New drug cocktail aims to fight head and neck cancer
NCT ID NCT06385080
First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 3 times
Summary
This study tests a drug called amivantamab, either alone or combined with other cancer drugs (pembrolizumab, paclitaxel, carboplatin), in people with head and neck cancer that has spread or come back. The goal is to see if these treatments are safe and can shrink tumors. About 287 participants will take part, and the study also looks at using amivantamab with pembrolizumab before and after surgery for certain patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Amivantamab (a biologic drug) given alone or with pembrolizumab, paclitaxel, or carboplatin
- What this could lead to
- If successful, this could point toward new treatment options for people with head and neck cancer that has spread or come back.
- What could go wrong
- This is an early-phase trial (phase 1b/2) with a small number of participants, so results may not apply to everyone. Side effects from the drug combinations could be serious.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 287 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2024
- Expected to finish
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Jul 2033
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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: * Cohorts 1 to 5: Have histologically or cytologically confirmed recurrent/metastatic head and neck squamous cell carcinoma (R/M HNSCC) that is considered incurable by local therapies or for Cohort 6: have histologically or cytologically confirmed locally advanced (L/A) HNSCC that is considered curable by surgery Acceptable prior lines of therapy will be determined according to specific cohort 1, 2, 3A and 3B: (a) The eligible primary tumor locations are the oropharynx, oral cavity, hypopharynx, or larynx; (b) Any known p16 status of tumor must be negative (Note: All participants with an oropharyngeal tumor must have results of p16 status, per local testing); (c) Participants must provide local testing results of programmed cell death ligand 1 (PD-L1) status, if available; Cohort 4: (d) Patients must have primary tumor location in oropharynx. Unknown primary tumors are not included (e) Primary tumor must be HPV-positive, confirmed by positive p16 test or high-risk human papillomavirus (HPV) in-situ hybridization (ISH) in tissue (current or archival) (f) Participants must provide local testing results of PD-L1 status, if available; Cohort 5 (g) The eligible primary tumor locations are the oropharynx, oral cavity, hypopharynx, or larynx; (h) HPV status must be known (either positive or negative) for patients with primary tumor location in oropharynx with p16 test or high-risk HPV ISH in tissue; (i) Participants must provide local testing results of PD-L1 status; Cohort 6: (j) The eligible primary tumor locations are the oropharynx, oral cavity, hypopharynx, or larynx; (k) Any known p16 status of tumor must be negative Note: All participants with an oropharyngeal tumor must have results of p16 status, per local testing Participants must provide local testing results of PD-L1 status (l) Participants must have Stage III or IVa disease (American Joint Committee on Cancer Staging Manual, 8th edition). Participants must have resectable disease * Participants in Cohorts 1, 2, 3B, 4 and 5 must have measurable disease according to RECIST version 1.1. Participants in Cohort 3A and Cohort 6 must have evaluable disease (defined as having at least 1 non-target lesion according to RECIST version 1.1. * Cohorts 1, 2, 3A, 3B, 4, and 5 only: Toxicities from previous anticancer therapies should have resolved to baseline levels or to Grade 1 or less prior to the first dose of study treatment (except for alopecia or post-radiation skin changes \[any grade\], Grade less than or equal to \[\<=\]2 peripheral neuropathy and Grade \<=2 hypothyroidism stable on hormone replacement) * Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 * Participant must have adequate organ and bone marrow function as follows, without history of red blood cell transfusion, platelet transfusion, or use of granulocyte colony-stimulating factor within 7 days prior to the date of the laboratory test. Participants should have: a) Hemoglobin \>=9 grams per deciliter (g/dL); b) Neutrophils \>=1.5 x 10\^3/mcg; c) Platelets \>=100 x 10\^3/mcg Exclusion Criteria: * Uncontrolled illness including any medical history or current (non-infectious) interstitial lung disease (ILD)/ pneumonitis/ pulmonary fibrosis, or where suspected ILD/pneumonitis/pulmonary fibrosis cannot be ruled out by imaging at screening * Participant with untreated brain metastases leptomeningeal disease, or spinal cord compression not definitively treated with surgery or radiation * Participant with a history of clinically significant cardiovascular disease * Received prior chemotherapy, targeted cancer therapy, immunotherapy, or treatment with an investigational anticancer agent within 2 weeks or 4 half-lives, whichever is longer, before the first administration of study treatment. The maximum required washout is 28 days * Received radiotherapy for palliative purposes within 7 days of the first administration of study treatment
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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
51 sites in 11 countries. 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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Addenbrooke's Hospital
RECRUITINGCambridge, CB2 0QQ, United Kingdom
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Aichi Cancer Center
RECRUITINGNagoya, 464-8681, Japan
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Asan Medical Center
RECRUITINGSeoul, 05505, South Korea
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Beijing Cancer Hospital of Peking University
COMPLETEDBeijing, 100142, China
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CHU Nantes
RECRUITINGNantes, 44000, France
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Centre Oscar Lambret
RECRUITINGLille, 59000, France
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Centrum Onkologii Instytut im M Sklodowskiej Curie Oddzial w Gliwicach
RECRUITINGGliwice, 44-102, Poland
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Changhua Christian Hospital
RECRUITINGChanghua, 500, Taiwan
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Dana Farber Cancer Institute
RECRUITINGBoston, Massachusetts, 02115, United States
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Fudan Cancer Hospital
RECRUITINGShanghai, 200032, China
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Gustave Roussy
RECRUITINGVillejuif, 94805, France
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Hosp Univ Vall D Hebron
RECRUITINGBarcelona, 08035, Spain
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Hosp. Univ. 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hosp. Univ. Ramon Y Cajal
RECRUITINGMadrid, 28034, Spain
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Imperial College London and Imperial College Healthcare NHS Trust
COMPLETEDLondon, W12 0HS, United Kingdom
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Inst. Cat. Doncologia-H Duran I Reynals
RECRUITINGBarcelona, 08908, Spain
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Institut Curie
RECRUITINGParis, 75248, France
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Institut Sainte Catherine
RECRUITINGAvignon, 84918, France
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Kaohsiung Chang Gung Memorial Hospital
RECRUITINGKaohsiung City, 833, Taiwan
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Karmanos Cancer Institute
RECRUITINGDetroit, Michigan, 48201 2013, United States
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Klinikum der Landeshauptstadt Stuttgart
RECRUITINGStuttgart, 70174, Germany
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Linkou Chang Gung Memorial Hospital
RECRUITINGTaoyuan, 33382, Taiwan
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Linyi Cancer Hospital
COMPLETEDLinyi, 276002, China
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Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy
RECRUITINGWarsaw, 02 781, Poland
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National Taiwan University Hospital
RECRUITINGTaipei, 100, Taiwan
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Pantai Hospital Kuala Lumpur
RECRUITINGKuala Lumpur, 59100, Malaysia
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Royal Marsden Hospital
RECRUITINGLondon, SW3 6JJ, United Kingdom
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Royal Marsden Hospital (Sutton)
RECRUITINGLondon, SM2 5PT, United Kingdom
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Rutgers Cancer Institute of New Jersey
RECRUITINGNew Brunswick, New Jersey, 08901, United States
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Samsung Medical Center
RECRUITINGSeoul, 06351, South Korea
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Seoul National University Hospital
RECRUITINGSeoul, 03080, South Korea
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Severance Hospital Yonsei University Health System
RECRUITINGSeoul, 03722, South Korea
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Shanghai East Hospital
RECRUITINGShanghai, 200120, China
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Taipei Veterans General Hospital
RECRUITINGTaipei, 112, Taiwan
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The Christie Nhs Foundation Trust
RECRUITINGManchester, M20 4BX, United Kingdom
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The Royal Surrey County Hospital NHS Foundation Trust
RECRUITINGGuildford, GU2 7XX, United Kingdom
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The University of Chicago Medical Center (UCMC)
RECRUITINGChicago, Illinois, 60637, United States
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Tokyo Medical University Hospital
RECRUITINGTokyo, 160-0023, Japan
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Union Hospital Tongji Medical College of Huazhong University of Science and Technology
RECRUITINGWuhan, 430022, China
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Universitaetsklinikum Essen
RECRUITINGEssen, 45147, Germany
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Universitaetsklinikum Leipzig
COMPLETEDLeipzig, 04103, Germany
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University College London Hospitals
RECRUITINGLondon, W1T 7HA, United Kingdom
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University Malaya Medical Centre
RECRUITINGKuala Lumpur, 59100, Malaysia
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University of California at San Diego Moores Cancer Center
COMPLETEDLa Jolla, California, 92093, United States
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University of Colorado Denver Anschultz Medical Campus
RECRUITINGAurora, Colorado, 80045, United States
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University of Maryland School of Medicine
RECRUITINGBaltimore, Maryland, 21201, United States
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University of Michigan Rogel Cancer Center
RECRUITINGAnn Arbor, Michigan, 48109, United States
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University of North Carolina at Chapel Hill
RECRUITINGChapel Hill, North Carolina, 27599, United States
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University of Utah Huntsman Cancer Institute
RECRUITINGSalt Lake City, Utah, 84112, United States
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University of Virginia
RECRUITINGCharlottesville, Virginia, 22903, United States
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Uniwersyteckie Centrum Kliniczne
RECRUITINGGdansk, 80 214, Poland
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Virginia Cancer Specialists
RECRUITINGFairfax, Virginia, 22031, United States
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Washington University School Of Medicine
RECRUITINGSt Louis, Missouri, 63110, United States
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West China School of Medicine/West China Hospital, Sichuan University
RECRUITINGCheng Du Shi, 610041, China
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Yale Cancer Center
RECRUITINGNew Haven, Connecticut, 06520, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Shorter radiation course tested for advanced head and neck cancer
- Can an experimental drug shrink advanced solid tumors?
- Smartphone app aims to combat malnutrition in head and neck cancer patients
- Can adding radiation boost immunotherapy against spread head and neck cancer?
- Can a Two-Pronged attack shrink Hard-to-Treat cancers?
- New hope for hard-to-treat cancers? experimental combo enters phase 2 trial