Evaluating the Efficacy and Safety of Pembrolizumab Plus Standard Chemotherapy in the Neoadjuvant Treatment of Local Advanced (LA) HNSCC
NCT06102395 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 272
Last updated 2023-10-30
Summary
This study is a prospective, open-label, multi-center phase III study; patients with untreated stage IIIA to stage IVB head and neck squamous cell carcinoma (including oral cavity cancer, oropharyngeal cancer, hypopharyngeal cancer, and laryngeal cancer) who meet the inclusion criteria are randomized 1:1 and given pembrolizumab 200 mg d1+ chemotherapy for 2 cycles (experimental group), 2 cycles of chemotherapy (control group), and then stratified according to the patient's condition. If the imaging evaluation after neoadjuvant treatment is (complete response, CR), adjuvant radiotherapy will be given; if the imaging evaluation is (partial response, PR) or (stable disease, SD), surgery (within 2 weeks) will be performed, followed by standard treatment. The main research hypothesis of this study: pembrolizumab combined with standard chemotherapy can significantly improve the rate of pathological complete response (pCR) compared with standard chemotherapy.
Conditions
- Head and Neck Squamous Cell Carcinoma
- Neoadjuvant Therapy
- Pembrolizumab
Interventions
- DRUG
-
Pembrolizumab 200mg, IV, on day1 of Q3W, 2 cycle
- DRUG
-
Cisplatin 75 mg/m\^2, IV, day 1 of Q3W
- DRUG
-
Carboplatin AUC (area under curve) 2, IV, day 1-3 of Q3W
- DRUG
-
Nedaplatin
Nedaplatin 80-100 mg/m\^2, IV, day 2-4 of Q3W
- DRUG
-
Nab paclitaxel
Nab paclitaxel 260 mg/m\^2, IV, day 1 of Q3W
- DRUG
-
Docetaxel 75 mg/m\^2, IV, day 1 of Q3W
- DRUG
-
Liposomal paclitaxel
Liposomal paclitaxel 135-175 mg/m\^2, IV, day 1 of Q3W
- DRUG
-
Fluorouracil 750 mg/m\^2, IV, day 1-5 of Q3W
Sponsors & Collaborators
-
Beijing Tongren Hospital
lead OTHER
Principal Investigators
-
Zhigang Huang · Beijing Tongren Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-01
- Primary Completion
- 2027-04-30
- Completion
- 2030-04-30
Countries
- China
Study Locations
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