Pembrolizumab Plus Epacadostat, Pembrolizumab Monotherapy, and the EXTREME Regimen in Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma (KEYNOTE-669/ECHO-304)
NCT03358472 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 89
Last updated 2025-12-03
Summary
The purpose of this study was to evaluate the efficacy and safety of pembrolizumab plus epacadostat, pembrolizumab monotherapy, and the EXTREME regimen (cetuximab + cisplatin or carboplatin + 5-fluorouracil) as first-line treatment for recurrent or metastatic head and neck squamous cell carcinoma (HNSCC).
Conditions
Interventions
- DRUG
-
Pembrolizumab administered intravenously every 3 weeks.
- DRUG
-
Epacadostat
Epacadostat administered orally twice daily.
- DRUG
-
Cetuximab administered intravenously on Cycle 1 Day 1 followed by administration every week.
- DRUG
-
Cisplatin administered intravenously every 3 weeks for \</= 6 cycles.
- DRUG
-
Carboplatin administered intravenously every 3 weeks for \</= 6 cycles.
- DRUG
-
5-Fluorouracil administered intravenously every 3 weeks for \</= 6 cycles.
Sponsors & Collaborators
- collaborator INDUSTRY
- lead INDUSTRY
Principal Investigators
-
Mark Jones, MD · Incyte Corporation
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-12-01
- Primary Completion
- 2018-07-19
- Completion
- 2025-10-30
- FDA Drug
- Yes
Countries
- United States
- Australia
- Austria
- Canada
- Hungary
- Italy
- Japan
- Poland
- Portugal
- South Korea
- Spain
- Taiwan
- Turkey (Türkiye)
- United Kingdom
Study Locations
More Related Trials
-
An Immuno-therapy Study of Nivolumab in Combination With Experimental Medication BMS-986205 Compared to Standard of Care EXTREME Regimen in First-line Recurrent/Metastatic Squamous Cell Carcinoma of Head and Neck
NCT03386838 ·Status: WITHDRAWN ·Phase: PHASE3
-
Pembrolizumab & Cabozantinib in Patients With Head and Neck Squamous Cell Cancer
NCT03468218 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Study of MK-3475 (Pembrolizumab) in Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma After Treatment With Platinum-based and Cetuximab Therapy (MK-3475-055/KEYNOTE-055)
NCT02255097 ·Status: COMPLETED ·Phase: PHASE2
-
Study of GSK3359609 With Pembrolizumab and 5-fluorouracil (5-FU)-Platinum Chemotherapy in Participants With Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma
NCT04428333 ·Status: TERMINATED ·Phase: PHASE3
-
Pembrolizumab Combined With Cetuximab for Treatment of Recurrent/Metastatic Head & Neck Squamous Cell Carcinoma
NCT03082534 ·Status: COMPLETED ·Phase: PHASE2
-
Enoblituzumab Plus Retifanlimab or Tebotelimab in Head and Neck Cancer
NCT04634825 ·Status: TERMINATED ·Phase: PHASE2
-
Study of Nivolumab in Combination With Ipilimumab Compared to the Standard of Care (Extreme Regimen) as First Line Treatment in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck
NCT02741570 ·Status: COMPLETED ·Phase: PHASE3
-
Carboplatin, Paclitaxel, Cetuximab, and Erlotinib Hydrochloride in Treating Patients With Metastatic or Recurrent Head and Neck Squamous Cell Cancer
NCT01316757 ·Status: COMPLETED ·Phase: PHASE2
-
Pembrolizumab + Radiation for Locally Adv SCC of the Head and Neck (SCCHN) Not Eligible Cisplatin
NCT02609503 ·Status: COMPLETED ·Phase: PHASE2
-
AK117 (Anti-CD47) + Anti-EGFR for R/M HNSCC
NCT06508606 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
Pembrolizumab (MK-3475) Versus Standard Treatment for Recurrent or Metastatic Head and Neck Cancer (MK-3475-040/KEYNOTE-040)
NCT02252042 ·Status: COMPLETED ·Phase: PHASE3
-
Study of GSK3359609 and Pembrolizumab in Programmed Death Receptor 1-ligand 1 (PD-L1) Positive Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma
NCT04128696 ·Status: TERMINATED ·Phase: PHASE3
-
AMD3100 Plus Pembrolizumab in Immune Checkpoint Blockade Refractory Head and Neck Squamous Cell Carcinoma
NCT04058145 ·Status: WITHDRAWN ·Phase: PHASE2
-
Radiotherapy Plus Panitumumab Compared to Chemoradiotherapy With Unresected, Locally Advanced Squamous Cell Carcinoma of the Head and Neck
NCT00547157 ·Status: COMPLETED ·Phase: PHASE2
-
Study on the Efficacy of Treatment by Radiotherapy and Pembrolizumab in Newly Diagnosed Metastatic Head & Neck Cancers
NCT04747054 ·Status: RECRUITING ·Phase: PHASE3
-
Study of Front Line Pembrolizumab and Valemetostat in PD-L1 Positive, HPV-Negative Recurrent/Metastatic Squamous Cell Carcinoma (SCC) of the Head and Neck: The PANTHERAS
NCT05879484 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Pembrolizumab, INCB081776, and Radiation Therapy for Head and Neck Squamous Cell Carcinoma
NCT06308913 ·Status: ACTIVE_NOT_RECRUITING ·Phase: EARLY_PHASE1
-
Testing the Addition of an Anti-cancer Drug, Ipatasertib, to the Usual Immunotherapy Treatment (Pembrolizumab) in Patients With Recurrent or Metastatic Squamous Cell Cancer of the Head and Neck
NCT05172258 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Study of Pembrolizumab (MK-3475) Plus Platinum and Gemcitabine as First Line Treatment of Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma (PIPER)
NCT05286619 ·Status: RECRUITING ·Phase: PHASE2
-
Assessment of Efficacy and Safety of Monalizumab Plus Cetuximab Compared to Placebo Plus Cetuximab in Recurrent or Metastatic Head and Neck Cancer
NCT04590963 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Pepinemab in Combination With Pembrolizumab in Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck
NCT04815720 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Study of Cetuximab Plus/Minus Weekly Paclitaxel After Progression To First-Line Pembrolizumab Plus Platinum-5FU in Subjects With Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck.
NCT06856213 ·Status: RECRUITING ·Phase: PHASE2
-
Pembrolizumab Plus Olaparib in LA-HNSCC
NCT05366166 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
PembROlizumab With or Without Microbial EcOsystem ThErapeutic 4 (MET4) in Advanced Head and Neck Squamous Cell Carcinoma
NCT05743777 ·Status: WITHDRAWN ·Phase: PHASE2
-
Cetuximab Plus Cisplatin in Treating Patients With Metastatic or Recurrent Cancer of the Head and Neck That Has Not Responded to Cisplatin Chemotherapy
NCT00004865 ·Status: COMPLETED ·Phase: PHASE2