Neoadjuvant Chemoimmunotherapy (Camrelizumab + Paclitaxel + Carboplatin) for Resectable HNSCC
NCT07400094 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-02-10
Summary
This phase II study evaluates the efficacy and safety of neoadjuvant chemoimmunotherapy consisting of camrelizumab (PD-1 inhibitor), paclitaxel, and carboplatin in patients with resectable locally advanced (Stage III-IVA) squamous cell carcinoma of the oral cavity and/or larynx.
Fifty patients will receive 3 cycles of therapy (camrelizumab 200 mg IV, paclitaxel 175 mg/m2 IV, carboplatin AUC6 IV, Day 1 every 21 days) followed by radical surgery 4-6 weeks later. Patients are then stratified to risk-adapted adjuvant therapy based on pathological findings (radiation or chemoradiation with cisplatin if adverse features present).
The primary endpoint is the pathological complete response (pCR) rate and major pathological response (MPR, \<10% viable tumor cells) rate at surgery. Secondary endpoints include objective response rate (ORR) by imaging (MRI/PET-CT), correlation of PET-CT metabolic response with pathological response, proportion requiring adjuvant chemoradiation, and 3-year event-free survival compared to historical controls.
Study period: 2026-2029.
Conditions
- Squamous Cell Carcinoma of Head and Neck
- Laryngeal Neoplasms
- Oral Cavity Neoplasm
Interventions
- DRUG
-
Camrelizumab
200 mg IV on Day 1, every 21 days for 3 cycles
- DRUG
-
175 mg/m² IV on Day 1, every 21 days for 3 cycles
- DRUG
-
AUC 6 IV on Day 1, every 21 days for 3 cycles
- PROCEDURE
-
Radical Surgery
Standard radical resection 4-6 weeks after neoadjuvant therapy
Sponsors & Collaborators
-
National Medical Research Radiological Centre of the Ministry of Health of Russia
lead OTHER
Principal Investigators
-
Larisa V. Bolotina, MD, PhD · P.A. Hertsen Moscow Oncology Research Institute
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-28
- Primary Completion
- 2029-02-28
- Completion
- 2029-02-28
Countries
- Russia
Study Locations
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