New drug duo aims to supercharge immunotherapy against head and neck cancer
NCT ID NCT06295731
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether adding an experimental drug called INBRX-106 to the standard immunotherapy pembrolizumab (Keytruda) works better than pembrolizumab alone for people with advanced head and neck cancer that has spread or come back. About 410 participants whose tumors have a specific marker (PD-L1 CPS ≥20) will be randomly assigned to receive either the combination or pembrolizumab alone. The goal is to see if the combo shrinks tumors more effectively and helps people live longer without their cancer getting worse.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- INBRX-106 (an experimental immune-boosting antibody) combined with pembrolizumab (Keytruda)
- What this could lead to
- If successful, this combination could improve tumor shrinkage and delay cancer progression or death compared to standard immunotherapy alone for certain head and neck cancers.
- What could go wrong
- This is an early-to-mid-stage trial (phase 2/3) with 410 participants, so results may not confirm benefit. Adding INBRX-106 could also increase immune-related side effects.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- 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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May 2024
- Expected to finish
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May 2029
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: * Has histologically or cytologically confirmed diagnosis of metastatic, recurrent head and neck squamous cell carcinoma (HNSCC) that is considered incurable by local therapies. * Has tumor PD-L1 expression of CPS ≥20. Tumor tissue must be provided for PD-L1 biomarker analysis. * Has human papilloma virus (HPV) testing results for oropharyngeal cancer by p16 immunohistochemistry (IHC) testing. * Has measurable disease per RECIST 1.1 guidelines. * Has the primary tumor location of the oral cavity, oropharynx, hypopharynx, or larynx. * Has an Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1. * Female patients of childbearing potential must have a negative highly sensitive pregnancy test within 72 hours prior to randomization and must not be breastfeeding. * Male and female patients of childbearing potential must be willing to completely abstain from heterosexual sex or agree to use a highly effective method of contraception. Exclusion Criteria: * Has primary tumor site (any histology) of nasopharynx or salivary glands or occult primary site. * Has received prior systemic therapy (eg, prior chemo-, immune-, or biologic therapy) for locally advanced unresectable or metastatic HNSCC. * Prior systemic therapy completed \>6 months prior to signing informed consent is allowed if given as part of multimodal treatment for locoregionally advanced disease with curative intent, and no PD/recurrence occurred within 6 months of its completion. Prior systemic immunotherapy in the locoregionally advanced disease with curative intent, including but not limited to anti-PD-(L)1 agents, is allowed if PD/recurrence occurred ≥12 months after its completion. * Has clinically active central nervous system metastases and/or carcinomatous meningitis. * Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment. * Rapidly progressing disease or with features that may confer a high risk of tumor-associated hemorrhage or uncontrolled tumor pain. * Current or history of immune-related disease that required systemic treatment in past 2 years, except for replacement therapy.
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Get notified about this study
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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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ARENSIA Clinic Oncology Institute Bucharest
Bucharest, 022328, Romania
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Addenbrooke's Hospital
Cambridge, CB2 0QQ, United Kingdom
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Antwerp University Hospital
Edegem, Antwerp, 2650, Belgium
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Arensia Exploratory Medicine S.R.L in collaboration with "Prof. Dr. Ion Chiricuta" Oncology Institute
Cluj-Napoca, Cluj, 400015, Romania
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Beacon Hospital
Petaling Jaya, 46050, Malaysia
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CH Annecy Genevois
Annecy, Epagny Metz Tessy, 74370, France
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CHRISTUS Spohn Cancer Center
Corpus Christi, Texas, 78404, United States
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Cenre Oscar Lambret
Lille, 59000, France
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Centre Jean Perrin
Clermont-Ferrand, 63011, France
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Centre Leon Berard
Lyon, 69008, France
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Changhua Christian Medical Foundation Changhua Christian Hospital
Changhua, 500, Taiwan
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ChristianaCare Health Services
Newark, Delaware, 19713, United States
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Christus St. Vincent Regional Cancer Center
Santa Fe, New Mexico, 87505, United States
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Chu Ucl Namur Site De Sainte-Elisabeth
Namur, 5000, Belgium
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City of Hope Medical Center
Duarte, California, 91010, United States
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Cleveland Clinic Florida, The Maroone Cancer Center
Weston, Florida, 33331, United States
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Complex Oncological Center Plovdiv EOOD Dept of Med Oncology and Oncological Diseases in Hematology
Plovdiv, 4004, Bulgaria
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Complexo Hospitalario Universitario A Coruña
A Coruña, 15006, Spain
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Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169, United States
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European Institute of Oncology
Milan, 20141, Italy
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Fondazione IRCCS Policlinico San Matteo
Pavia, 27100, Italy
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Gachon University Gil Medical Center of Korea
Seoul, Incheon, 21565, South Korea
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Hospital Canselor Tuanku Muhriz (HCTM) UKM
Cheras, Kuala Lumpur, 56000, Malaysia
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Hospital Clinic de Barcelona
Barcelona, 08036, Spain
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Hospital Clinico Universitario de Santiago de Compostela
Santiago, A Coruña, 15706, Spain
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Hospital Universitario Gregorio Marañón
Madrid, Retiro, 28007, Spain
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Hospital Universitario de Navarra
Pamplona, Navarre, 31008, Spain
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Hospital Universitario y Politécnico La Fe
Valencia, Spain
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Hospital Universiti Sains Malaysia
Kubang Kerian, Kelantan, 16150, Malaysia
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IOB / Institute of Oncology, Hospital Quirónsalud Barcelona
Barcelona, Gracia, 08023, Spain
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Institut Kanser Negara
Putrajaya, 62250, Malaysia
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Intermountain Health, St. Vincent Regional Hospital, Cancer Centers of Montana
Billings, Montana, 59102, United States
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Intituto Catalán de Oncología
Barcelona, Catalonia, 08908, Spain
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Istituto Nazionale Tumori IRCCS - (National Cancer Institute)
Milan, 20133, Italy
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Istituto Nazionale Tumori IRCCS - Fondazione Giovanni Pascale (National Cancer Institute)
Naples, Naples, 80131, Italy
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Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 80756, Taiwan
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Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
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Keimyung University Dongsan Hospital of Korea
Daegu, 42601, South Korea
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Korea Cancer Center Hospital
Seoul, 01812, South Korea
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Korea University Anam Hospital
Seoul, 02841, South Korea
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Korea University Guro Hospital
Seoul, 08308, South Korea
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Los Angeles Cancer Network (LACN)
Los Angeles, California, 91204, United States
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MD Anderson Cancer Centre
Madrid, 28033, Spain
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Medical Oncology Associates of San Diego
San Diego, California, 92123, United States
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Mid Florida Hematology and Oncology Center
Orange City, Florida, 32763, United States
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Mount Vernon Cancer Centre
Northwood, Middlesex, HA6 2RN, United Kingdom
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Multiprofile Hospital for Active Treatment - "Uni Hospital" Ltd, Medical Oncology Dept
Panagyurishte, 4500, Bulgaria
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Multiprofile Hospital for Active Treatment Sveta Sofia, Department of Medical Oncology
Sofia, 1618, Bulgaria
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NHS Grampian / Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN, United Kingdom
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Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy Oddział w Gliwicach
Gliwice, 44-102, Poland
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National Cheng Kung University Hospital
Tainan, 704, Taiwan
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National Taiwan University Hospital
Taipei, 100226, Taiwan
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Norton Cancer Institute
Louisville, Kentucky, 40202, United States
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Norwich and Norfolk University Hospital
Norwich, NR47UY, United Kingdom
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Oklahoma University Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104, United States
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Oncology Hematology West, PC dba Nebraska Cancer Specialists
Omaha, Nebraska, 68130, United States
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Oregon Health & Science University
Portland, Oregon, 97239, United States
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Provita Profamilia
Piotrkow Trybunalski, 97-300, Poland
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Przychodnia Lekarska KOMED
Konin, 62-500, Poland
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Pusan National University Yangsan Hospital
Yangsan, Gyeongsangnam-do, 50612, South Korea
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Royal Adelaide Hospital
Adelaide, South Australia, 5000, Australia
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Sarawak General Hospital
Kuching, Sarawak, 93586, Malaysia
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Sarcoma Oncology Center
Santa Monica, California, 90403, United States
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Sc Centrul de Oncologie Sf Nectarie Srl
Craiova, Dolj, 200745, Romania
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Sc Oncolab Srl
Craiova, Dolj, 200385, Romania
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Severance Hospital, Yonsei University Health System
Seoul, 03722, South Korea
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Taichung Veterans General Hospital
Taichung, China, 407219, Taiwan
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Taipei Veterans General Hospital
Taipei, Beitou District / R.o.c., 11217, Taiwan
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The Catholic University of Korea, Eunpyeong St. Mary's Hospital
Seoul, Eunpyeong-gu, 03312, South Korea
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The Christie NHS Foundation Trust
Manchester, M204BX, United Kingdom
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The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Northern Centre for Cancer Care, Freeman Hospital
Newcastle upon Tyne, Northumbria, NE7 7DN, United Kingdom
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The Oncology Institute of Hope & Innovation
Miami, Florida, 33169, United States
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The Royal Marsden NHS Foundation Trust, Chelsea
Chelsea, London, SW36JJ, United Kingdom
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The Royal Marsden NHS Foundation Trust, Sutton
Sutton, Surrey, SM25PT, United Kingdom
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Thomson Hospital Kota Damansara
Petaling Jaya, Selangor, 47810, Malaysia
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UC Davis
Sacramento, California, 95817, United States
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UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599-7305, United States
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UNEOS-Hopital R.SCHUMAN
Metz, Moselle, 57000, France
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UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232, United States
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Uni Multiprofile Hospital for Active Treatment Tsaritsa Yoanna - ISUL EAD Clinic of Medical Oncology
Sofia, 1527, Bulgaria
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University Hospital Brussels
Jette, 1090, Belgium
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University of Florida UF Health Cancer Center
Gainesville, Florida, 32608, United States
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University of Illinois Cancer Center
Chicago, Illinois, 60612, United States
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VCU Massey Comprehensive Cancer Center
Richmond, Virginia, 23298, United States
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Vitaz
Sint-Niklaas, 9100, Belgium
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Washington University St. Louis
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Triple-Drug attack on EGFR-Positive head and neck tumors
- Can a One-Two punch of radiation and immunotherapy shrink head and neck tumors before surgery?
- Can an immunotherapy combo shrink head and neck tumors before surgery?
- Vaccine trains immune system to fight HPV-Positive head and neck tumors
- New scan could sharpen detection of head and neck cancers
- New cocktail aims to shrink head and neck tumors before surgery