New biosimilar RPH-002 takes on erbitux in head and neck cancer showdown
NCT ID NCT07435324
First seen Jun 26, 2026 · Last updated Jul 15, 2026 · Updated 3 times
Summary
This phase 3 trial compares a new drug, RPH-002, to the standard treatment Erbitux in 161 patients with advanced head and neck cancer that cannot be removed by surgery. Both drugs are given with chemotherapy. The main goal is to see if RPH-002 works as well as Erbitux in shrinking tumors. The study is active but no longer 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
- RPH-002 (a biosimilar to cetuximab)
- What this could lead to
- If successful, this could offer a more affordable or equally effective alternative to Erbitux for treating advanced head and neck cancer.
- What could go wrong
- This is a phase 3 trial, but it's still early to know if RPH-002 works as well as Erbitux. Side effects may include infusion reactions and other drug-related risks.
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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161 people
The number who actually took part.
- Started
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Aug 2024
- Finished
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Jun 2026
- 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: Main Period (Period 1) 1. A voluntarily signed and dated Informed Consent form (ICF) of the patient 2. Histologically confirmed squamous cell carcinoma of the head and neck 3. Documented unresectable locoregional recurrence or distant metastases, or progression after prior chemoradiotherapy or combination therapy completed \>3 months before screening, not amenable to local treatment (except cases with high risk of tumor lysis or bleeding), or newly diagnosed metastatic disease not previously treated with systemic therapy. Study treatment is first-line therapy 4. At least one measurable lesion per RECIST 1.1 5. Karnofsky performance status ≥70% 6. Screening laboratory values within the following limits (per local lab normal ranges): * Hemoglobin ≥90 g/L * Leukocytes ≥3.0 × 10\^9/L * Neutrophils ≥1.5 × 10\^9/L * Platelets ≥100 × 10\^9/L * Total bilirubin ≤2 × Upper Limit of Normal (ULN) * Aspartate aminotransferase (AST) ≤3 × ULN * Alanine aminotransferase (ALT) ≤3 × ULN * Estimated glomerular filtration rate (eGFR) ≥60 mL/min 7. Men and women of childbearing potential, and women within 2 years of menopause, must agree to use reliable contraception from informed consent through at least 6 months after study treatment; women of childbearing potential must have a negative urine pregnancy test. Women with no reproductive potential (≥2 years post-menopause or surgically sterile) are exempt 8. Ability and willingness to comply with study protocol and procedures for the planned duration of participation Maintenance Therapy Period (Period 2) 1. Registered objective response (stable disease or partial/complete response according to RECIST 1.1 criteria) to the therapy administered during the main study period 2. Ability and willingness to provide written informed consent for participation in Period 2 3. Karnofsky performance status ≥ 70% 4. Laboratory values within the following limits (per local lab normal ranges): * Hemoglobin ≥ 90 g/L * Leukocytes ≥ 3.0 × 10\^9/L * Neutrophils ≥ 1.5 × 10\^9/L * Platelets ≥ 100 × 10\^9/L * Total bilirubin ≤ 2 × ULN (upper limit of normal) * AST ≤ 3 × ULN * ALT ≤ 3 × ULN * eGFR ≥ 60 mL/min 5. Men and women of childbearing potential, and women within 2 years of menopause, must agree to use reliable contraception from informed consent through at least 6 months after study treatment; women of childbearing potential must have a negative urine pregnancy test. Women with no reproductive potential (≥2 years post-menopause or surgically sterile) are exempt Exclusion Criteria: Main Period (Period 1) 1. Prior therapy with cetuximab or other monoclonal antibody-based biologics 2. Chemotherapy, radiotherapy, or surgery for head and neck cancer within 3 months before screening 3. Any other surgery (except biopsy, implantable venous port placement, or urgent non-cancer surgery) within 3 months before screening 4. Nasopharyngeal carcinoma 5. Other malignancy within the past 5 years or prior/concurrent squamous cell carcinoma (except cured in situ ductal carcinoma, cervical carcinoma in situ, basal cell or squamous cell skin cancer) 6. Expected survival \< 3 months 7. Women who are pregnant or breastfeeding, or unwilling to use effective contraception during the study and for at least 6 months after 8. Significant cardiovascular disease per investigator, including uncontrolled hypertension (systolic ≥180 mmHg or diastolic ≥130 mmHg), coronary artery disease, myocardial infarction within 12 months, high-risk uncontrolled arrhythmias, or uncontrolled heart failure 9. Active infection requiring systemic antibiotic therapy 10. Ongoing systemic immunotherapy, hormone therapy, or other cancer treatments not specified in the protocol within 6 months prior to screening or during the study 11. Known or suspected brain metastases, including parenchymal, leptomeningeal, or dural involvement associated with symptoms 12. Positive screening for HBsAg, anti-HCV, anti-HIV1/2 antibodies, or syphilis within 3 months prior to screening 13. Conditions preventing compliance with the study protocol per investigator 14. Participation in another investigational drug study within 6 months prior to screening 15. Unstable medical conditions, including uncontrolled diabetes, psychiatric disorders, or uncontrolled seizures, that could interfere with protocol adherence 16. Known hypersensitivity to any component of study therapy or combination chemotherapy drugs 17. Excessive alcohol use (\>10 standard drinks/week) or history of alcoholism or substance abuse associated with symptoms. One standard drink = 250 mL beer, 125 mL wine, or 30 mL spirits Maintenance Therapy Period (Period 2) 1. Absence of a confirmed objective response to the administered therapy during the main study period, defined as failure to achieve disease stabilization or a partial/complete response according to RECIST v1.1 2. Women who are pregnant or breastfeeding, or unwilling to use effective contraception during the study and for at least 6 months after 3. Significant cardiovascular disease per investigator, including uncontrolled hypertension (systolic ≥180 mmHg or diastolic ≥130 mmHg), coronary artery disease, myocardial infarction within 12 months, high-risk uncontrolled arrhythmias, or uncontrolled heart failure 4. Active infection requiring systemic antibiotics 5. Ongoing systemic immunotherapy, hormone therapy, or other cancer treatments not specified in the protocol for Period 2 6. Known or suspected brain metastases, including parenchymal, leptomeningeal, or dural involvement associated with symptoms 7. Conditions preventing compliance with study procedures per investigator 8. Participation in another investigational drug study 9. Unstable medical conditions, including uncontrolled diabetes, psychiatric disorders, or uncontrolled seizures, that could interfere with protocol adherence 10. Excessive alcohol use (\>10 standard drinks/week) or history of alcoholism or substance abuse associated with symptoms. One standard drink = 250 mL beer, 125 mL wine, or 30 mL spirits
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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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Branch of the Limited Liability Company "Hadassah Medical Ltd." (LLC Branch "Hadassah Medical")
Moscow, 121205, Russia
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Budgetary Healthcare Institution of Omsk Region "Clinical Oncological Dispensary"
Omsk, 644013, Russia
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Budgetary Healthcare Institution of the Udmurt Republic "Sergey Grigoryevich Primushko Republican Clinical Oncological Dispensary" of the Ministry of Health of the Udmurt Republic
Izhevsk, 571207, Russia
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Federal State Autonomous Educational Institution of Higher Education First Moscow State Medical University named after I.M. Sechenov of the Ministry of Health of the Russian Federation (Sechenov University)
Moscow, 119435, Russia
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Federal State Autonomous Institution "National Medical Research Center 'Medical and Rehabilitation Center'" of the Ministry of Health of the Russian Federation
Moscow, 125367, Russia
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Federal State Budgetary Educational Institution of Higher Education "Siberian State Medical University" of the Ministry of Health of the Russian Federation
Tomsk, 634028, Russia
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Federal State Budgetary Institution "N.N. Burdenko Main Military Clinical Hospital" of the Ministry of Defense of the Russian Federation
Moscow, 105094, Russia
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Federal State Budgetary Institution "National Medical Research Center of Oncology" of the Ministry of Health of the Russian Federation
Rostov-on-Don, 344037, Russia
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Federal State Budgetary Institution "National Medical Research Center of Radiology" of the Ministry of Health of the Russian Federation, Branch: A.F. Tsyba Medical Radiological Research Center
Obninsk, 249036, Russia
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Federal State Budgetary Institution "National Medical Research Center of Radiology" of the Ministry of Health of the Russian Federation, Branch: P.A. Herzen Moscow Research Oncology Institute
Obninsk, 249036, Russia
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Joint-Stock Company "Medsi Group of Companies"
Moscow, 143442, Russia
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Kirov Regional State Clinical Budgetary Healthcare Institution "Center of Oncology and Medical Radiology"
Kirov, 610045, Russia
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Limited Liability Company "EuroCityClinic"
Saint Petersburg, 197022, Russia
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Limited Liability Company Medical and Sanitary Unit "Clinician-Pretor Clinic"
Novosibirsk, 630091, Russia
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Private Healthcare Institution "RZD-Medicine Clinical Hospital" of Saint Petersburg
Saint Petersburg, 195271, Russia
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Private Medical Institution "Euromedservice"
Pushkin, 196603, Russia
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Regional Budgetary Healthcare Institution "Ivanovo Regional Oncological Dispensary"
Ivanovo, 153040, Russia
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Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology, Tashkent Regional Branch
Tashkent, 100128, Uzbekistan
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Saint Petersburg State Budgetary Healthcare Institution "City Clinical Oncological Dispensary"
Saint Petersburg, 197022, Russia
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State Autonomous Healthcare Institution "Republican Clinical Oncological Dispensary" of the Ministry of Health of the Republic of Bashkortostan
Ufa, 450054, Russia
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State Autonomous Healthcare Institution "Republican Clinical Oncology Dispensary of the Ministry of Health of the Republic of Tatarstan named after Professor M.Z. Sigal"
Kazan', 420029, Russia
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State Autonomous Healthcare Institution of Sverdlovsk Region "Sverdlovsk Regional Oncology Dispensary"
Yekaterinburg, 620036, Russia
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State Autonomous Healthcare Institution of the Nizhny Novgorod Region "Research Institute of Clinical Oncology 'Nizhny Novgorod Regional Clinical Oncology Dispensary'"
Nizhny Novgorod, 603081, Russia
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State Budgetary Healthcare Institution "Clinical Oncological Dispensary No. 1" of the Ministry of Health of Krasnodar Krai
Krasnodar, 350040, Russia
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State Budgetary Healthcare Institution "Kuzbass Clinical Oncology Dispensary named after M.S. Rappoport" (SBHI "KCOD")
Kemerovo, 650036, Russia
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State Budgetary Healthcare Institution "Leningrad Regional Clinical Hospital"
Kuz'molovskiy, 191104, Russia
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State Budgetary Healthcare Institution "Regional Oncological Dispensary"
Irkutsk, 664035, Russia
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State Budgetary Healthcare Institution of Arkhangelsk Region "Arkhangelsk Clinical Oncological Dispensary"
Arkhangelsk, 163045, Russia
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State Budgetary Healthcare Institution of Kaluga Region "Kaluga Regional Clinical Oncology Dispensary"
Kaluga, 248007, Russia
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State Budgetary Healthcare Institution of Moscow "A.S. Loginov Moscow Clinical Scientific and Practical Center" of the Moscow Department of Health
Moscow, 111123, Russia
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State Budgetary Healthcare Institution of Moscow "City Clinical Hospital named after S.S. Yudin, Department of Health of Moscow"
Moscow, 129090, Russia
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State Budgetary Healthcare Institution of Moscow "Moscow City Oncological Hospital No. 62, Department of Health of Moscow"
Istra, 143515, Russia
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State Budgetary Healthcare Institution of Stavropol Krai "Pyatigorsk Interdistrict Oncology Dispensary"
Pyatigorsk, Russia
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State Budgetary Healthcare Institution of Yaroslavl Region "Regional Clinical Oncological Hospital"
Yaroslavl, 150054, Russia
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 steroid shots shield salivary glands from radiation damage?