A Study of MEHD7945A Versus Cetuximab in Patients With Recurrent/Metastatic Squamous Cell Carcinoma of The Head And Neck

NCT ID: NCT01577173

Last Updated: 2016-11-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

122 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-07-31

Study Completion Date

2015-06-30

Brief Summary

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This phase II, open-label, randomized study will evaluate the efficacy and safety of MEHD7945A versus cetuximab in patients with recurrent/metastatic squamous cell carcinoma of the head and neck who have progressed during or following platinum-based chemotherapy. Patients will be randomized to receive either MEHD7945A 1100 mg intravenously (iv) every 2 weeks or cetuximab 400 mg/m2 iv loading dose followed by 250 mg/m2 iv weekly. Patients treated with cetuximab (Arm B) may cross-over to MEHD7945A (Arm A) upon central confirmation of progressive disease and upon meeting eligibility criteria. Anticipated time on study treatment is until disease progression or intolerable toxicity occurs.

Detailed Description

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Conditions

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Head and Neck Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A: MEHD7945A

Group Type EXPERIMENTAL

MEHD7945A

Intervention Type DRUG

1100 mg iv every 2 weeks

B: Cetuximab

Group Type ACTIVE_COMPARATOR

cetuximab

Intervention Type DRUG

400 mg/m2 iv loading dose, followed by 250 mg/m2 weekly

Interventions

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MEHD7945A

1100 mg iv every 2 weeks

Intervention Type DRUG

cetuximab

400 mg/m2 iv loading dose, followed by 250 mg/m2 weekly

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients, \>/= 18 years of age
* Histologically confirmed Stage III or IV recurrent/metastatic squamous cell carcinoma of the head and neck (R/M SCCHN)
* Progressive disease on or after first-line platinum-based chemotherapy regimen for R/M SCCHN (maximum of 6 cycles)
* No more than one platinum-based chemotherapy regimen for R/M SCCHN is allowed
* Prior platinum-based treatment as definitive chemo/radiotherapy for locally advanced disease is allowed if completed/terminated \>/= 6 months before the platinum-based regimen for R/M SCCHN
* Consent to provide archival tumor tissue for biomarker testing
* Measurable disease per RECIST v1.1
* ECOG performance status of 0, 1 or 2
* Adequate hematologic, renal and liver function

Exclusion Criteria

* Nasopharyngeal cancer
* Prior treatment with an investigational or approved agent for the purpose of inhibiting HER family members
* This includes but is not limited to cetuximab, panitumumab, erlotinib, geftinib, and lapatinib
* Prior treatment with an EGFR inhibitor is allowed if it was administered as part of definitive therapy for locally advanced disease and completed \>/=1 year before study enrollment
* Leptomeningeal disease as the only manifestation of the current malignancy
* Active infection requiring iv antibiotics
* Active autoimmune disease that is not controlled by non-steroidal anti-inflammatory drugs
* Current severe, uncontrolled systemic disease (e.g. clinically significant cardiovascular, pulmonary, or metabolic disease; wound healing disorders; ulcers; bone fractures)
* History of heart failure or serious cardiac arrhythmia
* History of myocardial infarction within 6 months of Cycle 1, Day 1
* Clinically significant liver disease, including active viral, alcoholic or other hepatitis, cirrhosis, or current alcohol abuse
* HIV infection
* Primary central nervous system (CNS) malignancy or untreated/active CNS metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control)
* Pregnant or lactating women
* Malignancies other than SCCHN within 5 years prior to randomization, with the exception of adequately treated basal or squamous cell skin cancer and carcinoma in situ of the cervix
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Genentech, Inc.

Locations

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Stanford, California, United States

Site Status

Aurora, Colorado, United States

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Miami, Florida, United States

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Chicago, Illinois, United States

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Paducah, Kentucky, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Boston, Massachusetts, United States

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Saint Joseph, Missouri, United States

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New York, New York, United States

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Chapel Hill, North Carolina, United States

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Charleston, South Carolina, United States

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Knoxville, Tennessee, United States

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Madison, Wisconsin, United States

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Darlinghurst, New South Wales, Australia

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Waratah, New South Wales, Australia

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Wollongong, New South Wales, Australia

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Brisbane, Queensland, Australia

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Kurralta Park, South Australia, Australia

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Melbourne, Victoria, Australia

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Edegem, , Belgium

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Namur, , Belgium

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Pleven, , Bulgaria

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Rousse, , Bulgaria

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Sofia, , Bulgaria

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Clichy, , France

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Lyon, , France

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Villejuif, , France

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Berlin, , Germany

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Essen, , Germany

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Debrecen, , Hungary

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Győr, , Hungary

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Szolnok, , Hungary

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Udine, Friuli Venezia Giulia, Italy

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Milan, Lombardy, Italy

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Milan, Lombardy, Italy

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Orbassano, Piedmont, Italy

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Turin, Piedmont, Italy

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Brasov, , Romania

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Cluj-Napoca, , Romania

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Cluj-Napoca, , Romania

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Timișoara, , Romania

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Barcelona, Barcelona, Spain

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Madrid, Madrid, Spain

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Madrid, Madrid, Spain

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Salamanca, Salamanca, Spain

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Valencia, Valencia, Spain

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Coventry, , United Kingdom

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Glasgow, , United Kingdom

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London, , United Kingdom

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Sutton, , United Kingdom

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Countries

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United States Australia Belgium Bulgaria France Germany Hungary Italy Romania Spain United Kingdom

Other Identifiers

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2011-005539-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GO28076

Identifier Type: -

Identifier Source: org_study_id