherapy drugs) as an initial treatment. It aims to assess how safe this combo is and how well it works without testing any specific statistical hypothesis.See study design
What are the potential side effects?
Possible side effects include immune-related reactions affecting organs, infusion-related symptoms, fatigue, nausea from chemotherapy drugs, potential blood disorders like low white cell count increasing infection risk.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My head or neck cancer can't be cured with surgery or radiation.
Select...
I am not pregnant or breastfeeding, and if I can have children, I use effective birth control or practice abstinence.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to ~47 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to ~47 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Objective Response Rate (ORR)
Secondary outcome measures
Duration of Response (DOR)
Overall Survival (OS)
Percentage of Participants who Discontinue Study Treatment due to an AE
+2 more

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

1Treatment groups
Experimental Treatment
Group I: Pembrolizumab + Carboplatin + PaclitaxelExperimental Treatment3 Interventions
Participants will receive pembrolizumab plus carboplatin plus paclitaxel. Pembrolizumab will be administered via intravenous (IV) infusion at a dose of 200 mg on Day 1 of each 21-day cycle for up to 35 cycles (up to ~2 years). Carboplatin will be administered via IV infusion at area under curve (AUC) 5 mg/mL/minute on Day 1 of each 21-day cycle for up to 6 cycles (up to ~4 months). At investigator's choice, paclitaxel will be administered via IV infusion at a dose of 100 mg/m^2 on Day 1 and Day 8 of each 21-day cycle for up to 6 cycles (up to ~4 months) or at a dose of 175 mg/m^2 on Day 1 of each 21-day cycle for up to 6 cycles (up to ~4 months).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Paclitaxel
2011
Completed Phase 4
~5380
Carboplatin
2014
Completed Phase 3
~6670
Pembrolizumab
2017
Completed Phase 2
~2010

Find a Location

Who is running the clinical trial?

Merck Sharp & Dohme Corp.Lead Sponsor
2,286 Previous Clinical Trials
4,581,727 Total Patients Enrolled
Merck Sharp & Dohme LLCLead Sponsor
3,886 Previous Clinical Trials
5,054,452 Total Patients Enrolled
Medical DirectorStudy DirectorMerck Sharp & Dohme LLC
2,777 Previous Clinical Trials
8,063,385 Total Patients Enrolled

Media Library

Carboplatin (Alkylating agents) Clinical Trial Eligibility Overview. Trial Name: NCT04489888 — Phase 4
Oral Squamous Cell Carcinoma Research Study Groups: Pembrolizumab + Carboplatin + Paclitaxel
Oral Squamous Cell Carcinoma Clinical Trial 2023: Carboplatin Highlights & Side Effects. Trial Name: NCT04489888 — Phase 4
Carboplatin (Alkylating agents) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04489888 — Phase 4

Frequently Asked Questions

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

What is the scope of enrollment for this medical research project?

"The study has closed enrollment, with the trial initially posted on October 27th 2020 and last updated May 9th 2022. Alternatively, there are presently 2677 studies recruiting for oral squamous cell carcinoma and 1989 trials involving Pembrolizumab that may be of interest to you."

Answered by AI

What maladies can be managed effectively with Pembrolizumab?

"Pembrolizumab is commonly deployed to combat malignant neoplasms but can also be used to treat unresectable melanoma, microsatellite instability high, and cases of heightened recurrence risk."

Answered by AI

Does this research project accept participants beyond the age of 25?

"To be considered for this research, a patient must fall between 18 and 120 years of age. This is an exclusive criteria; as such, there are 183 studies available to those under the legal age of consent and 4576 for elders above 65."

Answered by AI

Does the usage of Pembrolizumab present any considerable risk to patients?

"There is ample evidence that pembrolizumab is safe, so it obtained a rating of 3."

Answered by AI

Are there any remaining slots available for participating in this clinical experiment?

"This study, which was first posted on October 27th 2020 and last updated 9th May 2022 is not currently recruiting. Nevertheless, there are numerous other trials searching for volunteers right now - 4666 in total."

Answered by AI

How many sites have been approved to administer this research project?

"This trial is enrolling participants at a variety of medical centres, such as Orlando Health, Inc. in Orlando (Site 0216), Abington Hospital - Asplundh Cancer Center ( Site 0229) in Willow Grove and Princess Margaret Cancer Centre ( Site 0005), located in Toronto. Additionally, there are 16 other locations recruiting patients for this study."

Answered by AI

Could you please elucidate the other experiments which have taken place with Pembrolizumab?

"As of now, there are 1,989 distinct clinical trials that involve Pembrolizumab with 413 being in the third phase. The majority of these studies originate from Shanghai yet additional research sites amounting to 91,495 have been set up worldwide for this medication's evaluation."

Answered by AI

What qualifications must a person meet to be enrolled in this experiment?

"This trial requires 100 individuals with oral squamous cell carcinoma, aged between 18 and 120 years of age. Furthermore, the participants should be histologically or cytologically-confirmed to not be curable through local therapies; male partakers must abstain from sperm donation plus heterosexual intercourse while utilizing contraception during intervention period and for 95 days after carboplatin/paclitaxel; female applicants cannot be pregnant nor breastfeeding and can either not have fertility potentials or use highly effective contraceptives throughout the intervention duration as well as 30 days post paclitaxel intake or 6 months after carboplatin usage (whichever is later) whilst also committing"

Answered by AI
~23 spots leftby Apr 2025