Induction Immunochemotherapy in Stage III-IVa Head and Neck Cancer

NCT ID: NCT05551767

Last Updated: 2022-09-23

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-30

Study Completion Date

2024-12-30

Brief Summary

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patients with locally advanced cancer of oropharynx, hypopharynx or larynx and CPS\>1 will recieve 3 cycles of induction immunochemotherapy with platinum, 5-FU and pembrolizumab followed by (chemo)radiation.

Detailed Description

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patients with locally advanced cancer of oropharynx, hypopharynx or larynx and CPS\>1 will recieve 3 cycles of induction immunochemotherapy with platinum (cisplatin 75 mg\\m2, 5-FU 1000 mg/m2/day 96-hour infusion and pembrolizumab 200 mg) followed by (chemo)radiation. Effect of induction therapy will be assesed by PET/CT and by endoscopic evaluation with biopsy of suspected residual tumor. Managemant of any residual tumor will be performed according with local rules and standards.

Conditions

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Neck Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

3 cycles of induction immunochemotherapy with platinum (cisplatin 75 mg\\m2, 5-FU 1000 mg/m2/day 96-hour infusion and pembrolizumab 200 mg) followed by (chemo)radiation.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental arm

3 cycles of induction immunochemotherapy with platinum (cisplatin 75 mg\\m2, 5-FU 1000 mg/m2/day 96-hour infusion and pembrolizumab 200 mg) followed by (chemo)radiation. Effect of induction therapy will be assesed by PET/CT and by endoscopic evaluation with biopsy of suspected residual tumor. Managemant of any residual tumor will be performed according with local rules and standards.

Group Type EXPERIMENTAL

Pembrolizumab

Intervention Type DRUG

3 cycles of induction immunochemotherapy with platinum (cisplatin 75 mg\\m2, 5-FU 1000 mg/m2/day 96-hour infusion and pembrolizumab 200 mg)

Interventions

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Pembrolizumab

3 cycles of induction immunochemotherapy with platinum (cisplatin 75 mg\\m2, 5-FU 1000 mg/m2/day 96-hour infusion and pembrolizumab 200 mg)

Intervention Type DRUG

Other Intervention Names

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cisplatin and 5-FU

Eligibility Criteria

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Inclusion Criteria

* Squamous cell cancer of oropharynx (p16+: T0-3N3, T4N0-3, p16- : T3-4aN0-1, T1-4aN2-3), hypopharynx (T2-3N0-3, T1N+, T4aN0-3) or larynx III-IVa (T1-2N2-3, T3N2-3, T4aN0-3) , TNM8 staging classification;
* Tumor is morphlogically confirmed;
* CPS\>1 (22C3 clone);
* ECOG 0-2;
* Age above 18 years;
* Signed Informed consent form.

Exclusion Criteria

* Cancer of nasopharynx;
* Non-squamous cell carcimomas or absense of morphological confirmation of squamous cell cancer;
* Stages I or II;
* ECOG\>=3.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Moscow City Oncology Hospital No. 62

OTHER_GOV

Sponsor Role collaborator

Moscow Clinical Scientific Center

OTHER

Sponsor Role collaborator

City Clinical Oncology Hospital No 1

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vsevolod N Galkin, Professor

Role: PRINCIPAL_INVESTIGATOR

City Clinical Oncology Hospital No 1

Locations

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Moscow Clinical Scientific Center named after Loginov

Moscow, , Russia

Site Status RECRUITING

City clinical oncology hospital 1

Moscow, , Russia

Site Status RECRUITING

Moscow City Oncology Hospital No 62

Moscow, , Russia

Site Status RECRUITING

Countries

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Russia

Central Contacts

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Ilya А Pokataev

Role: CONTACT

+79262858986

Olesya Stativko

Role: CONTACT

+79061522724

Facility Contacts

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Ludmila G Zhukova

Role: primary

Ilya A Pokataev

Role: primary

+79262858986

Daniil L Stroyakovsky

Role: primary

Other Identifiers

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HN01

Identifier Type: -

Identifier Source: org_study_id

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