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NCT Number: NCT06208826

A Single-center Phase II Study to Investigate the Immune Maintenance Therapy Pattern in Patients With Locally Advanced Head and Neck Squamous Cell Carcinoma Who Have Achieved MPR After Neoadjuvant Immunotherapy Combined With Chemotherapy

Head and neck cancer is the malignant tumor with the highest morbidity and mortality, of which 60% present with locally advanced disease at initial diagnosis, and the 5-year survival rate of standard treatment is less than 30%. Standard of care (SOC) including adjuvant and neoadjuvant therapy can provides only about 5-10% clinical benefit. According to the available data on the application of immunotherapy as adjuvant therapy in operable patients, adjuvant immunotherapy is safe and feasible, with a significant trend of benefit. Based on the above positive and meaningful clinical needs and scientific basis, it is very necessary to carry out clinical trials of adjuvant immunotherapy. The primary objective of this study is to evaluate the efficacy and safety of immune maintenance therapy in patients with locally advanced head and neck squamous cell carcinoma who achieve MPR after neoadjuvant immunotherapy combined with chemotherapy.

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Key information

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Tianjin Medical University Cancer Institute and Hospital

Tianjin, Tianjin Municipality, 300000, China

Location status: Recruiting

Location contact

Xudong Wang

CONTACT

[email protected]

+862223340123

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Able to understand and willing to give an informed consent for the study.
  • Males or females aged 18 to 80 years.
  • Have an Eastern Co-operative Oncology Group (ECOG) performance status less than equal to 1.
  • Pathologically (histologically or cytologically) confirmed, non-metastatic diagnosis of squamous cell carcinoma of head and neck (SCCHN).
  • Achievement of major pathological reaponse (MPR) after surgery with neoadjuvant immunotherapy combined chemotherapy.
  • Adequate bone marrow, liver, and renal function:

Absolute neutrophil count ≥ 1.5 × 10^9/L, hemoglobin ≥ 9.0g/dL, platelets ≥100000/μL; ALT and AST < 2.5× upper limit of normal (ULN), total bilirubin ≤ 1.5×ULN; Creatinine clearance ≥ 60 ml/min; APTT≤ 1.5×ULN.

Exclusion criteria

  • Participant has metastatic/unresectable SCCHN.
  • Have an active autoimmune disease requiring systemic treatment or a documented history of clinically severe autoimmune disease.
  • With active hepatitis B or C, or known history of positive HIV test, or acquired immunodeficiency syndrome.
  • With interstitial pneumonitis, non-infectious pneumonitis, active pulmonary tuberculosis, or history of pulmonary tuberculosis infection that were not controlled by treatment.
  • With active infection requiring systemic therapy.
  • Received any investigational drug within 4 weeks prior to the first dose, or concurrently enrolled in another clinical trial.
  • Any other factors that are not suitable for inclusion in this study judged by investigators.

Treatment and study plan

Toripalimab

Drug

Toripamab, IV, 240mg, every 3 weeks for 15 cycles

radiation therapy

Radiation

Radiation Therapy

Cisplatin

Drug

Chemotherapy agent

Primary outcomes

  1. Disease Free Survival

    Time frame: up to 4 years

    defined as the time from random assignment to documented local or regional relapse, distant metastasis, or death from any cause, whichever occurred first.

Secondary outcomes

  1. Over survival (OS)

    Time frame: up to 4 years

    OS is defined as the time from randomization to death due to any cause or censored at the date of last follow-up.

  2. Toxicity Adverse events

    Time frame: up to 1 year

    Grade 1-5 AEs according to NCI-CTCAE V5.0

Study contacts

Contact information is provided by the study sponsor or research team.

Xudong Wang, Dr.

CONTACT

[email protected]

+862223340123 ext. 3130

Sponsors and collaborators

Lead sponsor

Tianjin Medical University Cancer Institute and Hospital

Other

Registry information

Important dates

Study start
2023
Primary completion
2027
Study completion
2029
First posted
Jan 17, 2024
Registry last updated
Mar 3, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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