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Clinical Trials/NCT06446570
NCT06446570
Completed
Phase 2

Phase II Study of Durvalumab +/- Tremelimumab in Patients With Recurrent and/or Metastatic Head and Neck Squamous Cell Carcinoma

Seoul National University Hospital1 site in 1 country18 target enrollmentStarted: September 10, 2017Last updated:

Overview

Phase
Phase 2
Status
Completed
Enrollment
18
Locations
1
Primary Endpoint
Response rate (RR)

Overview

Brief Summary

Phase II study of Durvalumab+/- Tremelimumab in patients with recurred metastatic head and neck squamous cell carcinoma

Detailed Description

Open, multicenter, single arm, phase II, biomarker driven umbrella trial for head and neck squamous cell carcinoma

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
20 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Recurrent or metastatic HNSCC, regardless of PD-L1 or HPV status
  • ECOG PS 0-1
  • Ineligibility for local therapy (surgery or radiotherapy)
  • Prior palliative chemotherapy including platinum-based chemotherapy. When recurred within 6 months of definitive/neoadjuvant/adjuvant chemo- or chemoradiation, the chemotherapy is considered a line of therapy
  • At least one measurable lesion by RECIST ver 1.1
  • Adequate organ function for treatment
  • Absolute neutrophil count (ANC) ≥1000 cells/mm3
  • Hemoglobin: ≥ 9.0 g/dL
  • Platelets ≥100,000 cells/mm3
  • Estimated creatinine clearance ≥40 mL/min, or serum creatinine \<1.5 x institution upper limit of normal

Exclusion Criteria

  • Previous treatment with PD-1 or PDL-1 inhibitors
  • Nasopharyngeal carcinoma
  • Cytotoxic chemotherapy within 3 weeks of study entry; immunotherapy or investigational drug within 5 half-lives of study entry
  • Any major operation or irradiation within 4 weeks of baseline disease assessment. Palliative radiation is allowed
  • Symptomatic brain metastasis
  • Patients with known interstitial lung disease
  • Patients with uncontrolled or significant cardiovascular disease
  • Previous or concurrent malignancy (except for basal or squamous cell skin cancer and/or in situ carcinoma of the cervix, thyroid cancer treated curatively) without evidence of recurrence for at least 3 years prior to study entry.
  • Pregnant or breast-feeding women
  • Systemic immunosuppressive therapy

Arms & Interventions

Durvalumab, tremelimumab

Experimental

Durvalumab is a human immunoglobulin (Ig) G1 kappa (IgG1κ) monoclonal antibody (mAb) that blocks the interaction of PD-L1 with PD-1 on T-cells and CD80 on immune cells and is engineered to reduce antibody-dependent cell-mediated cytotoxicity.(IV class)

Tremelimumab is specific for human CTLA-4; cluster of differentiation a cell surface receptor that is expressed primarily on activated T cells and acts to inhibit their activation.(IV class)

Intervention: Durvalumab,Tremelimumab (Drug)

Outcomes

Primary Outcomes

Response rate (RR)

Time Frame: 24months

RECIST1.1

Secondary Outcomes

  • •Progression-Free Survival (PFS)(24months)
  • •Overall Survival (OS)(24months)
  • •biomarker(24months)
  • •Toxicity(24months)

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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