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Nivolumab or Nivolumab Plus Cisplatin, in Combination With Radiotherapy in Patients With Cisplatin-ineligible or Eligible Locally Advanced Squamous Cell Head and Neck Cancer

Phase 3
Completed
Conditions
Squamous Cell Carcinoma of the Head and Neck
Interventions
Biological: Nivolumab
Radiation: Radiotherapy
Registration Number
NCT03349710
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

This study has two, independent, cohorts, both in locally advanced squamous cell head and neck cancer. The purpose of the first cohort is to determine whether nivolumab in combination with radiotherapy is more effective than cetuximab in combination with radiotherapy, in subjects who are ineligible for cisplatin. The purpose of the second cohort is to determine whether nivolumab, cisplatin, and radiotherapy is more effective than cisplatin and radiotherapy in subjects who are eligible to receive cisplatin

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
74
Inclusion Criteria
  • Histologically proven squamous cell carcinoma of the head and neck (SCCHN) from one of the following primary sites: oral cavity, oropharynx, hypopharynx, and larynx
  • Locally advanced disease which is unresectable, or resectable but suitable for an organ sparing approach
  • No previous radiotherapy or systemic treatment for SCCHN
Exclusion Criteria
  • Carcinoma originating in the nasopharynx or paranasal sinus, squamous cell carcinoma that originated from the skin and salivary gland or non-squamous histology (e.g., mucosal melanoma), squamous cell carcinoma of unknown primary
  • Clinical or radiological evidence of metastatic disease
  • Prior radiotherapy that overlaps with radiation fields

Other protocol defined inclusion/exclusion criteria could apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm CRadiotherapyCohort 2
Arm BCetuximabCohort 1
Arm ARadiotherapyCohort 1
Arm ANivolumabCohort 1
Arm BRadiotherapyCohort 1
Arm DRadiotherapyCohort 2
Arm CNivolumabCohort 2
Arm CCisplatinCohort 2
Arm DCisplatinCohort 2
Primary Outcome Measures
NameTimeMethod
Number of Participants With an Adverse Event Leading to Dose Modification30 Days

Number of Participants with an Adverse Event Leading to dose modification

Number of Participants With Select Adverse Events30 Days

Number of Participants with select adverse events.

Select Adverse events include: gastrointestinal, hepatic, hypersensitivity/infusion reaction, pulmonary, renal, or skin.

Number of Participants Who Experienced Death100 days

Number of Participants who experienced death

Number of Participants With an Abnormality in Specific Liver Tests30 days

Number of participants with an abnormality in specific liver tests

Number of Participants With an Serious Adverse Event (SAE)30 days

Number of Participants with an Serious Adverse Event (SAE)

Number of Participants With an Adverse Event Leading to Discontinuation30 Days

Number of Participants with an Adverse Event Leading to Discontinuation

Number of Participants With an Adverse Event (AE)30 Days

Number of Participants with an Adverse Event

Number of Participants With an Immune-mediated Adverse Event (IMAE)100 days

Number of Participants with an immune-mediated adverse event (IMAE)

Time to Onset and Time to Resolution of Immune-related Adverse Events100 days

Time to onset and time to resolution of immune-related adverse events

Number of Participants With an Abnormality in Specific Thyroid Tests30 Days

Number of participants with an abnormality in specific thyroid tests

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (22)

Cancer Treatment Centers of Phoneix

🇺🇸

Goodyear, Arizona, United States

Pinnacle Research Group, Llc

🇺🇸

Anniston, Alabama, United States

UCLA Health

🇺🇸

Los Angeles, California, United States

Cancer Care - Torrance Memorial Physician Network

🇺🇸

Redondo Beach, California, United States

CTCA Southeastern Region

🇺🇸

Newnan, Georgia, United States

Orlando Health, Inc

🇺🇸

Orlando, Florida, United States

Winship Cancer Insitute, Emory Crawford Long Hospital

🇺🇸

Atlanta, Georgia, United States

Lewis Hall Singletary Oncology Center at John D. Archbold Memorial Hospital

🇺🇸

Thomasville, Georgia, United States

Fort Wayne Medical Oncology and Hematology, Inc.

🇺🇸

Fort Wayne, Indiana, United States

Midwestern Regional medical Center

🇺🇸

Zion, Illinois, United States

St. Joseph Regional Cancer Center

🇺🇸

Bryan, Texas, United States

Monter Cancer Center - Center for Advanced Medicine Location

🇺🇸

Lake Success, New York, United States

Upmc- Hillman Cancer Center

🇺🇸

Pittsburgh, Pennsylvania, United States

Eastern Regional Medical Center

🇺🇸

Philadelphia, Pennsylvania, United States

Inova Health System

🇺🇸

Falls Church, Virginia, United States

The University of Texas MD Anderson Cancer Center-merge

🇺🇸

Houston, Texas, United States

University of Kansas Cancer Center

🇺🇸

Westwood, Kansas, United States

Cancer Center of Central Connecticut

🇺🇸

Plainville, Connecticut, United States

University of Arizona Cancer Center

🇺🇸

Tucson, Arizona, United States

Nebraska Methodist Hospital

🇺🇸

Omaha, Nebraska, United States

Local Institution

🇹🇷

Izmir, Turkey

HHP Hematology & Oncology Bremerton

🇺🇸

Bremerton, Washington, United States

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