Patritumab With Cetuximab and a Platinum Agent for Squamous Cell Carcinoma (Cancer) of the Head and Neck (SCCHN )

NCT ID: NCT02633800

Last Updated: 2019-01-07

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

87 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-22

Study Completion Date

2018-02-21

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study will test an investigational study drug called patritumab. It is a 'randomized study' which means participants have an equal chance of being assigned to receive the experimental medication (patritumab) or a substance that looks like the experimental product, but is not (placebo). Patritumab may work when combined with other medications that are approved for the treatment of head and neck cancer. They are called cetuximab, cisplatin or carboplatin. All participants will receive the other medications approved for treatment of head and neck cancer, even if they do not receive the experimental product.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Main objective of the trial:

The main objective of the trial is to evaluate progression-free survival (PFS) in the heregulin (HRG) high expression population from subjects treated with patritumab + cetuximab + platinum-based therapy compared to placebo + cetuximab + platinum-based therapy.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Head and Neck Neoplasms

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Patritumab

All participants receive patritumab with cetuximab plus platinum-based therapy (cisplatin or carboplatin)

Group Type EXPERIMENTAL

Patritumab

Intervention Type DRUG

Patritumab initial loading dose is 18 mg/kg IV over 60 minutes followed by a maintenance dose of 9 mg/kg IV over 60 minutes (± 10 minutes) every three weeks

Cetuximab

Intervention Type DRUG

Cetuximab 400 mg/mg/m\^2 IV loading dose, followed by 250 mg/m\^2 weekly

Cisplatin

Intervention Type DRUG

Cisplatin at 100 mg/m\^2 IV infused over 1 hour, every three weeks up to a maximum of 6 cycles

Carboplatin

Intervention Type DRUG

Carboplatin IV over 30 to 60 minutes, every 3 weeks for a maximum of 6 cycles

Placebo

All participants receive placebo with cetuximab plus platinum-based therapy (cisplatin or carboplatin)

Group Type PLACEBO_COMPARATOR

Cetuximab

Intervention Type DRUG

Cetuximab 400 mg/mg/m\^2 IV loading dose, followed by 250 mg/m\^2 weekly

Cisplatin

Intervention Type DRUG

Cisplatin at 100 mg/m\^2 IV infused over 1 hour, every three weeks up to a maximum of 6 cycles

Carboplatin

Intervention Type DRUG

Carboplatin IV over 30 to 60 minutes, every 3 weeks for a maximum of 6 cycles

Placebo

Intervention Type DRUG

Placebo to match patritumab

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Patritumab

Patritumab initial loading dose is 18 mg/kg IV over 60 minutes followed by a maintenance dose of 9 mg/kg IV over 60 minutes (± 10 minutes) every three weeks

Intervention Type DRUG

Cetuximab

Cetuximab 400 mg/mg/m\^2 IV loading dose, followed by 250 mg/m\^2 weekly

Intervention Type DRUG

Cisplatin

Cisplatin at 100 mg/m\^2 IV infused over 1 hour, every three weeks up to a maximum of 6 cycles

Intervention Type DRUG

Carboplatin

Carboplatin IV over 30 to 60 minutes, every 3 weeks for a maximum of 6 cycles

Intervention Type DRUG

Placebo

Placebo to match patritumab

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

U3-1287 Platinum-based therapy Platinum-based therapy

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Has histologically confirmed recurrent disease or metastatic SCCHN tumor and/or from its lymph nodal metastases originating from the oral cavity, oropharynx, hypopharynx, and larynx
* Has or be willing to provide tumor tissue for testing
* Has measurable disease per Response Evaluation Criteria in Solid Tumor (RECIST) version 1.1
* Has Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
* Has adequate hematological function per protocol
* Has adequate renal function per protocol
* Has adequate hepatic function per protocol
* Agrees to use effective contraception while on the study and for 6-months after the end of the study
* Provides written informed consent(s)

Exclusion Criteria

* Has left ventricular ejection fraction (LVEF) \<50%
* Had prior epidermal growth factor receptor (EGFR) targeted regimen
* Had prior anti-human epidermal growth factor receptor 3 (anti-HER3) therapy
* Had prior chemotherapy for recurrent/metastatic disease
* Had anti-cancer therapy between biopsy and submission of sample
* Has history of other malignancies, except adequately treated non-melanoma skin cancer, curatively treated in-situ disease, or other solid tumors curatively treated with no evidence of disease for ≥ 2 years
* Has known history of brain metastases or active brain metastases
* Has uncontrolled hypertension
* Has clinically significant electrocardiograph (ECG) findings
* Had myocardial infarction within 1 year before enrollment, symptomatic congestive heart failure, unstable angina, or arrhythmia requiring medication
* Had platinum-containing drug therapy with radiotherapy less than 6 months before study drug treatment
* Had therapeutic or palliative radiation therapy or major surgery within 4 weeks before study drug treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Daiichi Sankyo

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Kevin Harrington, Prof, MD

Role: PRINCIPAL_INVESTIGATOR

Royal Marsden NHS Foundation Trust

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Institut Jules Bordet

Brussels, , Belgium

Site Status

Univeristair Ziekenhuis Antwerpen

Edegem, , Belgium

Site Status

UZ Leuven

Leuven, , Belgium

Site Status

Institut Curie

Paris, Cedex, France

Site Status

Institut de Cancerologie de l'Ouest

Angers, , France

Site Status

Centre Hospitalier de Bordeaux - Hôpital Saint André

Bordeaux, , France

Site Status

Hopital Croix-Rousse

Lyon, , France

Site Status

Centre Leon Berard

Lyon, , France

Site Status

CHU Hopital de la Timone

Marseille, , France

Site Status

Hopital Saint Joseph

Marseille, , France

Site Status

Centre de Cancerologie du Grand Montpellier

Montpellier, , France

Site Status

Institut de Cancerologie de l'Ouest

Saint-Herblain, , France

Site Status

Gustave Roussy

Villejuif, , France

Site Status

Charite Universitatsmedizin Berlin

Berlin, , Germany

Site Status

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status

Klinikum der Universitat Munchen

München, , Germany

Site Status

Orszagos Onkologiai Intezet

Budapest, , Hungary

Site Status

Debreceni Egyetem Orvos-es Egeszsegtudomanyi Centrum

Debrecen, , Hungary

Site Status

Bacs-Kiskun Megyei Korhaz

Kecskemét, , Hungary

Site Status

Borsod Abauj Zemplen Megyei Korhaz es Egyetemi Oktato Korhaz

Miskolc, , Hungary

Site Status

Josa Andras Oktatokorhaz

Nyíregyháza, , Hungary

Site Status

Centrum Onkologii im. Prof. Franciszka Lukaszczyka w Bydgoszczy

Bydgoszcz, , Poland

Site Status

Przychodnia Lekarska "KOMED"

Konin, , Poland

Site Status

Regionalny Osrodek Onkologiczny Szpital im. M. Kopernika w Lodzi

Lodz, , Poland

Site Status

Medisprof SRL

Cluj-Napoca, , Romania

Site Status

Centrul de Oncologie Sfantul Nectarie

Craiova, , Romania

Site Status

Institutul Regional de Oncologie Iasi

Iași, , Romania

Site Status

University College London Hospitals NHS Foundation Trust - University College Hospital

London, , United Kingdom

Site Status

Guy's and St Thomas' NHS Foundation Trust - St Thomas' Hospital

London, , United Kingdom

Site Status

The Royal Marsden NHS Foundation Trust

London, , United Kingdom

Site Status

Weston Park Hospital

Sheffield, , United Kingdom

Site Status

The Shrewsbury and Telford Hospital NHS Trust

Shrewsbury, , United Kingdom

Site Status

Southampton General Hospital

Southampton, , United Kingdom

Site Status

The Royal Marsden NHS Foundation Trust

Sutton, , United Kingdom

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Belgium France Germany Hungary Poland Romania United Kingdom

References

Explore related publications, articles, or registry entries linked to this study.

Barber PR, Mustapha R, Flores-Borja F, Alfano G, Ng K, Weitsman G, Dolcetti L, Suwaidan AA, Wong F, Vicencio JM, Galazi M, Opzoomer JW, Arnold JN, Thavaraj S, Kordasti S, Doyle J, Greenberg J, Dillon MT, Harrington KJ, Forster M, Coolen ACC, Ng T. Predicting progression-free survival after systemic therapy in advanced head and neck cancer: Bayesian regression and model development. Elife. 2022 Dec 23;11:e73288. doi: 10.7554/eLife.73288.

Reference Type DERIVED
PMID: 36562609 (View on PubMed)

Forster MD, Dillon MT, Kocsis J, Remenar E, Pajkos G, Rolland F, Greenberg J, Harrington KJ. Patritumab or placebo, with cetuximab plus platinum therapy in recurrent or metastatic squamous cell carcinoma of the head and neck: A randomised phase II study. Eur J Cancer. 2019 Dec;123:36-47. doi: 10.1016/j.ejca.2019.08.017. Epub 2019 Oct 21.

Reference Type DERIVED
PMID: 31648099 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2015-002222-40

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U31287-A-U203

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.