Status:

NOT_YET_RECRUITING

A Prospective, Multicenter, Multicohort Phase II Study: Evaluating the Efficacy and Safety of Preoperative Neoadjuvant Treatment With a PD-1 Inhibitor in Combination With Chemotherapy in Locally Advanced Laryngeal and Hypopharyngeal Squamous Cell Carcinoma

Lead Sponsor:

Beijing Tongren Hospital

Conditions:

Head and Neck Cancers

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Head and neck squamous cell carcinoma (HNSCC) refers to a series of tumors that occur in the head and neck region, including the oral cavity, pharynx, larynx, nasal cavity, paranasal sinuses, thyroid ...

Eligibility Criteria

Inclusion

  • Patients with locally advanced laryngeal and hypopharyngeal squamous cell carcinoma who have been definitively diagnosed by histology and/or cytology, and whose TN staging meets: T1-4a, N0-3.
  • No prior treatment received.
  • Cisplatin-tolerant.
  • Age ≥18 years.
  • ECOG performance status of 0-1.
  • Measurable disease as defined by RECIST v1.1.
  • Normal organ function.
  • Women and men of reproductive potential must agree to use appropriate contraceptive methods throughout the study period and for 180 days after the last study treatment.
  • Male participants must not donate sperm during the entire study period and for 180 days after the last study treatment.

Exclusion

  • T stage is T4b.
  • Presence of distant metastasis.
  • Received live vaccines within 30 days prior to enrollment.
  • Diagnosed with an immunodeficiency or received systemic corticosteroid treatment or any other form of immunosuppressive therapy within 7 days prior to enrollment.
  • Have radiologically detectable (even if asymptomatic and/or previously treated) central nervous system metastases and/or carcinomatous meningitis.
  • Have not fully recovered from surgery or from toxicities or complications due to interventions before starting the study.
  • Have a history of allogeneic tissue/solid organ transplantation.
  • Have had a severe hypersensitivity reaction (≥Grade 3) to PD-1 inhibitors, chemotherapy, or any of their excipients, or radiotherapy.
  • Have an active autoimmune disease that has required systemic therapy within the past 2 years.
  • Have a history of (non-infectious) pneumonitis that required treatment with corticosteroids.
  • Have a history of infection with the Human Immunodeficiency Virus (HIV).
  • Have a medical history that could confound study results or interfere with the participant during the study period.
  • Have a known history of psychiatric disorders or substance abuse.

Key Trial Info

Start Date :

May 8 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2028

Estimated Enrollment :

180 Patients enrolled

Trial Details

Trial ID

NCT06894459

Start Date

May 8 2025

End Date

December 1 2028

Last Update

April 30 2025

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A Prospective, Multicenter, Multicohort Phase II Study: Evaluating the Efficacy and Safety of Preoperative Neoadjuvant Treatment With a PD-1 Inhibitor in Combination With Chemotherapy in Locally Advanced Laryngeal and Hypopharyngeal Squamous Cell Carcinoma | DecenTrialz