Immunotherapy before surgery shows promise for oral cancer
NCT ID NCT07514767
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether giving the immunotherapy drug nivolumab before surgery can shrink tumors in people with advanced oral cancer. About 60 adults with resectable oral squamous cell carcinoma will receive nivolumab, then have surgery. Researchers will also look for biomarkers in lymph nodes that might predict who responds best.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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May 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2033
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * The subject is willing to participate and has given their written and dated consent to participate in the trial. * Naïve to immunotherapy. ≥ 18 years of age at the time of signing the informed consent. * Primary histologically or cytologically confirmed Oral Squamous Cell Carcinoma classified according to the ICD-10 classification. * Stage T2-4 N0-3 M0. * The subject is planned for curative surgery as the primary treatment. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Exclusion Criteria: * Distant metastases (pathologically proven, radiologic or clinical evidence of distant metastatic disease). This includes all diseases below the clavicles, as well as disease metastatic to the bone, brain, or in the spinal canal. * Active malignancy requiring concurrent treatment or history of another primary malignancy. * History of radio- and/or chemotherapy. * Pregnant, breastfeeding, planning pregnancy or refusal to use highly effective contraception method during the treatment period and for at least 5 months after the last dose. * History of systemic treatment with anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways. * Prior organ transplantation. * Treatment with a live (attenuated) vaccine within 4 weeks before Screening visit. * Initiation of allergen immunotherapy within 3 months prior Screening visit or a plan to begin therapy during the trial. * Known or suspected systemic hypersensitivity to the active substance nivolumab including any of the OPDIVO™ excipients. * History of systemic hypersensitivity or anaphylaxis to other monoclonal antibodies including any excipient. * Active, known, or suspected autoimmune disease or inflammatory disease (e.g. lupus, inflammatory bowel disease \[e.g. colitis or Crohn's disease\]), diverticulitis, rheumatoid arthritis, Sarcoidosis, Wegener syndrome, Grave's disease, uveitis, etc.) that has required systemic treatment with immune modifying agents in the last 2 years (e.g. replacement therapy such as thyroxine, insulin or physiological corticosteroids is not an exclusion criteria).\*The subject may enroll if they have vitiligo, alopecia, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger. * Presence of condition requiring systemic treatment with corticosteroids (\> 10 mg daily prednisolone equivalents) or other immunosuppressive medication within 14 days before the start of nivolumab therapy. * Severe asthma exacerbation requiring the admission to hospital with systemic corticosteroids within 4 weeks before Screening visit. * Known significant respiratory disease, including, but not limited to, pneumonitis, interstitial lung disease (ILD), chronic obstructive pulmonary disease, cystic fibrosis. * Prior history or evidence of active ILD or non-infectious pneumonitis that required steroids * Known or suspected condition that affects your nervous system, such as myasthenia gravis or Guillain-Barré syndrome. * Recent history of myocardial infarction, cardiac arrhythmia, unstable angina pectoris, transient ischemic attack, or a known history of a hypercoagulable disease. * Known hepatitis B virus (HBV) and/or hepatitis C virus (HCV) acute or chronic infection. If suspected, tests for hepatitis B surface antigen (HBs Ag) and/or HCV antibody (HCV Ab) confirmed by HCV ribonucleic acid (RNA) are required. * Known human immunodeficiency virus (HIV) infection or known acquired immunodeficiency syndrome (AIDS) or positive HIV 1/2 serology test result if suspected. * Active tuberculosis (TB), non-tuberculous mycobacterial infection, a history of incompletely treated TB. TB test if suspected. * Known or suspected immunodeficiency, including history of invasive opportunistic infections (e.g. TB, histoplasmosis, listeriosis, coccidioidomycosis, pneumocystosis or aspergillosis) despite infection resolution, or otherwise recurrent infections of abnormal frequency or prolonged duration suggesting a compromised immune system status, as judged by the Investigator. * Uncontrolled concurrent medical disorder affecting organ function and in the opinion of the Investigator may increase the risk for the subject or may interfere with the treatment and thus affect the study results or assessment. * Concurrent enrolment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study. * Known or suspected heavy drinking and/or drug use. * In the opinion of the Investigator, the subject is unfit or unsuitable to receive neoadjuvant nivolumab, whatever the reason, including medical or clinical condition. * Any mental inability (e.g. dementia), reluctance or language difficulties that result in difficulty understanding the meaning of participation in the clinical trial and following the study protocol and instructions. * Lack of adherence to the study protocol and instructions given by the Investigator. * Premature withdrawal by the Investigator/Sponsor due to safety or any other reason. * Revoked consent.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Karolinska University Hospital, Head-, neck-, lung- and skin cancer, Theme Cancer
Stockholm, Sweden
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a glowing mouthwash spot oral cancer before biopsy?
- Could a Cell-Cycle protein reveal how aggressive oral cancer is?
- Can a Two-Drug punch shrink oral tumors before surgery?
- Could a simple test spot oral cancer and gum disease early?
- Less may be more: testing a gentler neck dissection for oral cancer
- Saliva test may reveal hidden spread of oral cancer