New drug cocktail aims to extend life in Tough-to-Treat head and neck cancer
NCT ID NCT06064877
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This Phase 3 trial is testing whether adding ficlatuzumab to the standard drug cetuximab helps people with recurrent or metastatic HPV-negative head and neck cancer live longer. About 410 adults will be randomly assigned to receive either the combination or a placebo plus cetuximab. The study is currently recruiting participants.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ficlatuzumab and cetuximab
- What this could lead to
- If successful, this combination could offer a new treatment option that helps people with recurrent or metastatic head and neck cancer live longer or delay disease progression.
- What could go wrong
- This is an early Phase 3 trial, so results are not guaranteed. The added drug may not improve outcomes over cetuximab alone, and side effects from the combination could be more severe.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 410 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2024
- Expected to finish
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Nov 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: * Male or female and ≥ 18 years of age * Histologically and/or cytologically confirmed primary diagnosis of R/M HNSCC * Participants with oropharyngeal cancer will be required to have proof of p16 negative status submitted on the basis of a pathology report * At least 1 measurable lesion by contrast CT or MRI scan according to RECIST v.1.1. Such lesions must not have been previously irradiated; if the measurable lesion(s) has been irradiated, clear progression must be documented * Participants must have failed prior therapy with an anti-PD-1/PD-L1 ICI and with platinum-based chemotherapy administered in combination or sequentially, in either the locally advanced or R/M setting. Failure of prior treatment may be due to progression of disease or intolerance to treatment * Patient's tumor must be considered inoperable and incurable * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 with a life expectancy of at least 12 weeks * For women of childbearing potential (WOCBP), documentation of negative serum pregnancy test within 30 days of randomization * For WOCBP and male participants whose sexual partners are of childbearing potential, agreement to use an effective method of contraception during the study and for at least 5 months after the last dose of study treatment. Birth control methods which may be considered highly effective include methods that achieve a failure rate of less than 1% per year when used consistently and correctly. * Ability to give written informed consent and comply with protocol requirements * Patients with feeding tubes are eligible for the study. * Archived tissue sample must be submitted to the Sponsor-designated laboratory within 60 days of randomization for c-Met analysis (if a tissue sample is not available, a fresh biopsy may be required prior to enrollment) Exclusion Criteria: * Participants who have received \> 2 prior lines of anticancer therapy or prior treatment with cetuximab/alternative EGFR inhibitors for the treatment of R/M HNSCC * History of severe allergic or anaphylactic reactions or hypersensitivity to recombinant proteins or excipients in the investigational agent or cetuximab * Known or suspected untreated and uncontrolled brain metastases or leptomeningeal carcinomatosis Note: Participants with locally treated brain metastases are eligible provided 2 weeks have elapsed since local therapy. Participants are allowed to continue steroid taper during the start of study treatment. * Prior treatment with any other investigational drug or biologic agent or radiation therapy before a washout has been completed (must be completed prior to randomization): 1. 2 weeks (14 days) or 5 half-lives, whichever is shorter, for chemotherapeutic agents, small molecules, and checkpoint inhibitors 2. 3 weeks (21 days) or 5 half-lives, whichever is shorter, for antibody-drug conjugates 3. 4 weeks (28 days) for cell therapies 4. 2 weeks (14 days) for radiation therapy * Any unresolved and significant toxicity (National Cancer Institute Common Terminology Criteria for Adverse Events \[NCI-CTCAE\] version 5.0) Grade 2 or greater from previous anticancer therapy (including radiation therapy), other than alopecia * Significant cardiovascular disease, including: Cardiac failure New York Heart Association class III or IV; Myocardial infarction, severe or unstable angina within 6 months prior to randomization; History of serious ventricular arrhythmia (i.e., ventricular tachycardia or ventricular fibrillation) * Any other medical condition or psychiatric condition that, in the opinion of the Investigator, might interfere with the participant's involvement in the study or interfere with the interpretation of study results * History of prior malignancy within 2 years prior to randomization (except for adequately treated non-melanoma skin cancer, carcinoma in situ of the breast or cervix, superficial bladder cancer, or early-stage prostate cancer, without evidence of recurrence; participants may or may not be on maintenance therapy) * Participants who are positive for hepatitis B virus (HBV) or hepatitis C virus (HCV) with indication of acute or chronic hepatitis (as defined in protocol) * Radiographic evidence (historical or at screening) of interstitial lung disease or idiopathic pulmonary fibrosis * Female participants who are pregnant or breastfeeding A full list of inclusion and exclusion criteria can be found in the protocol.
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Get notified about this study
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Genom att skicka in godkänner du våra Användarvillkor
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
97 sites in 17 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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AOU Careggi
RECRUITINGFlorence, 51134, Italy
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AdventHealth Medical Group Oncology & Hematology at Orlando
RECRUITINGOrlando, Florida, 32804, United States
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Ajou University Hospital
RECRUITINGSuwon, 16499, South Korea
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Antoni van Leeuwenhoek
WITHDRAWNAmsterdam, 1066, Netherlands
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Assistance Publique Hopitaux de Marseille (APHM)-Hôpital La Timone
RECRUITINGMarseille, 13005, France
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Azienda Ospedaliera Universitaria Maggiore Della Carita Novara
RECRUITINGNovara, 28100, Italy
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Banner MD Anderson Cancer Center
RECRUITINGGilbert, Arizona, 85212, United States
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CHU Liège
RECRUITINGLiège, 4000, Belgium
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CHU Universite Catholique de Louvain
RECRUITINGNamur, B5000, Belgium
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Centre Léon Bérard
RECRUITINGLyon, 69008, France
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Centrul radioterapie Amethyst Cluj-Napoca
RECRUITINGFloreşti, 407280, Romania
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Centrum Onkologii im. prof. F. Lukaszczyka w Bydgoszczy
RECRUITINGBydgoszcz, 85-796, Poland
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Chang Gung Memorial Hospital - Kaohsiung
RECRUITINGKaohsiung City, 833401, Taiwan
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Chang Gung Memorial Hospital - Linkou
RECRUITINGTaoyuan, 33305, Taiwan
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Changhua Christian Hospital
RECRUITINGChanghua, 500, Taiwan
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Charite-Universitaetsmedizin Berlin - Campus Virchow-Klinikum (CVK) - Medizinische Klinik mit Schwerpunkt Haematologie, Onkologie und Tumorimmunologie
RECRUITINGBerlin, 12200, Germany
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China Medical University Hospital (CMUH)
RECRUITINGTaichung, 40447, Taiwan
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City Hospital Nottingham
RECRUITINGNottingham, NG5 1PB, United Kingdom
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Clinique Pasteur - Lanroze- Centre Finistérien de Radiothérapie et d'Oncologie
WITHDRAWNBrest, 29200, France
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Cross Cancer Institute
RECRUITINGEdmonton, Alberta, T6G 1Z2, Canada
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Dana Farber Cancer Institute
RECRUITINGBoston, Massachusetts, 02215, United States
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Emory University
RECRUITINGAtlanta, Georgia, 30308, United States
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Fakultni Nemocnice Kralovske Vinohrady
RECRUITINGPrague, 13400, Czechia
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Fakultni Nemocnice Olomouc
WITHDRAWNOlomouc, 77900, Czechia
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Fakultni nemocnice Brno
RECRUITINGBrno, 60200, Czechia
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Fakultni nemocnice Bulovka
RECRUITINGPrague, Czechia
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Fondazione IRCCS - Istituto Nazionale Tumori - Oncologia
RECRUITINGMilan, 20133, Italy
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
WITHDRAWNRoma, 00168, Italy
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Fox Chase Cancer Center
RECRUITINGPhiladelphia, Pennsylvania, 19111, United States
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Grupo Hospital de Madrid (HM) - Hospital Universitario Madrid Sanchinarro - Centro Integral Oncologico Clara Campal (CIOCC)
RECRUITINGMadrid, 28051, Spain
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Hospital Clinico Universitario de Valencia (CHUV)
RECRUITINGValencia, Spain
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Hospital Quironsalud Malaga
RECRUITINGMálaga, 29004, Spain
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Hospital Universitario La Paz
RECRUITINGMadrid, 28046, Spain
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Hospital Universitario Marques de Valdecilla
WITHDRAWNSantander, Spain
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Hospital Universitario Vinalopo
RECRUITINGAlicante, 03293, Spain
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Hospital Universitario de Torrejón
RECRUITINGMadrid, Spain
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Hospital universitario Jerez
RECRUITINGCadiz, 11407, Spain
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Hôpital Privé des Côtes d'Armor
RECRUITINGPlérin, 22190, France
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IRCCS - ICS Maugeri
RECRUITINGPavia, 27100, Italy
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IRCCS Istituto Clinico Humanitas - Cancer center
RECRUITINGMilan, 20089, Italy
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IRCCS Istituto Scienze Neurologiche
RECRUITINGBologna, 40139, Italy
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IRCCS Ospedale San Raffaele Milano
RECRUITINGMilan, 20132, Italy
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Institut Catala d'Oncologia (ICO) - Hospitalet
RECRUITINGBarcelona, 08908, Spain
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Institut Catala d'Oncologia - Hospital Duran i Reynals
RECRUITINGBadalona, 08907, Spain
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Institut Curie
RECRUITINGParis, 75248, France
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Institut Gustave Roussy
RECRUITINGVillejuif, 94805, France
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Institute for Oncology Vojvodina
RECRUITINGKamenitz, Serbia
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Institute of Oncology and Radiology of Serbia
RECRUITINGBelgrade, Serbia
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Istituto Oncologico Veneto
RECRUITINGPadua, 35128, Italy
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Josa Andras Oktatokorhaz
RECRUITINGNyíregyháza, 4400, Hungary
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Keimyung University Dongsan Hospital
RECRUITINGDaegu, 42601, South Korea
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Korea University Anam Hospital
RECRUITINGSeoul, 02841, South Korea
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Ludwig-Maximilians University
RECRUITINGMunich, 81377, Germany
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MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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MaineHealth Institute for Research
RECRUITINGSouth Portland, Maine, 04106, United States
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Manhattan Eye, Ear & Throat Hospital
RECRUITINGNew York, New York, 10065, United States
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Mary Bird Perkins Cancer Center
RECRUITINGBaton Rouge, Louisiana, 70809, United States
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Masaryk Memorial Cancer Institute
RECRUITINGBrno, 65653, Czechia
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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McGill University Health Centre (MUHC)
RECRUITINGMontreal, Quebec, H4A3J1, Canada
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Medical College of Wisconsin - Froedtert Hospital Cancer Center
TERMINATEDMilwaukee, Wisconsin, 53202, United States
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Medical University of South Carolina (MUSC)
RECRUITINGCharleston, South Carolina, 29425, United States
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Medisprof Cancer Center
RECRUITINGCluj-Napoca, 400641, Romania
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Moffitt Cancer Center
RECRUITINGTampa, Florida, 33612, United States
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Montefiore Medical Center
WITHDRAWNThe Bronx, New York, 10461, United States
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NHS Grampian - Aberdeen Royal Infirmary
RECRUITINGAberdeen, AB25 2ZN, United Kingdom
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National Cheng-Kung University Hospital
WITHDRAWNTainan, 704017, Taiwan
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National Research Institute of Oncology
RECRUITINGGliwice, 44-100, Poland
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National Taiwan University Hospital
WITHDRAWNTaipei, 100, Taiwan
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Northwell Health Cancer Institute
RECRUITINGLake Success, New York, 10042, United States
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Ohio State University, James Cancer Hospital and Solove Research Institute
RECRUITINGColumbus, Ohio, 43210, United States
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Oncology Consultants
RECRUITINGHouston, Texas, 77030, United States
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Orszagos Onkologiai Intezet
NOT_YET_RECRUITINGBudapest, 1122, Hungary
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Petz Aladar Country Teaching Hospital
WITHDRAWNGyőr, 9024, Hungary
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Princess Alexandra Hospital
RECRUITINGBrisbane, Queensland, 4102, Australia
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Princess Margaret Cancer Center - University Health Network
RECRUITINGToronto, Ontario, M5G 2M9, Canada
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Pôle Santé Léonard de Vinci
RECRUITINGChambray-lès-Tours, 37170, France
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Radboud University Medical Center
RECRUITINGNijmegen, 6525, Netherlands
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Samsung Medical Center
RECRUITINGSeoul, 06351, South Korea
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Sarah Cannon Research Institute
RECRUITINGLondon, W1G 6AD, United Kingdom
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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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Siteman Cancer Center - Washington University
RECRUITINGSt Louis, Missouri, 63110, United States
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St George Hospital
RECRUITINGKogarah, New South Wales, 2217, Australia
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St. John of God Murdoch Hospital
RECRUITINGMurdoch, Western Australia, 6150, Australia
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St. Vincent's Hospital
RECRUITINGSydney, New South Wales, 2010, Australia
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Szent Lázár Megyei Kórház
WITHDRAWNSalgótarján, 3100, Hungary
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Taipei Veterans General Hospital
RECRUITINGTaipei, 112201, Taiwan
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The Catholic University of Korea, Eunpyeong St. Mary's Hospital
RECRUITINGSeoul, 03312, South Korea
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The George Washington University
RECRUITINGWashington D.C., District of Columbia, 20052-0042, United States
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The Ottawa Hospital Cancer Centre
WITHDRAWNOttawa, Ontario, K1H 8L6, Canada
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The Royal Marden Hospital, Surrey
RECRUITINGSutton, SM2 5PT, United Kingdom
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The Royal Marsden NHS Foundation Trust
RECRUITINGLondon, SW3 6JJ, United Kingdom
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The University of Arizona Cancer Center
RECRUITINGTucson, Arizona, 85719, United States
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Tom Baker Cancer Centre (Alberta Health Services)
RECRUITINGCalgary, Alberta, T3N 4N1, Canada
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Torbay Hospital
WITHDRAWNTorquay, TQ2 7AA, United Kingdom
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UNIVERSITÄTSKLINIKUM FREIBURG, Klinik für Innere Medizin I, Schwerpunkt Hämatologie, Onkologie und Stammzelltransplantation
RECRUITINGFreiburg im Breisgau, 79106, Germany
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UOMI Cancer Center-Clinica Tres Torres
RECRUITINGBarcelona, 08017, Spain
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Universita degli Studi di Pavia - Fondazione IRCCS Policlinico San Matteo
RECRUITINGPavia, 27100, Italy
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University Clinical Center Kragujevac
RECRUITINGKragujevac, Serbia
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University Hospital
WITHDRAWNPanagyurishte, 4500, Bulgaria
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University of California Los Angeles
RECRUITINGLos Angeles, California, 90024, United States
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University of Cincinnati - UC Health Barrett Cancer Center
WITHDRAWNCincinnati, Ohio, 45219, United States
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University of Illinois Cancer Center
RECRUITINGChicago, Illinois, 60612, United States
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University of Kansas Cancer Center
RECRUITINGWestwood, Kansas, 66205, United States
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University of Maryland
RECRUITINGBaltimore, Maryland, 21201, United States
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University of Pecs - Oncology
RECRUITINGPécs, 7624, Hungary
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University of Pittsburgh Medical Center - Hillman Cancer Center
RECRUITINGPittsburgh, Pennsylvania, 15232, United States
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VCU Massey Cancer Center
RECRUITINGRichmond, Virginia, 23298, United States
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Vall d'Hebron Institut d'Oncologia (VHIO)
RECRUITINGBarcelona, Spain
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Vitaz-Sint-Niklaas Moerland
RECRUITINGSint-Niklaas, 9100, Belgium
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Yale School of Medicine - Smilow Cancer Hospital
RECRUITINGNew Haven, Connecticut, 06511, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new drug combo slow advanced head and neck cancer?
- Can immunotherapy boost surgery outcomes in recurrent head and neck cancer?
- Can a Three-Pronged attack shrink Hard-to-Treat head and neck cancers?
- Sharper radiation boost aims to tackle head and neck cancers that return
- New combo attack: immunotherapy plus chemo before surgery for head and neck cancer
- Leftover immunotherapy may boost chemo: new study investigates timing