A Phase 3 Study to Evaluate Petosemtamab Plus Pembrolizumab vs Pembrolizumab in First-line Treatment of Head and Neck Cancer (LiGeR - HN1)
- Conditions
- Head and Neck Squamous Cell Carcinoma
- Interventions
- Registration Number
- NCT06525220
- Lead Sponsor
- Merus N.V.
- Brief Summary
This is a Phase 3 randomized, open-label study to evaluate the efficacy and safety of petosemtamab plus pembrolizumab vs pembrolizumab in first-line treatment of recurrent or metastatic PD-L1+ head and neck squamous cell carcinoma.
- Detailed Description
This is a Phase 3 randomized, open-label study to evaluate the efficacy and safety of petosemtamab plus pembrolizumab vs pembrolizumab in first-line treatment of recurrent or metastatic PD-L1+ HNSCC. HNSCC patients should not have had previous systemic therapy administered in the incurable recurrent or metastatic setting, although previous systemic therapy as part of multimodal treatment for locally advanced disease is allowed if PD was ≥6 months after the last platinum-containing therapy dose. Previous treatments with anti PD-(L)1 or anti-EGFR therapies are not allowed. In the case of cetuximab, patients who have received cetuximab with radiotherapy as a local treatment and PD was \>1 year after the last dose of cetuximab are eligible.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 500
- Signed ICF before initiation of any study procedures
- Age ≥ 18 years at signing of ICF
- Histologically confirmed HNSCC with evidence of metastatic or locally recurrent disease not amenable to local therapy with curative intent.
- The eligible HNSCC primary tumor locations are oropharynx, oral cavity, hypopharynx, and larynx.
- HNSCC patients eligible to receive pembrolizumab as 1L monotherapy with tumors expressing PD-L1, CPS ≥1.
- HNSCC patients should not have had previous systemic therapy administered in the incurable recurrent or metastatic setting
- A new tumor biopsy, unless the patient has an available archival tumor sample with sufficient material
- Measurable disease per Investigator assessment as defined by RECIST v1.1 by radiologic methods
- ECOG Performance Status (PS) of 0-1
- Life expectancy ≥ 12 weeks, as per investigator assessment.
- Left ventricular ejection fraction (LVEF) ≥50% or ≥ institutional normal limit, whichever is higher, by echocardiogram (ECHO) or multigated acquisition (MUGA) scan
- Adequate organ function as defined per protocol.
- HIV-positive patients are eligible only if the cluster of differentiation 4 (CD4+) count is ≥ 300/µl, viral load is undetectable, and the patient is currently receiving highly active antiretroviral therapy
- Central nervous system metastases that are untreated or already treated but symptomatic, or require radiation, surgery, or continued steroid therapy to control symptoms within 21 days prior to randomization
- Known leptomeningeal involvement
- Any systemic anticancer therapy or investigational drug within 4 weeks or 5 half-lives, whichever is shorter, before randomization
- Requirement for immunosuppressive medication
- Major surgery or radiotherapy within 3 weeks of randomization
- Clinically significant toxicities related to prior anticancer therapies that have not returned to ≤ Grade 1 or baseline except for Grade ≤2- myalgia, neuropathy, alopecia, and any prior therapy related endocrinopathies
- History of hypersensitivity reaction to any of the excipients of petosemtomab or pembrolizumab.
- Unstable angina; history of congestive heart failure of Class II-IV New York Heart Association (NYHA) criteria, or serious cardiac arrhythmia requiring treatment; or history of myocardial infarction within 6 months prior to randomization
- History of prior malignancies within the last 5 years, with the exception of excised local cancer
- Current dyspnea at rest of any origin, or other diseases requiring continuous oxygen therapy
- Current serious illness or medical conditions including, but not limited to, uncontrolled active infection, clinically significant pulmonary, metabolic or psychiatric disorders
- Patients with known infectious diseases as per protocol.
- Pregnant or breastfeeding patients.
- The patient has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy of prednisone >10 mg/day or equivalent, or any other form of immunosuppressive therapy
- The patient has an active autoimmune disease that has required systemic immune suppressive treatment in the past 2 years; replacement therapy is not considered immune suppressive treatment
- The patient has had an allogeneic tissue/solid organ transplant.
- Patient has a primary tumor site of nasopharynx, or sinonasal carcinoma (any histology)
Other protocol defined inclusion/exclusion criteria may apply.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Petosemtamab + Pembrolizumab Pembrolizumab Combination Therapy Pembrolizumab Pembrolizumab Monotherapy Petosemtamab + Pembrolizumab Petosemtamab Combination Therapy
- Primary Outcome Measures
Name Time Method Overall Survival (OS) Up to approximately 3 years Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as assessed by blinded independent central review (BICR) Up to approximately 2 years
- Secondary Outcome Measures
Name Time Method Progression Free Survival (PFS) per RECIST v1.1 as assessed by BICR Up to approximately 2 years Duration of Response (DOR) per RECIST v1.1 as assessed by BICR Up to approximately 2 years Objective response rate per RECIST v1.1 as assessed by investigator review Up to approximately 2 years Progression-free survival per RECIST v1.1 as assessed by investigator review Up to approximately 2 years Duration of response per RECIST v1.1 as assessed by investigator review Up to approximately 2 years Clinical benefit rate per RECIST v1.1 as assessed by BICR Up to approximately 2 years Clinical benefit rate per RECIST v1.1 as assessed by investigator review Up to approximately 2 years Number of participants who experienced at least one treatment emergent adverse event (TEAE) Up to 30 days post last dose Number of participants who experienced at least one serious TEAE Up to 30 days post last dose Number of participants who discontinued study treatment due to TEAEs Up to 30 days post last dose Number of participants who had dose modification due to TEAEs Up to 30 days post last dose To evaluate patient reported outcomes for health-related quality of life Up to approximately 2 years Pharmacokinetic parameters Up to first 6 cycles Incidence of anti-drug antibodies (ADAs) Up to 30 days post last dose
Trial Locations
- Locations (121)
Site 80
🇪🇸Barcelona, Spain
Site 75
🇪🇸Madrid, Spain
Site 67
🇪🇸Madrid, Spain
Site 73
🇪🇸Marbella, Spain
Site 61
🇪🇸Pamplona, Spain
Site 62
🇪🇸Pamplona, Spain
Site 74
🇪🇸Valencia, Spain
Site 41
🇨🇳Changhua, Taiwan
Site 4
🇨🇳Kaohsiung, Taiwan
Site 103
🇨🇳Kaohsiung, Taiwan
Site 114
🇹🇭Bangkok Noi, Bangkok, Thailand
Site 36
🇺🇸La Jolla, California, United States
Site 27
🇺🇸Los Angeles, California, United States
Site 16
🇺🇸Palo Alto, California, United States
Site 19
🇺🇸Newark, Delaware, United States
Site 108
🇺🇸Washington, District of Columbia, United States
Site 14
🇺🇸Fort Myers, Florida, United States
Site 48
🇺🇸Orlando, Florida, United States
Site 8
🇺🇸Orlando, Florida, United States
Site 76
🇦🇷Rosario, Argentina
Site 46
🇦🇷Viedma, Argentina
Site 11
🇦🇺Blacktown, New South Wales, Australia
Site 24
🇦🇺St Leonards, New South Wales, Australia
Site 53
🇧🇪Brussels, Belgium
Site 98
🇧🇪Edegem, Belgium
Site 99
🇧🇪Gent, Belgium
Site 63
🇧🇪Namur, Belgium
Site 26
🇨🇱Providencia, Chile
Site 71
🇧🇪Leuven, Belgium
Site 109
🇧🇪Liège, Belgium
Site 100
🇩🇪Dresden, Germany
Site 64
🇫🇷Vandœuvre-lès-Nancy, France
Site 112
🇫🇷Villejuif, France
Site 60
🇩🇪Greifswald, Germany
Site 68
🇳🇱Utrecht, Netherlands
Site 106
🇵🇱Gliwice, Poland
Site 116
🇵🇱Kraków, Poland
Site 120
🇪🇸Badalona, Spain
Site 13
🇰🇷Goyang-si, Korea, Republic of
Site 51
🇰🇷Hwasun, Korea, Republic of
Site 28
🇰🇷Seoul, Korea, Republic of
Site 42
🇰🇷Suwon-si, Korea, Republic of
Site 84
🇳🇱Amsterdam, Netherlands
Site 58
🇳🇱Nijmegen, Netherlands
Site 77
🇹🇭Hat Yai, Songkhla, Thailand
Site 52
🇨🇳Taichung, Taiwan
Site 33
🇨🇳Taipei City, Taiwan
Site 39
🇨🇳Taipei City, Taiwan
Site 49
🇨🇳Taoyuan City, Taiwan
Site 65
🇹🇭Ratchathewi, Bangkok, Thailand
Site 83
🇬🇧Northwood, United Kingdom
Site 107
🇹🇭Pathum Wan, Bangkok, Thailand
Site 102
🇬🇧Cambridge, United Kingdom
Site 90
🇬🇧London, United Kingdom
Site 69
🇬🇧London, United Kingdom
Site 70
🇬🇧Sutton, United Kingdom
Site 21
🇺🇸Saint Petersburg, Florida, United States
Site 20
🇺🇸West Palm Beach, Florida, United States
Site 50
🇺🇸Chicago, Illinois, United States
Site 2
🇺🇸Louisville, Kentucky, United States
Site 94
🇺🇸Hackensack, New Jersey, United States
Site 6
🇺🇸Albuquerque, New Mexico, United States
Site 113
🇺🇸Durham, North Carolina, United States
Site 118
🇺🇸Winston-Salem, North Carolina, United States
Site 43
🇺🇸Philadelphia, Pennsylvania, United States
Site 89
🇺🇸Chattanooga, Tennessee, United States
Site 115
🇺🇸Memphis, Tennessee, United States
Site 88
🇺🇸Nashville, Tennessee, United States
Site 22
🇺🇸Austin, Texas, United States
Site 1
🇺🇸Houston, Texas, United States
Site 18
🇺🇸Plano, Texas, United States
Site 17
🇺🇸Sugarland, Texas, United States
Site 15
🇺🇸Tyler, Texas, United States
Site 10
🇺🇸Salt Lake City, Utah, United States
Site 12
🇺🇸Blacksburg, Virginia, United States
Site 23
🇺🇸Norfolk, Virginia, United States
Site 96
🇦🇷Caba, Argentina
Site 37
🇦🇷Caba, Argentina
Site 31
🇦🇷Córdoba, Argentina
Site 30
🇦🇷La Rioja, Argentina
Site 44
🇨🇦Toronto, Canada
Site 111
🇨🇦Winnipeg, Canada
Site 38
🇨🇱Antofagasta, Chile
Site 82
🇩🇪Hamburg, Germany
Site 91
🇩🇪Hamburg, Germany
Site 54
🇫🇷Rouen, France
Site 59
🇫🇷Toulouse, France
Site 25
🇨🇱Temuco, Chile
Site 29
🇨🇱Recoleta, Chile
Site 40
🇨🇱Santiago, Chile
Site 32
🇨🇱Santiago, Chile
Site 101
🇫🇷Le Mans, France
Site 34
🇨🇱Santiago, Chile
Site 56
🇫🇷Bordeaux, France
Site 79
🇫🇷Lille, France
Site 72
🇫🇷Lyon, France
Site 57
🇫🇷Marseille, France
Site 55
🇫🇷Montpellier, France
Site 66
🇫🇷Nice, France
Site 105
🇫🇷Paris, France
Site 87
🇫🇷Poitiers, France
Site 104
🇩🇪Hannover, Germany
Site 121
🇩🇪Münster, Germany
Site 78
🇩🇪Tübingen, Germany
Site 110
🇩🇪Würzburg, Germany
Site 119
🇬🇷Patras, Achaia, Greece
Site 117
🇬🇷Heraklion, Crete, Greece
Site 97
🇮🇹Brescia, Italy
Site 35
🇰🇷Seoul, Korea, Republic of
Site 95
🇬🇷Chaïdári, Greece
Site 92
🇬🇷Panórama, Greece
Site 9
🇮🇱Haifa, Israel
Site 5
🇮🇱Jerusalem, Israel
Site 3
🇮🇱Ramat Gan, Israel
Site 7
🇮🇱Tel Aviv, Israel
Site 86
🇮🇹Ancona, Italy
Site 81
🇮🇹Milan, Italy
Site 93
🇮🇹Naples, Italy
Site 85
🇮🇹Rozzano, Italy
Site 47
🇰🇷Gyeonggi-do, Korea, Republic of
Site 45
🇰🇷Seoul, Korea, Republic of