Adebrelimab Combined With Dalpiciclib Isethionate Plus Chemotherapy for Neoadjuvant Treatment of Locally Advanced Head and Neck Squamous Cell Carcinoma

Inclusion criteria

• Patients aged ≥18 years;
• Males or females who are not pregnant or breastfeeding;
• ECOG performance status of 0-1, with no deterioration within the past 7 days;
• Patients with histologically confirmed, locally advanced, resectable head and neck squamous cell carcinoma;
• Patients who have not previously received any systemic treatment regimens for this cancer type;
• Patients receiving neoadjuvant therapy must have evaluable lesions;
• Adequate organ and bone marrow function, with laboratory test results meeting the following requirements:

• HGB ≥ 90 g/L;
• NEUT ≥ 1.5 × 10⁹/L;
• PLT ≥ 80 × 10⁹/L;
• Total bilirubin (TBIL) ≤ 1.5 times the upper limit of normal (ULN);
• ALT and AST ≤ 2.5 × ULN; in cases of liver metastases, ALT and AST ≤ 5 × ULN;
• Endogenous creatinine clearance ≥ 50 mL/min (Cockcroft-Gault formula);
• Urinary protein < (++), or 24-hour urinary protein < 1.0 g.
• Normal coagulation function with no active bleeding

• International Normalized Ratio (INR) ≤ 1.5;
• Activated Partial Thromboplastin Time (APTT) ≤ 1.5 times the upper limit of normal (ULN).
• Women of childbearing potential must have a negative pregnancy test (serum or urine) within 14 days prior to enrollment and must voluntarily use appropriate contraception during the observation period and for 8 weeks after the last administration of the study drug; for men, they must be surgically sterilized or agree to use appropriate contraception during the observation period and for 8 weeks after the last administration of the study drug.
• Expected survival ≥ 12 months.
• Patients must voluntarily enroll in this study and sign an Informed Consent Form (ICF).
• Patients are expected to demonstrate good compliance and be able to follow up on efficacy and adverse reactions as required by the protocol.

Exclusion criteria

• Previous receipt of any antitumor therapy for head and neck squamous cell carcinoma;
• Administration of a live vaccine within 4 weeks prior to enrollment or likely to occur during the study period;
• Active autoimmune disease or a history of autoimmune disease within 4 weeks prior to enrollment;
• Previous allogeneic bone marrow or organ transplantation;
• Uncontrolled hypertension prior to enrollment, defined as systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥90 mmHg;
• Any disease or condition prior to enrollment that affects drug absorption;
• Clinically significant cardiovascular disease, including but not limited to acute myocardial infarction, severe/unstable angina, or coronary artery bypass grafting within 6 months prior to enrollment; New York Heart Association (NYHA) Class >2 congestive heart failure; ventricular arrhythmias requiring medication; LVEF (left ventricular ejection fraction) <50%;
• Active or uncontrolled severe infection (≥CTCAE v5.0 Grade 2 infection); 9. Known human immunodeficiency virus (HIV) infection. History of clinically significant liver disease, including viral hepatitis [known hepatitis B virus (HBV) carriers must be free of active HBV infection, i.e., HBV DNA positive (>1×10⁴ copies/mL or >2,000 IU/mL); known hepatitis C virus (HCV) infection with HCV RNA positive (>1×10³ copies/mL) ;
• Any other disease, clinically significant metabolic abnormalities, physical examination abnormalities, or laboratory test abnormalities that, in the investigator's judgment, give reason to suspect that the patient has a condition or state that makes them unsuitable for the study drug (e.g., a history of epileptic seizures requiring treatment), or that will affect the interpretation of study results, or that places the patient at high risk;
• Patients whom the investigator deems unsuitable for enrollment in this study.