Los Tres Paso: Neoadjuvant Palbociclib Monotherapy, Concurrent Chemoradiation Therapy, Adjuvant Palbociclib Monotherapy in Patients With p16INK4a Negative, HPV-Unrelated Head and Neck Squamous Cell Carcinoma
NCT03389477 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 26
Last updated 2026-04-21
Summary
The purpose of this study is to evaluate the results of treating patients with HPV-unrelated head and neck squamous cell carcinoma with neoadjuvant single-agent palbociclib, followed by chemoradiation (either cisplatin + IMRT or cetuximab + IMRT depending on patient characteristics), followed by adjuvant single-agent palbociclib.
Conditions
Interventions
- DRUG
-
Palbociclib is an oral drug available as capsules (or as liquid suspension). The capsules should be taken with food
- DRUG
-
-Cetuximab must not be administered as an IV push or bolus
- DRUG
-
-Patients will receive cisplatin via intravenous (IV) infusion over 60 minutes.
- RADIATION
-
Intensity-Modulated Radiation Therapy
-Once daily fractions Monday through Friday, with one additional fraction of RT administered on (preferably) Fridays
- PROCEDURE
-
Tumor biopsy
* Tumor tissue will be collected at baseline and then after two cycles of neoadjuvant palbociclib monotherapy * If the patient has been previously enrolled in Washington University's TAP protocol (head and neck bank, HRPO #201102323), tissue that has been banked may be accessed in lieu of fresh biopsy at baseline.
- PROCEDURE
-
Peripheral blood draw
Baseline and post-treatment
Sponsors & Collaborators
- collaborator INDUSTRY
-
Washington University School of Medicine
lead OTHER
Principal Investigators
-
Douglas R Adkins, M.D. · Washington University School of Medicine
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-04-27
- Primary Completion
- 2022-02-15
- Completion
- 2027-04-06
- FDA Drug
- Yes
Countries
- United States
Study Locations
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