A Study of Amivantamab Alone or in Addition to Other Treatment Agents in Participants With Head and Neck Cancer

NCT ID: NCT06385080

Last Updated: 2025-11-10

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

287 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-22

Study Completion Date

2032-12-27

Brief Summary

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The purpose of this study is to determine safety and preliminary efficacy of amivantamab monotherapy, amivantamab in addition to pembrolizumab, amivantamab in addition to paclitaxel and amivantamab in addition to pembrolizumab and carboplatin in participants with recurrent/metastatic head and neck cancer. The study will also confirm the recommended Phase 2 combination dose (RP2CD) for amivantamab in addition to paclitaxel. The safety and preliminary efficacy of amivantamab in addition to pembrolizumab will also be determined in perioperative (before and after surgery) setting in participants with resectable locally advanced head and neck squamous cell carcinoma (HNSCC).

Detailed Description

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Conditions

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Squamous Cell Carcinoma of Head and Neck

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 2: Amivantamab + Pembrolizumab (Dose Expansion Including Safety Run-in)

Participants will receive subcutaneous injection of amivantamab 1600 mg (2240 mg, if body weight \>=80 kg) on Cycle 1 Day 1 and 2400 mg (3360 mg, if body weight \>=80 kg) q1w for the remainder of Cycle 1 (Days 8 and 15), and q3w from Cycle 2 onwards, along with intravenous (IV) injection of pembrolizumab 200 mg q3w (on Day 1 of each 21-day cycle).

Group Type EXPERIMENTAL

Amivantamab

Intervention Type BIOLOGICAL

Amivantamab will be administered subcutaneously.

Pembrolizumab

Intervention Type BIOLOGICAL

Pembrolizumab will be administered intravenously.

Cohort 5: Pembrolizumab + Amivantamab + Carboplatin (Dose Expansion)

Participants will receive subcutaneous injection of amivantamab 1600 mg (2240 mg, if body weight \>=80 kg) on Cycle 1 Day 1 and 2400 mg (3360 mg, if body weight \>=80 kg) q1w for the remainder of Cycle 1 (Days 8 and 15), and q3w from Cycle 2 onwards in addition to intravenous injection of pembrolizumab 200 mg on Day 1 of each cycle, and carboplatin (area under the concentration-time curve \[AUC\] 5 milligram per milliliter \[mg/ml\]\*min) q3w on Day 1 of Cycles 1-6.

Group Type EXPERIMENTAL

Amivantamab

Intervention Type BIOLOGICAL

Amivantamab will be administered subcutaneously.

Pembrolizumab

Intervention Type BIOLOGICAL

Pembrolizumab will be administered intravenously.

Carboplatin

Intervention Type DRUG

Carboplatin will be administered intravenously.

Cohort 3A (Dose Confirmation): Amivantamab + Paclitaxel

Participants will receive subcutaneous injection of amivantamab 1600 mg (2240 mg, if body weight \>=80 kg) on Cycle 1 Day 1 and 2400 mg (3360 mg, if body weight \>=80 kg) q1w for the remainder of Cycle 1 (Days 8 and 15), and q3w from Cycle 2 onwards, along with intravenous injection of paclitaxel 175 mg/m\^2 q3w (on Day 1 of each 21-day cycle) in dose confirmation Cohort 3A. The recommended Phase 2 combination dose (RP2CD) of amivantamab will be determined in conjunction with study evaluation team (SET) in this dose confirmation Cohort 3A.

Group Type EXPERIMENTAL

Amivantamab

Intervention Type BIOLOGICAL

Amivantamab will be administered subcutaneously.

Paclitaxel

Intervention Type DRUG

Paclitaxel will be administered intravenously.

Cohort 3B (Dose Expansion): Amivantamab + Paclitaxel

Participants will receive subcutaneous injection of amivantamab at the determined RP2CD in addition to intravenous injection of paclitaxel 175 mg/m\^2 q3w (on Day 1 of each 21-day cycle) as confirmed by SET in Cohort 3A.

Group Type EXPERIMENTAL

Amivantamab

Intervention Type BIOLOGICAL

Amivantamab will be administered subcutaneously.

Paclitaxel

Intervention Type DRUG

Paclitaxel will be administered intravenously.

Cohort 4: Amivantamab Monotherapy

Participants will receive subcutaneous injection of amivantamab monotherapy 1600 mg (2240 mg, if body weight \>=80 kg) on Cycle 1 Day 1 and 2400 mg (3360 mg, if body weight \>=80 kg) q1w for the remainder of Cycle 1 (Days 8 and 15), and q3w from Cycle 2 onwards.

Group Type EXPERIMENTAL

Amivantamab

Intervention Type BIOLOGICAL

Amivantamab will be administered subcutaneously.

Cohort 1: Amivantamab Monotherapy (Dose Expansion)

Participants will receive subcutaneous injection of amivantamab monotherapy 1600 milligrams (mg) (2240 mg, if body weight \>=80 kilograms \[kg\]) on Cycle 1 Day 1 and 2400 mg (3360 mg, if body weight \>=80 kg) once every week (q1w) for the remainder of Cycle 1 (Days 8 and 15), and every 3 weeks (q3w) from Cycle 2 onwards.

Group Type EXPERIMENTAL

Amivantamab

Intervention Type BIOLOGICAL

Amivantamab will be administered subcutaneously.

Cohort 6: Amivantamab + Pembrolizumab

Participants will receive subcutaneous injection of amivantamab 1600 mg (2240 mg, if body weight \>=80 kg) on Cycle 1 Day 1 and 2400 mg (3360 mg, if body weight \>=80 kg) q1w for the remainder of Cycle 1 (Days 8 and 15), and q3w from Cycle 2, along with intravenous injection of pembrolizumab 200 mg q3w (on Day 1 of each 21-day cycle) (Neoadjuvant Phase). In the adjuvant phase, pembrolizumab IV (200 mg) will be administered q3w from Adjuvant Cycle 1 Day 1 to Adjuvant Cycle 15 Day 1 and amivantamab SC 2,400 mg (3,360 mg for \>80 kg) will be administered q3w from Adjuvant Cycle 4 Day 1 to Adjuvant Cycle 15 Day 1.

Group Type EXPERIMENTAL

Amivantamab

Intervention Type BIOLOGICAL

Amivantamab will be administered subcutaneously.

Pembrolizumab

Intervention Type BIOLOGICAL

Pembrolizumab will be administered intravenously.

Interventions

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Amivantamab

Amivantamab will be administered subcutaneously.

Intervention Type BIOLOGICAL

Pembrolizumab

Pembrolizumab will be administered intravenously.

Intervention Type BIOLOGICAL

Paclitaxel

Paclitaxel will be administered intravenously.

Intervention Type DRUG

Carboplatin

Carboplatin will be administered intravenously.

Intervention Type DRUG

Other Intervention Names

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JNJ-61186372 KEYTRUDA TAXOL PARAPLATIN

Eligibility Criteria

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Inclusion Criteria

* Cohorts 1 to 5: Have histologically or cytologically confirmed recurrent/metastatic head and neck squamous cell carcinoma (R/M HNSCC) that is considered incurable by local therapies or for Cohort 6: have histologically or cytologically confirmed locally advanced (L/A) HNSCC that is considered curable by surgery Acceptable prior lines of therapy will be determined according to specific cohort 1, 2, 3A and 3B: (a) The eligible primary tumor locations are the oropharynx, oral cavity, hypopharynx, or larynx; (b) Any known p16 status of tumor must be negative (Note: All participants with an oropharyngeal tumor must have results of p16 status, per local testing); (c) Participants must provide local testing results of programmed cell death ligand 1 (PD-L1) status, if available; Cohort 4: (d) Patients must have primary tumor location in oropharynx. Unknown primary tumors are not included (e) Primary tumor must be HPV-positive, confirmed by positive p16 test or high-risk human papillomavirus (HPV) in-situ hybridization (ISH) in tissue (current or archival) (f) Participants must provide local testing results of PD-L1 status, if available; Cohort 5 (g) The eligible primary tumor locations are the oropharynx, oral cavity, hypopharynx, or larynx; (h) HPV status must be known (either positive or negative) for patients with primary tumor location in oropharynx with p16 test or high-risk HPV ISH in tissue; (i) Participants must provide local testing results of PD-L1 status; Cohort 6: (j) The eligible primary tumor locations are the oropharynx, oral cavity, hypopharynx, or larynx; (k) Any known p16 status of tumor must be negative Note: All participants with an oropharyngeal tumor must have results of p16 status, per local testing Participants must provide local testing results of PD-L1 status (l) Participants must have Stage III or IVa disease (American Joint Committee on Cancer Staging Manual, 8th edition). Participants must have resectable disease
* Participants in Cohorts 1, 2, 3B, 4 and 5 must have measurable disease according to RECIST version 1.1. Participants in Cohort 3A and Cohort 6 must have evaluable disease (defined as having at least 1 non-target lesion according to RECIST version 1.1.
* Cohorts 1, 2, 3A, 3B, 4, and 5 only: Toxicities from previous anticancer therapies should have resolved to baseline levels or to Grade 1 or less prior to the first dose of study treatment (except for alopecia or post-radiation skin changes \[any grade\], Grade less than or equal to \[\<=\]2 peripheral neuropathy and Grade \<=2 hypothyroidism stable on hormone replacement)
* Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
* Participant must have adequate organ and bone marrow function as follows, without history of red blood cell transfusion, platelet transfusion, or use of granulocyte colony-stimulating factor within 7 days prior to the date of the laboratory test.

Participants should have: a) Hemoglobin \>=9 grams per deciliter (g/dL); b) Neutrophils \>=1.5 x 10\^3/mcg; c) Platelets \>=100 x 10\^3/mcg

Exclusion Criteria

* Uncontrolled illness including any medical history or current (non-infectious) interstitial lung disease (ILD)/ pneumonitis/ pulmonary fibrosis, or where suspected ILD/pneumonitis/pulmonary fibrosis cannot be ruled out by imaging at screening
* Participant with untreated brain metastases leptomeningeal disease, or spinal cord compression not definitively treated with surgery or radiation
* Participant with a history of clinically significant cardiovascular disease
* Received prior chemotherapy, targeted cancer therapy, immunotherapy, or treatment with an investigational anticancer agent within 2 weeks or 4 half-lives, whichever is longer, before the first administration of study treatment. The maximum required washout is 28 days
* Received radiotherapy for palliative purposes within 7 days of the first administration of study treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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University of California at San Diego Moores Cancer Center

La Jolla, California, United States

Site Status COMPLETED

University of Colorado Denver Anschultz Medical Campus

Aurora, Colorado, United States

Site Status RECRUITING

Yale Cancer Center

New Haven, Connecticut, United States

Site Status RECRUITING

The University of Chicago Medical Center (UCMC)

Chicago, Illinois, United States

Site Status RECRUITING

University of Maryland School of Medicine

Baltimore, Maryland, United States

Site Status RECRUITING

University of Michigan Rogel Cancer Center

Ann Arbor, Michigan, United States

Site Status RECRUITING

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status RECRUITING

Washington University School Of Medicine

St Louis, Missouri, United States

Site Status RECRUITING

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status RECRUITING

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status RECRUITING

Cleveland Clinic

Cleveland, Ohio, United States

Site Status RECRUITING

University of Utah Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status RECRUITING

University of Virginia

Charlottesville, Virginia, United States

Site Status RECRUITING

Virginia Cancer Specialists

Fairfax, Virginia, United States

Site Status RECRUITING

Beijing Cancer Hospital of Peking University

Beijing, , China

Site Status RECRUITING

West China School of Medicine/West China Hospital, Sichuan University

Cheng Du Shi, , China

Site Status RECRUITING

Linyi Cancer Hospital

Linyi, , China

Site Status RECRUITING

Fudan Cancer Hospital

Shanghai, , China

Site Status RECRUITING

Shanghai East Hospital

Shanghai, , China

Site Status RECRUITING

Union Hospital Tongji Medical College of Huazhong University of Science and Technology

Wuhan, , China

Site Status RECRUITING

Institut Sainte Catherine

Avignon, , France

Site Status RECRUITING

Centre Oscar Lambret

Lille, , France

Site Status RECRUITING

CHU Nantes

Nantes, , France

Site Status RECRUITING

Institut Curie

Paris, , France

Site Status RECRUITING

Gustave Roussy

Villejuif, , France

Site Status RECRUITING

Universitaetsklinikum Essen

Essen, , Germany

Site Status RECRUITING

Universitaetsklinikum Leipzig

Leipzig, , Germany

Site Status RECRUITING

Klinikum der Landeshauptstadt Stuttgart

Stuttgart, , Germany

Site Status RECRUITING

Aichi Cancer Center

Nagoya, , Japan

Site Status RECRUITING

Tokyo Medical University Hospital

Tokyo, , Japan

Site Status RECRUITING

Pantai Hospital Kuala Lumpur

Kuala Lumpur, , Malaysia

Site Status RECRUITING

University Malaya Medical Centre

Kuala Lumpur, , Malaysia

Site Status RECRUITING

Uniwersyteckie Centrum Kliniczne

Gdansk, , Poland

Site Status RECRUITING

Centrum Onkologii Instytut im M Sklodowskiej Curie Oddzial w Gliwicach

Gliwice, , Poland

Site Status RECRUITING

Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy

Warsaw, , Poland

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Severance Hospital Yonsei University Health System

Seoul, , South Korea

Site Status RECRUITING

Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Hosp Univ Vall D Hebron

Barcelona, , Spain

Site Status RECRUITING

Inst. Cat. Doncologia-H Duran I Reynals

Barcelona, , Spain

Site Status RECRUITING

Hosp. Univ. Ramon Y Cajal

Madrid, , Spain

Site Status RECRUITING

Hosp. Univ. 12 de Octubre

Madrid, , Spain

Site Status RECRUITING

Changhua Christian Hospital

Changhua, , Taiwan

Site Status RECRUITING

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, , Taiwan

Site Status RECRUITING

National Taiwan University Hospital

Taipei, , Taiwan

Site Status RECRUITING

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status RECRUITING

Linkou Chang Gung Memorial Hospital

Taoyuan District, , Taiwan

Site Status RECRUITING

Addenbrooke's Hospital

Cambridge, , United Kingdom

Site Status RECRUITING

The Royal Surrey County Hospital NHS Foundation Trust

Guildford, , United Kingdom

Site Status RECRUITING

Royal Marsden Hospital

London, , United Kingdom

Site Status RECRUITING

Imperial College London and Imperial College Healthcare NHS Trust

London, , United Kingdom

Site Status RECRUITING

University College London Hospitals

London, , United Kingdom

Site Status RECRUITING

The Christie Nhs Foundation Trust

Manchester, , United Kingdom

Site Status RECRUITING

Royal Marsden Hospital

Sutton, , United Kingdom

Site Status RECRUITING

Countries

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United States China France Germany Japan Malaysia Poland South Korea Spain Taiwan United Kingdom

Central Contacts

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Study Contact

Role: CONTACT

Phone: 844-434-4210

Email: [email protected]

Other Identifiers

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61186372HNC2002

Identifier Type: OTHER

Identifier Source: secondary_id

2023-508418-40-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

61186372HNC2002

Identifier Type: -

Identifier Source: org_study_id