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Study of Nivolumab in Combination With Ipilimumab Compared to the Standard of Care (Extreme Study Regimen) as First Line Treatment in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck

Phase 1
Conditions
Recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN)
MedDRA version: 21.0 Level: PT Classification code 10060121 Term: Squamous cell carcinoma of head and neck System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2016-000725-39-PL
Lead Sponsor
Bristol-Myers Squibb International Corporation
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
Not specified
Target Recruitment
1329
Inclusion Criteria

Histologically confirmed metastatic or recurrent squamous cell
carcinoma of the head and neck (oral cavity, oropharynx, hypopharynx &
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larynx) that is not amenable to curative therapy.
No prior systemic cancer therapy for recurrent or metastatic disease
(except if chemotherapy was part of multimodal treatment completed 6
months prior to enrolment).
Measurable disease detected by imaging exam (CT or MRI).
Have tumor tissue for PD L1 expression testing, and for oropharyngeal
cancer have results from testing of HPV p16 status
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 930
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 399

Exclusion Criteria

Metastatic or recurrent carcinoma of the nasopharynx, squamous cell
carcinoma of unknown primary, squamous cell carcinoma originating
from skin and salivary glands or non squamous histologies (eg. mucosal
melanoma).
No prior treatment with anti PD1, anti PD L1, anti CTLA 4 antibody or any
other antibody or drugs targeting T cell costimulation or checkpoint
pathways, or cetuximab or EGFR inhibitors in any treatment setting.
Patients with certain diseases such as active autoimmune disease, type I
diabetes, hypothyroidism that needs hormone replacement, active
infection, psychiatric disorder.
Inadequate hematologic, renal or hepatic function.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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