New combo therapy shows promise for tough head and neck cancers
NCT ID NCT04811027
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 2 trial tested whether adding eftilagimod alpha to the immunotherapy pembrolizumab works better than pembrolizumab alone for people with advanced head and neck cancer that cannot be removed by surgery. The study included 171 participants whose tumors had certain markers. Researchers measured how many patients' tumors shrank or disappeared, and how long they lived.
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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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171 people
The number who actually took part.
- Started
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Aug 2021
- Finished
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Nov 2025
- 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.
Main Inclusion Criteria: 1. Histologically- or cytologically-confirmed recurrent disease not amenable to curative treatment with local or systemic therapy, or metastatic (disseminated) HNSCC of the oral cavity, oropharynx, hypopharynx, or larynx that is considered incurable by local therapies and to be treated in the first line palliative setting and who are PD-X naïve. 2. Availability of tissue for PD-L1 biomarker analysis from a core or excisional biopsy. 3. Availability of PD-L1 biomarker result by using the FDA approved Dako standardized diagnostic test (PD-L1 IHC 22C3 pharmDx). 4. Availability of tissue for testing of human papillomavirus (HPV) status for oropharyngeal cancer (p16 expression testing). 5. Eastern Cooperative Oncology Group (ECOG) performance status 0-1. Main Exclusion Criteria: 1. Disease is suitable for local therapy administered with curative intent. 2. Previously treated with ≥ 1 systemic regimen for recurrent and/or metastatic disease (with the exception of systemic therapy completed \>6 months prior if given as part of multimodal treatment for locally or locoregionally advanced disease). 3. Histologically or cytologically confirmed head and neck cancer of any other primary anatomic location in the head and neck not specified in the inclusion criteria including subjects with HNSCC of unknown primary, squamous cell carcinoma originating from skin, or non-squamous histologies (e.g. nasopharynx, salivary gland or mucosal melanoma). 4. Has progressive disease (PD) within 6 months of completion of curatively intended systemic treatment for locally or locoregionally advanced HNSCC, or requires chemotherapy based therapeutic regimen due to e.g., rapidly progressing disease or need of aggressive sympton control. 5. Prior therapy with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibody (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways). 6. Has received prior chemotherapy, anti-cancer monoclonal antibody, major surgery, another systemic cancer therapy or has participated in a trial of an investigational agent or has used an investigational device within 4 weeks prior to cycle 1 day 1. 7. Known active central nervous system metastasis and/or carcinomatous meningitis. Subjects with previously treated brain metastases may participate provided they are radiologically stable: i.e. without evidence of progression documented by repeat imaging performed after therapy completed for CNS metastasis and with at least 4 weeks difference, clinically stable and without requirement for steroid treatment for at least 14 days prior to cycle 1 day 1. 8. Receives continuous systemic treatment with either corticosteroids (\>10 mg daily prednisone equivalents) or other immunosuppressive medications within 7 days prior to cycle 1 day 1. Inhaled or topical steroids and physiological replacement doses of up to 10 mg daily prednisone equivalents are permitted in the absence of active auto-immune disease.
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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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AZ Nikolaas
Sint-Niklaas, 9100, Belgium
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AZ Sint-Jan Brugge
Bruges, 8000, Belgium
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Antwerp University Hospital
Edegem, 2650, Belgium
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Arensia Exploratory Medicine Llc
Kapitanivka, AL, 08112, Ukraine
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Centre Hospitalier Universitaire (CHU) de Liege
Liège, 4000, Belgium
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Herlev Hospital
Herlev, 2700, Denmark
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Hospital 12 Octubre
Madrid, 28041, Spain
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Hospital Universitario Lucus Augusti
Lugo, 27003, Spain
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Hospital Universitario Miguel Servet
Zaragoza, 50009, Spain
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Hospital Universitario Ramón y Cajal
Madrid, 28034, Spain
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Hospital de la Santa Creu i de Sant Pau
Barcelona, 08041, Spain
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Institut Català d'Oncologia - Hospital Universitari de Girona
Girona, 17007, Spain
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Institute of Cancer Science - Beatson West of Scotland Cancer Centre
Glasgow, 1053, United Kingdom
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Macquarie University Hospital
Macquarie Park, New South Wales, 2109, Australia
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Nationales Centrum für Tumorerkrankungen Heidelberg
Heidelberg, 69120, Germany
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Nottingham University Hospitals, NHS Trust
Nottingham, NG5 1PB, United Kingdom
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Oncology Consultants
Houston, Texas, 77030, United States
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Rigshospitalet
Copenhagen, 2100, Denmark
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START Madrid (Hospital Universitario Fundación Jiménez Díaz)
Madrid, 28040, Spain
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The Christie NHS Foundation Trust
Manchester, M20 4BX, United Kingdom
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The Oncology Institute "Prof Dr Ion Chiricuta" I.O.C.N.
Cluj-Napoca, 400015, Romania
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University College London Hospitals NHS Foundation - The Harley Street Clinic
London, NW1 2PG, United Kingdom
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University Hospital Essen
Essen, 45147, Germany
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University of Alabama at Birmingham (UAB) - O'Neal Cancer Center
Birmingham, Alabama, 35249, United States
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Universitätsklinikum Bonn
Bonn, North Rhine-Westphalia, 53127, Germany
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Universitätsklinikum Ulm
Ulm, 89075, Germany
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Vall d'Hebron Institute of Oncology (VHIO)
Barcelona, 08035, Spain
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a guided missile for chemo hit tumors harder and spare healthy tissue?
- Can less radiation be enough after chemoimmunotherapy for head and neck cancer?
- Can a DNA vaccine boost immunotherapy against HPV-Linked head and neck cancer?
- Can a Three-Drug combo wipe out head and neck tumors before surgery?
- Can a One-Two punch of radiation and immunotherapy shrink head and neck tumors before surgery?
- Can a glowing drug light up head and neck tumors?