New drug combo shows promise for tough head and neck cancers
NCT ID NCT05252429
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This phase 2 trial tests a combination of two drugs—docetaxel (a chemotherapy) and pembrolizumab (an immunotherapy)—in 27 people with head and neck cancer that has returned or spread. The goal is to see if the combo shrinks tumors and helps people live longer. Participants have not had prior chemotherapy for advanced disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- docetaxel and pembrolizumab
- What this could lead to
- If successful, this combination could offer a new treatment option for people with head and neck cancer that has returned or spread.
- What could go wrong
- This is a small, early-phase trial with only 27 participants. The combination may not work better than existing treatments and could cause side effects like low blood cell counts.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 27 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2022
- Expected to finish
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Nov 2025
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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20 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: 1. Have histologically or cytologically-confirmed R/M HNSCC that is considered incurable by local therapies. Subjects should not have had prior systemic therapy administered in the recurrent or metastatic setting. Systemic therapy which was completed more than 6 months prior to signing consent if given as part of multimodal treatment for locally advanced disease is allowed. The eligible primary tumor locations are oropharynx, oral cavity, hypopharynx, and larynx. Subjects may not have a primary tumor site of nasopharynx (any histology). 2. Be willing and able to provide written informed consent for the trial. 3. Have results from testing of PD-L1 status. 4. Be ≥ 20 years of age on day of signing informed consent. 5. Have measurable disease based on RECIST 1.1. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions. 6. Have a performance status of 0 or 1 on the ECO G Performance Scale. 7. Have adequate organ function. 8. Have results from testing of HPV status for oropharyngeal cancer. 9. Female subjects of childbearing potential should have a negative blood pregnancy test within 72 hours prior to receiving the first dose of study medication. 10. Female subjects of childbearing potential should be willing to use 2 methods of birth control or be surgically sterile or abstain from heterosexual activity for the course of the study through 180 days after the last dose of study medication. 11. Male subjects should agree to use an adequate method of contraception starting with the first dose of study therapy through 180 days after the last dose of study therapy. Exclusion Criteria: 1. Has disease that is suitable for local therapy administered with curative intent. 2. Has a life expectancy of less than 3 months and/ or has rapidly progressing disease in the opinion of the treating investigator. 3. Has received prior systemic anti-cancer therapy including radiation therapy, other non-systemic therapy or investigational agents within 4 weeks prior to the first dose of trial treatment. 4. Is currently participating and receiving study therapy or has participated in a study of an investigational agent and received study therapy, or used an investigational device, any of which occurred within 4 weeks of the first dose of treatment. 5. Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy (using prednisolone ≥ 10mg per day) or any other form of immunosuppressive therapy within 7 days prior to the first dos e of trial treatment. 6. Has a diagnosed and/or treated additional malignancy within 2 years prior to randomization with the exception of curatively treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, curatively resected esophageal cancer, curatively resected in situ cervical cancer, and curatively resected in situ cancer. 7. Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. 8. Active autoimmune disease that has required systemic treatment in past 2 years (i.e. with use of disease modifying agents, corticosteroids or immunosuppressive drugs). 9. Has a history of (non-infectious) pneumonitis that required steroids or current pneumonitis. Pneumonitis include active radiation pneumonitis. 10. Has an active infection requiring systemic therapy. 11. Has received prior therapy with an anti-PD-1, a nti-PD-L1, or anti-CTLA-4 agent. 12. Has a known history of Human Immunodeficiency Virus (HIV) (HIV 1/2 antibodies). Has known active Hepatitis B (e.g., HBsAg reactive) or Hepatitis C (e.g., HCV RNA is detected).
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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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Hokkaido University Hospital
Sapporo, Hokkaido, 0608648, Japan
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