Pembrolizumab With or Without Talimogene Laherparepvec in Squamous Cell Carcinoma of the Head and Neck

Phase 1

• Conditions: Metastatic Squamous Cell Carcinoma of the Head and Neck; MedDRA version: 18.1Level: PTClassification code 10060121Term: Squamous cell carcinoma of head and neckSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps); Therapeutic area: Diseases [C] - Cancer [C04]

• Registration Number: EUCTR2015-003011-38-ES
• Lead Sponsor: Amgen Inc.

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2015-11-16
• Last Update Posted: 4 December 2018

Recruitment & Eligibility

• Status: ot Recruiting
• Sex: All
• Target Recruitment: 490

Inclusion Criteria

-Male or female age ? 18 years with histologically confirmed diagnosis of metastatic or recurrent SCCHN. Disease must be unsuitable for curative surgical resection and must not be amenable to curative radiotherapy.

-Disease must have progressed after treatment with a platinum-containing regimen

-Subject must be candidate for intralesional therapy administration defined as one or more of the following:
At least 1 injectable cutaneous, subcutaneous, or nodal SCCHN tumor ? 10 mm in longest diameter
Multiple injectable SCCHN tumorsthat in aggregate have a longest diameter of ? 10 mm

-Subject must have radiographically measurable disease

-ECOG performance status of 0 or 1

-Adequate organ function determined within 14 days prior to enrollment

-Phase 3: Subject has a tumor sample and no systemic therapy given since the biopsy or newly obtained biopsy from the primary or metastatic lesion that is adequate for PD-L1 assessment prior to randomization

-Phase 3: Have results from local testing of HPV of tumor specimen for oropharyngeal cancer defined as p16 IHC testing using the CINtec® assay and a 70% cutoff point

-Phase 1b: Subject has a tumor sample and no systemic therapy given since biopsy OR be willing to undergo newly obtained biopsy prior to the first dose of investigational product
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 490
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 98

Exclusion Criteria

? Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis, primary nasopharyngeal carcinoma

? Subject at risk of airway compromise in the event of postinjection tumor swelling/inflammation based on investigator judgment

? Greater than three lines of prior therapy for current malignancy and/or metastatic disease (Phase 3)

? History of other malignancy within the past 3 years, evidence of active, non-infectious pneumonitis, history of interstitial lung disease (ILD)

? Prior therapy with talimogene laherparepvec, pembrolizumab, other anti-PD-1, any other antibody or drug specifically targeting T-cell co-stimulation or immune check point pathway

? History or evidence of active autoimmune disease that has required systemic treatment in past 2 years, evidence of clinically significant immunosuppression

? Prior or active herpetic infection, require treatment with an antiherpetic drug, other than intermittent topical use

? Prior cancer therapy or major surgery within 28 days prior to enrollment or has not recovered to CTCAE grade 1 or better from adverse event due to cancer therapy administered more than 28 days prior to enrollment.

Study & Design

• Study Type: Interventional clinical trial of medicinal product
• Study Design: Not specified