A Phase 1/2 Study in Patients With HPV16+ Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma and Other Cancers

NCT ID: NCT04180215

Last Updated: 2025-09-15

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

PHASE1/PHASE2

Total Enrollment

198 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-11

Study Completion Date

2025-01-09

Brief Summary

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This is a First in Human (FIH) Phase I/II, multinational, multicenter, open-label study of HB-201 single vector therapy and HB-201 \& HB-202 two-vector therapy in patients with HPV 16+ confirmed cancers comprising two parts: Phase I Dose Escalation and Phase II Dose Expansion.

Detailed Description

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HB-201 and HB-202 are study drugs which are designed to train the body to recognize and fight substances found in HPV 16+ cancer. This trial studies the safety and anti-cancer effect of HB-201 and HB-202 in people.

The trial is enrolling patients with metastatic/recurrent head and neck cancer who have not yet received treatment in this setting (1L, first line) and who are eligible to receive pembrolizumab as part of their standard of care. This trial is also enrolling patients with metastatic/recurrent head and neck who have received prior treatment in this setting (2L+, second and later line) who are eligible to receive pembrolizumab as part of their standard of care. Patients will receive the study drugs in addition to their pembrolizumab standard of care regimen.

Conditions

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HPV-Related Squamous Cell Carcinoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Ph I, Group 1 and Group 2

Patients with HPV 16+ HNSCC or Non-HNSCC who had tumor progression or recurrence on standard of care therapy.

Group Type EXPERIMENTAL

HB-201 intravenous administration.

Intervention Type DRUG

Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort).

Ph I, Group 3 and Group 4

Patients with HPV 16+ HNSCC or Non-HNSCC who had tumor progression or recurrence on standard of care therapy.

Group Type EXPERIMENTAL

HB-202 intravenous administration alternating with HB-201 intravenous administration.

Intervention Type DRUG

Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort).

Ph II, Group B

Patients with HPV 16+ HNSCC who are eligible to receive immune checkpoint inhibitor as part of standard of care.

Group Type EXPERIMENTAL

HB-201 intravenous administration + standard of care regimen including pembrolizumab.

Intervention Type DRUG

Dose Expansion

Ph II, Group E

Patients with HPV 16+ HNSCC who are eligible to receive pembrolizumab as part of 1L standard of care.

Group Type EXPERIMENTAL

HB-202 / HB-201 alternating intravenous administration + standard of care regimen including pembrolizumab.

Intervention Type DRUG

Dose Expansion

Ph II, Group F

Patients with HPV 16+ cancers who had tumor progression or recurrence on standard of care therapy and who are eligible to receive pembrolizumab as part of 2L+ standard of care..

Group Type EXPERIMENTAL

HB-202 / HB-201 alternating intravenous administration + pembrolizumab.

Intervention Type DRUG

Dose Expansion

Ph I, sub-study

Patients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy

Group Type EXPERIMENTAL

HB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C)

Intervention Type DRUG

Dose escalation; 10 patients

Interventions

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HB-201 intravenous administration.

Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort).

Intervention Type DRUG

HB-202 intravenous administration alternating with HB-201 intravenous administration.

Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort).

Intervention Type DRUG

HB-201 intravenous administration + standard of care regimen including pembrolizumab.

Dose Expansion

Intervention Type DRUG

HB-202 / HB-201 alternating intravenous administration + pembrolizumab.

Dose Expansion

Intervention Type DRUG

HB-202 / HB-201 alternating intravenous administration + standard of care regimen including pembrolizumab.

Dose Expansion

Intervention Type DRUG

HB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C)

Dose escalation; 10 patients

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

All Patients:

* Documentation of confirmed HPV 16+ cancer via genotype testing.
* ≥ 1 measurable lesion by imaging for tumor response following RECIST
* ECOG performance status of 0 to 1.
* Prior curative radiation therapy and prior focal palliative completed per protocol-specified wash-out windows.
* Screening laboratory values must meet protocol-specified criteria.
* Able to provide tumor tissue following last treatment, unless otherwise agreed.

Treatment Group E or Group F:

* Documentation of confirmed head and neck squamous cell carcinoma.
* Eligible to receive pembrolizumab, per standard of care and product label.
* Group E: this group includes first line / 1L patients who have not yet received treatment in the metastatic/recurrent setting.
* Group F: Tumor progression or recurrence on standard of care therapy, including ≥1 systemic therapy.

Imaging Sub-Study (for specific participants at Memorial Sloan Kettering Cancer Center only):

* At least 1 non-irradiated measurable lesion documented through imaging.

Exclusion Criteria

All patients:

* Metastatic central nervous system disease, and/or carcinomatous meningitis.
* Any serious or uncontrolled medical disorder that, in the opinion of the Investigator, may increase the risk associated with study participation / treatment administration.
* Concurrent malignancy that is clinically significant or requires active intervention, unless protocol-defined criteria are met.
* Active, known or suspected, autoimmune or inflammatory disorders requiring immunosuppressive therapy.
* Has a life expectancy of less than 3 months.
* Any toxicities attributed to systemic prior anticancer therapy o that have not resolved to Grade 1 or baseline prior to the first administration of study drug, unless protocol-defined criteria is met.
* Not meeting the protocol-specified washout periods for prohibited medications.
* Prior anaphylactic reaction to or known allergy or hypersensitivity to investigational product(s) or any of the excipients of the investigational product(s).
* Positive hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) antibody, indicating acute or chronic infection.
* Known history of acquired immunodeficiency syndrome.

For patients in Groups E or F and certain backfill cohorts:

* History of severe hypersensitivity reaction to or other contraindication to receiving pembrolizumab.
* History of/Presently having non-infectious pneumonitis requiring treatment.
* Was discontinued due to a Grade 3 or higher immune-related AE (irAE) after receiving prior therapy with check point inhibitors.

Imaging Sub-Study (for specific participants at Memorial Sloan Kettering Cancer Center only):

* Having splenic disorders or prior splenectomy, and can compromise protocol objectives per Investigator and/or Sponsor.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hookipa Biotech GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Head of Clinical Development

Role: STUDY_DIRECTOR

Hookipa Biotech GmbH

Locations

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O'Neal Comprehensive Cancer Center at UAB

Birmingham, Alabama, United States

Site Status

Banner MD Anderson Cancer Center

Gilbert, Arizona, United States

Site Status

University of Arkansas for Medical Sciences, Cancer Institute, Clinical Trials Office

Fayetteville, Arkansas, United States

Site Status

USC/Norris Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

UCLA (University of California, Los Angeles)

Los Angeles, California, United States

Site Status

Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Loyola University Medical School

Maywood, Illinois, United States

Site Status

University of Iowa Hospitals & Clinics

Iowa City, Iowa, United States

Site Status

University of Kansas Medical Center

Fairway, Kansas, United States

Site Status

Henry Ford Hospital

Detroit, Michigan, United States

Site Status

Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Nebraska Methodist Hospital

Omaha, Nebraska, United States

Site Status

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status

Grossman School of Medicine

New York, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

Perlmutter Cancer Center at NYU Langone Hospital-Long Island

New York, New York, United States

Site Status

Montefiore-Einstein Center for Cancer Care

The Bronx, New York, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

Providence Portland Medical Center

Portland, Oregon, United States

Site Status

Greenville Hospital System University Medical Center (ITOR)

Greenville, South Carolina, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

University of Virgina Health System

Charlottesville, Virginia, United States

Site Status

Froedtert Hospital and Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Amsterdam UMC, Locatie VUMC

Amsterdam, , Netherlands

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status

Hospital Universitario Fundacion Jimenez Diaz

Madrid, , Spain

Site Status

Centro Integral Oncologico Clara Campal

Madrid, , Spain

Site Status

Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status

Hospital Universitario Virgen del Rocio

Seville, , Spain

Site Status

Countries

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United States Netherlands Spain

Other Identifiers

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2019-000907-34

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

H-200-001

Identifier Type: -

Identifier Source: org_study_id

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