New cocktail of cancer drugs shows promise in early trial
NCT ID NCT06806852
First seen Jun 24, 2026 · Last updated Sep 16, 2026 · Updated 13 times
Summary
This study tests whether combining three different antibodies—BI 770371, pembrolizumab, and cetuximab—can shrink tumors in people with head and neck cancer that has spread or come back. About 91 adults are randomly assigned to one of three treatment groups. The goal is to see if the combinations are safe and effective compared to pembrolizumab alone.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BI 770371, pembrolizumab, and cetuximab (antibodies given as infusions)
- What this could lead to
- If successful, this could lead to a more effective first-line treatment for metastatic or recurrent head and neck cancer, potentially shrinking tumors and improving outcomes.
- What could go wrong
- This is an early phase 1 trial with only 91 participants, so results may not apply to everyone. The combination of drugs may cause side effects or not work better than standard therapy.
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
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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91 people
The number who actually took part.
- Started
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May 2025
- Expected to finish
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Aug 2027
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: * Patients with histologically confirmed metastatic or recurrent HNSCC of the primary tumour location of oral cavity, oropharynx, hypopharynx, and larynx not amenable to locoregional treatment with curative intent. * Willingness to provide pretreatment (baseline) biopsy/tissue to the sponsor (fresh or archival one). A newly obtained biopsy is preferred but an archival sample is acceptable, with tumor tissue (formalin fixed paraffin embedded \[FFPE\] block preferred, or at least 10 freshly sectioned unstained FFPE slides) from a core or excisional biopsy. Any deviation from this rule requires approval by the sponsor. Details on the requirements for archival tumour tissue and on biopsy sample collection are provided in the Laboratory Manual. * Patients who have not received prior systemic treatment for metastatic or recurrent HNSCC. Systemic therapy (including cetuximab) which was completed more than 6 months prior to progression of disease if given as part of multimodal treatment for locally advanced disease is allowed. * Patients who do not have contraindications to pembrolizumab monotherapy according to pembrolizumab local label, guidelines, treatment standards, regulations or the document (label of another country if pembrolizumab local label is not available) provided in the investigator site file (ISF) by the sponsor. * Patients who do not have contraindications to treatment with cetuximab according to cetuximab local label, guidelines, treatment standards, regulations, or the document (label of another country if cetuximab local label is not available) provided in the ISF by the sponsor. * Presence of at least one measurable non-central nervous system (CNS) lesion (according to RECIST v1.1.). * Further inclusion criteria apply. Exclusion Criteria: * Nasopharyngeal carcinoma (NPC) of any histology, primary tumour location at nasal cavity, paranasal sinuses of any histology, any cancer of unknown primary. * Any tumour location necessitating an urgent therapeutic intervention (e.g., palliative care, surgery, or radiation therapy), such as spinal cord compression, other compressive mass, uncontrolled painful lesion, bone fracture. * Patients with progressive HNSCC within 6 months of completion of systemic therapy for locoregionally advanced disease with curative intent. * Receiving treatment for brain metastases or leptomeningeal disease (LMD) which may interfere with safety and/or endpoint assessment. Patients with previously diagnosed brain metastases are eligible if they have completed their treatment and have recovered from the acute effects of radiation therapy or surgery prior to trial entry, have discontinued corticosteroid treatment for these metastases and are clinically stable, off anticonvulsants for at least 4 weeks and are neurologically stable before enrollment. * Patients for whom single agent pembrolizumab is not the preferred treatment (e.g. patients for whom chemotherapy or anti-PD-1 in combination with chemotherapy is considered the preferred therapy by the investigator or treating physician). * Prior treatment with any anti signal regulatory protein alpha (SIRPα) or anti-integrin-associated protein (CD47) agent, regardless of treatment intent. * Prior cancer treatment with any anti PD-1 or anti PD-L1 agent or with an agent directed to another stimulatory or co-inhibitory Tcell receptor (e.g. CTLA-4, OX 40, CD137), regardless of treatment intent. * Prior allogeneic stem cell or solid organ transplantation. * Further exclusion criteria apply.
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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.
Contacts and locations
Locations
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"Prof. Dr. Alexandru Trestioreanu" Oncology Institut
Bucharest, 022328, Romania
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ARENSIA Exploratory Medicine
Chisinau, MD-2025, Moldova
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ARENSIA Exploratory Medicine LLC
Tbilisi, 0112, Georgia
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Abdurrahman Yurtaslan Oncology Training and Research Hospital
Ankara, 06200, Turkey (Türkiye)
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Adana City Hospital
Adana, 01220, Turkey (Türkiye)
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Andrew Love Cancer Centre
Geelong, Victoria, 3220, Australia
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Ankara Bilkent City Hospital
Ankara, 06800, Turkey (Türkiye)
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Azienda Ospedaliera Universitaria Integrata Verona
Verona, 37126, Italy
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CTR Leon Berard
Lyon, 69373, France
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CTR Oscar Lambret
Lille, 59020, France
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Cantonspital Aarau
Aarau, 5001, Switzerland
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Center of Oncology of the Lublin Region St. Jana z Dukli
Lublin, 20090, Poland
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Centro Oncologico Personalizado
México, 06760, Mexico
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Centro Oncológico Internacional
Tlajomulco de Zuñiga, 45640, Mexico
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Clinexpert Gyongyos
Gyöngyös, 3200, Hungary
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Fundação Faculdade Regional de Medicina de São José do Rio Preto
São José do Rio Preto, 15090-000, Brazil
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Gosford Hospital
Gosford, New South Wales, 2250, Australia
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HOP Timone
Marseille, 13385, France
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Hacettepe University Oncology Hospital
Ankara, 06230, Turkey (Türkiye)
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Hokkaido University Hospital
Hokkaido, Sapporo, 060-8648, Japan
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital de Amor
Barretos, 14784-400, Brazil
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Institut Gustave Roussy
Villejuif, 94805, France
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Instituto Nacional de Cancerologia
México, 14080, Mexico
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Istanbul University Medical Faculty Capa Hospital
Istanbul, 34093, Turkey (Türkiye)
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Istituto Scientifico Romagnolo
Meldola (FC), 47014, Italy
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Japanese Foundation for Cancer Research
Tokyo, Koto-ku, 135-8550, Japan
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Kansai Medical University Hospital
Osaka, Hirakata, 573-1191, Japan
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Kobe University Hospital
Hyogo, Kobe, 650-0017, Japan
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Liga Norte Riograndense contra o cancer
Natal, 59062-000, Brazil
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M Health Fairview Clinics and Surgery Center - Minneapolis
Minneapolis, Minnesota, 55455, United States
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MBAL Sveta Sofia
Sofia, 1404, Bulgaria
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National Taiwan University Hospital
Taipei, 10048, Taiwan
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National University Hospital-Singapore-22806
Singapore, 119228, Singapore
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Norton Cancer Institute, Downtown
Louisville, Kentucky, 40202, United States
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Samsung Medical Center
Seoul, 135-710, South Korea
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Semmelweis University
Budapest, 1083, Hungary
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Severance Hospital
Seoul, 03722, South Korea
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Shizuoka Cancer Center
Shizuoka, Sunto-gun, 411-8777, Japan
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Siriraj Hospital
Bangkoknoi, 10700, Thailand
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St Bartholomew's Hospital
London, EC1A 7BE, United Kingdom
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Städtisches Klinikum Braunschweig gGmbH
Braunschweig, 38114, Germany
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Taipei Veterans General Hospital
Taipei, 11217, Taiwan
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The Catholic University of Korea, St.Vincent's Hospital
Suwon, 16247, South Korea
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The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210, United States
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The Royal Marsden Hospital, Chelsea
London, SW3 6JJ, United Kingdom
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The Royal Marsden Hospital, Sutton
Sutton, SM2 5PT, United Kingdom
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Unidad Clinica Farmacologica Bioemagno
Mexico City, 04660, Mexico
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Universität Leipzig
Leipzig, 04103, Germany
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Universitätsklinikum Jena
Jena, 07743, Germany
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Universitätsklinikum Ulm
Ulm, 89081, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New PET tracer aims to light up hidden cancer targets
- Can immunotherapy before surgery stop early oral cancer from returning?
- Can a glowing dye show surgeons where head and neck tumors end?
- Can a Four-Part combo before surgery wipe out head and neck tumors?
- Can a new drug shrink advanced solid tumors?
- Can a new drug combo slow advanced head and neck cancer?