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NCT Number: NCT07679997

Trilaciclib Combined With Immunochemotherapy for R/M HNSCC

This study is a prospective, single-arm, phase II clinical trial involving patients with advanced HNSCC receiving immunotherapy plus platinum-based dual-drug chemotherapy. It aims to evaluate the myeloprotective efficacy of administering trilaciclib prior to immunotherapy and platinum-based chemotherapy. The objective is to reduce the incidence of chemotherapy-induced myelosuppression (CIM) through pre-chemotherapy myeloprotection, thereby enabling patients to receive chemotherapy on schedule and at full dose. This approach is intended to ensure the efficacy of the chemotherapy regimen and ultimately achieve survival benefits for the patients.

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Key information

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 1.Age ≥18 and ≤75 years, male or female. 2.Histologically or cytologically confirmed diagnosis of head and neck squamous cell carcinoma (HNSCC).

3.Recurrent and/or metastatic HNSCC not suitable for locoregional therapy. Patients with recurrent-only disease (without metastasis) must have previously received radiotherapy (either as adjuvant therapy after surgery or as treatment for locally advanced SCCHN) as "locoregional therapy," and radiotherapy must have been completed more than 6 months prior to screening imaging.

4.At least one measurable lesion per RECIST 1.1 criteria. 5.Laboratory tests meeting the following criteria:

  • Hemoglobin ≥ 100 g/L (female) / 110 g/L (male)
  • Absolute neutrophil count ≥ 2.0 × 10⁹/L
  • Platelet count ≥ 100 × 10⁹/L
  • Serum creatinine ≤ 15 mg/L or creatinine clearance (CrCl) ≥ 60 mL/min (calculated by Cockcroft-Gault formula)
  • Total bilirubin ≤ 1.5 × upper limit of normal (ULN)
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 3 × ULN, or ≤ 5 × ULN in patients with liver metastases
  • Albumin ≥ 30 g/L 6.ECOG Performance Status score of 0 or 1. 7.Expected survival time ≥ 3 months. 8.No plans for conception or breastfeeding from 2 weeks before the start of study treatment until 3 months after the end of the study.

9.Ability to understand and willingness to sign the informed consent form.

Exclusion criteria

  • 1.Diagnosis of a malignancy other than HNSCC within 5 years before the first dose (except for curatively treated basal cell carcinoma of the skin, squamous cell carcinoma of the skin, and/or carcinoma in situ that has undergone radical resection).

2.Uncontrolled ischemic heart disease or clinically significant congestive heart failure (NYHA Class III or IV).

3.History of stroke or major cerebrovascular event within 6 months prior to enrollment.

4.QTcF interval >480 msec at screening, or >500 msec for patients with a ventricular pacemaker.

5.Prior hematopoietic stem cell or bone marrow transplantation. 6.Known hypersensitivity to the study drug or any of its components. 7.Any other condition for which the investigator deems the subject unsuitable for participation in this study.

Treatment and study plan

Trilaciclib

Drug

Trilaciclib: 240 mg/m², administered via intravenous infusion over 30 minutes, to be completed within 4 hours prior to chemotherapy.

Chemotherapy Regimen: The recommended regimen is albumin-bound paclitaxel (260 mg/m²) in combination with cisplatin (75 mg/m²) or carboplatin (AUC 5).

Immunotherapy Agent: Investigators will select an immune checkpoint inhibitor based on the subject's condition. The dosage and administration should follow the respective drug's prescribing information.

Primary outcomes

  1. Incidence of grade ≥3 neutropenia during first-line treatment.

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed up to18 weeks.

Secondary outcomes

  1. Incidence of grade 4 neutropenia during chemotherapy

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed up to18 weeks.

  2. Incidence of grade 3/4 thrombocytopenia.

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed up to18 weeks.

  3. Incidence of grade 3/4 anemia during chemotherapy

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed up to18 weeks.

  4. Incidence of febrile neutropenia.

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed up to18 weeks.

  5. Incidence of granulocyte colony-stimulating factor (G-CSF) administration (non-prophylactic).

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed up to18 weeks.

  6. Incidence of recombinant human interleukin-11 (rhIL-11) and/or thrombopoietin (TPO) administration

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed up to18 weeks.

  7. Incidence of treatment without delay (chemotherapy cycle delay <7 days).

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed up to18 weeks.

  8. overall response rate(ORR)

    Time frame: From date of first dose until disease progression, assessed every 6 weeks (each cycle is 21 days), up to 24 months.

  9. disease control rate(DCR)

    Time frame: From date of first dose until disease progression, assessed every 6 weeks (each cycle is 21 days), up to 24 months.

  10. duration of response(DOR)

    Time frame: From date of first dose until disease progression, assessed every 6 weeks (each cycle is 21 days), up to 24 months.

  11. progression free survival(PFS)

    Time frame: From date of first dose until disease progression, assessed every 6 weeks (each cycle is 21 days), up to 24 months.

  12. Incidence of adverse events

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed up to18 weeks.

  13. Quality of life assessment (EORTC QLQ-C30 questionnaire).

    Time frame: From start of first-line treatment to completion of first-line treatment, assessed every 3 weeks, up to18 weeks.

Study contacts

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

Sponsors and collaborators

Lead sponsor

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

Other

Registry information

Official study title

A Prospective, Single-Arm, Phase II Trial of Trilaciclib Combined With Immunotherapy and Chemotherapy as First-Line Treatment for Recurrent and/or Metastatic Head and Neck Squamous Cell Carcinoma

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jul 1, 2026
Registry last updated
Jul 1, 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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