Two-cohort Study of Niraparib and Dostarlimab Plus (Chemo)RadIotherapy in Locally-Advanced Head and Neck Squamous Cell Carcinoma
NCT05784012 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 34
Last updated 2025-03-13
Summary
Multi-center, open-label, non-randomized, non-comparative two-cohort study for patients with locally-advanced squamous cell carcinoma arising from the larynx, hypopharynx, oropharynx (Stage III, IVA and IVB according to 8th TNM/AJCC ed.) and oral cavity (unresectable, stage IVB according to 8th TNM/ American Joint Committee on Cancer (AJCC) ed.) who are candidates for definitive radiotherapy plus cisplatin (Cohort A) or as single-modality (in cisplatin unfit patient population) (Cohort B) and will receive dostarlimab and niraparib in combination pre-, during and post- radiation.
Study has three parts:
1. Neoadjuvant phase (immune-conditioning phase): patients will receive 1 dose of dostarlimab + niraparib from day -14 prior to radiotherapy (up to 48h prior to radiotherapy (RT) in Cohort A and until RT in Cohort B).
2. Concurrent phase (radiosensitization): patients will receive definitive radiotherapy (70Gy in 35 fractions) with concurrent cisplatin (Cohort A) or with concurrent niraparib (Cohort B).
3. Maintenance: Following radiotherapy, patients will receive adjuvant dostarlimab plus niraparib until week 48 (37 cycles) in both cohorts.
Conditions
Interventions
- DRUG
-
Dostarlimab
Dostarlimab 500 mg IV every 21 days in neoadjuvant and adjuvant stage.
- DRUG
-
Niraparib
Niraparib 200 or 300mg orally administered QD in neoadjuvant, concurrent with radiotherapy and adjuvant stage until completing week 48.
- DRUG
-
cisplatin plus radiotherapy
In the concurrent phase
- DRUG
-
Niraparib
Niraparib 200 or 300mg orally administered QD (Neoadjuvant and Maintenance stages).
Sponsors & Collaborators
- collaborator INDUSTRY
-
MFAR
collaborator OTHER -
Grupo Español de Tratamiento de Tumores de Cabeza y Cuello
lead OTHER
Principal Investigators
-
Marc Oliva, M.D. · Institut Català D´Oncologia (ICO) Hospitalet de Llobregat
-
Ricard Mesia, M.D. Ph.D. · Institut Català d''Oncologia (ICO) Badalona
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-08
- Primary Completion
- 2027-09-30
- Completion
- 2029-03-31
Countries
- Spain
Study Locations
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