Study on Three Schedules of CUE-101 Before Surgery or Chemoradiation in Patients with Advanced HPV16-Positive Throat Cancer
Sponsor: Washington University School of Medicine
ClinicalTrials ID:NCT04852328
This clinical trial is testing the safety and effects of three different schedules of the drug CUE-101 given before standard treatment in patients with advanced HPV16-positive throat cancer. The study aims to see how well the drug works and is tolerated by patients.
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Program Overview
This phase 2 study is exploring the safety and tolerability of three different schedules of the drug CUE-101, given before standard treatment, in patients who are newly diagnosed with advanced HPV16-positive throat cancer. The trial is for patients who have not yet received any treatment and are HLA-A*0201 positive. The study will collect blood and tumor samples before and after CUE-101 administration to assess its effects. After receiving CUE-101, patients will continue with their standard treatment as decided by their doctor.
Eligibility Criteria
Inclusion Criteria
- Diagnosed with squamous-cell carcinoma of the throat or a neck mass suspected to be throat cancer.
- Cancer stage I-III, except for specific early stages.
- Eligible for standard treatment, either surgery followed by additional therapy or chemoradiation.
- Positive for HLA-A*0201 genetic marker.
- Tumors must test positive for HPV16 and show specific protein expression.
- Provide a tumor tissue sample for eligibility.
- At least 18 years old.
- Good overall health with a performance status of 0 or 1.
- Normal blood and organ function, including:
- Platelets ≥ 100,000/mcl
- Hemoglobin ≥ 9.0 g/dL
- Neutrophil count ≥ 1,500/mcl
- Liver enzymes and bilirubin within specified limits
- Creatinine < 1.5 mg/dL or clearance >30 mL/min
- Agree to use effective contraception during the study.
- Able to understand and sign informed consent.
Exclusion Criteria
- Previous bone marrow, stem-cell, or organ transplant.
- Cancer that has spread to distant parts of the body.
- Prior radiation or cancer treatment before the study drug.
- Use of high-dose steroids or immune suppressive drugs recently.
- Significant heart disease or recent heart events.
- Lung issues requiring oxygen.
- Serious digestive disorders or recent bleeding.
- Active infections needing treatment recently.
- History of hepatitis B or C, unless treated and in remission.
- Another cancer not in remission for over 2 years, with some exceptions.
- Previous radiation to the head and neck.
- Major surgery recently.
- Serious medical conditions affecting treatment.
- Allergies to study drug components.
- Recent live virus vaccination.
- Substance abuse issues recently.
- Pregnant or breastfeeding women.
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