Phase 3 Study Comparing Petosemtamab with Other Treatments for Previously Treated Head and Neck Cancer
Sponsor: Merus N.V.
ClinicalTrials ID:NCT06496178
This clinical trial is testing a new drug, Petosemtamab, against other treatments chosen by doctors for patients with head and neck cancer that has returned or spread after previous treatments.
Patient Parameters
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Program Overview
The study aims to compare the effectiveness of Petosemtamab with other treatments chosen by doctors for patients with head and neck squamous cell carcinoma (HNSCC) that has returned or spread and cannot be cured. Patients must have already tried treatments that include anti-PD-1 therapy and platinum-based chemotherapy, and their cancer must have continued to grow after these treatments.
Description
This phase 3 study is designed to see if Petosemtamab is more effective than other treatments chosen by doctors for patients with head and neck cancer that has returned or spread and cannot be cured. To participate, patients must have cancer that has continued to grow after trying anti-PD-1 therapy and platinum-based chemotherapy. If the platinum-based treatment was only given after surgery or as part of a combination treatment for locally advanced cancer, the cancer must have returned within 6 months of the last dose.
Eligibility Criteria
Inclusion Criteria
- Must sign a consent form before starting any study procedures.
- Must be 18 years or older.
- Must have a confirmed diagnosis of head and neck squamous cell carcinoma (HNSCC) that has spread or is locally advanced and cannot be treated with standard curative therapy.
- Cancer must have progressed after anti-PD-1 therapy and platinum-based chemotherapy.
- Eligible primary tumor locations include the oropharynx, oral cavity, hypopharynx, and larynx.
- Must have documentation of p16 status for oropharyngeal cancer.
- Must provide a new tumor sample or have an available tumor sample with enough material.
- Must have measurable disease as defined by specific imaging criteria.
- Must have an ECOG performance status of 0 or 1, indicating full activity or some restriction in strenuous activities.
- Must have a life expectancy of at least 12 weeks.
- Must have adequate organ function as per study protocol.
Exclusion Criteria
- Untreated or symptomatic brain metastases, or those requiring recent treatment to control symptoms.
- Known cancer spread to the membranes covering the brain and spinal cord.
- Any cancer treatment within 4 weeks before starting the study treatment.
- Major surgery or radiation within 3 weeks before starting the study treatment.
- Ongoing significant side effects from previous cancer treatments.
- Allergic reactions to any components of the study treatment.
- Unstable heart conditions or recent heart attack.
- History of other cancers, except for certain low-risk types.
- Difficulty breathing at rest or need for continuous oxygen therapy.
- Serious ongoing illnesses or medical conditions, including uncontrolled infections or significant lung, metabolic, or psychiatric disorders.
- Known infectious diseases as per study protocol.
- Pregnant or breastfeeding women.
- Primary tumor located in the nasopharynx.
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