Study on Combining Fianlimab and Cemiplimab for Treating Recurrent or Metastatic Head and Neck Cancer

Sponsor: Regeneron Pharmaceuticals

Sponsor score: 60

ClinicalTrials ID:NCT06769698

This clinical trial is testing whether a new drug combination of fianlimab and cemiplimab is more effective than cemiplimab alone in treating head and neck cancer that has returned or spread. The study will also look at potential side effects and how the drugs interact with the body.

Patient Parameters

Program Overview

This study is exploring a new treatment for head and neck cancer that has come back or spread to other parts of the body, known as recurrent or metastatic head and neck squamous cell carcinoma (HNSCC). Researchers are testing a combination of two drugs, fianlimab and cemiplimab, to see if they work better together than cemiplimab alone. The study will also examine any side effects, how the drugs are processed in the body, and whether the body develops antibodies against them, which could affect their effectiveness.

Eligibility Criteria

Inclusion Criteria

  • Have a confirmed diagnosis of recurrent or metastatic head and neck squamous cell carcinoma (HNSCC) that cannot be cured with local treatments.
  • The primary tumor must be located in the oral cavity, oropharynx, larynx, or hypopharynx.
  • Must have a PD-L1 expression score of 1 or higher from a previous test.
  • For oropharynx cancer patients, HPV status must be confirmed from a biopsy.
  • Have at least one tumor that can be measured by standard criteria.
  • Be in good overall health with an ECOG performance status of 0 or 1.
  • Have adequate organ and bone marrow function.

Exclusion Criteria

  • Have had cancer progression within 6 months after completing treatment for advanced head and neck cancer.
  • Have a primary tumor in the nasopharynx, paranasal sinus, or salivary gland.
  • Have head and neck cancer with an unknown primary site.
  • Have an active or suspected autoimmune disease requiring treatment in the past 5 years.
  • Have a history of lung diseases like pulmonary fibrosis or pneumonia requiring steroids.
  • Have significant heart disease, such as heart failure, unstable chest pain, or recent heart attack.
  • Have received previous systemic cancer treatment for recurrent or metastatic head and neck cancer.
  • Require corticosteroid therapy above a certain dose within 14 days before starting the study treatment.

Locations

FACILITYZIPCITYSTATE
Orlando Health32806OrlandoFlorida
Emory University School of Medicine30308AtlantaGeorgia
St. Elizabeth Healthcare41017EdgewoodKentucky
Norton Cancer Institute40202LouisvilleKentucky
Oncology Hematology West P.C. dba Nebraska Cancer Specialists68130OmahaNebraska
Ohio State University43210ColumbusOhio
Vanderbilt-Ingram Cancer Center37232NashvilleTennessee
Joe Arrington Cancer Research & Treatment Center79410LubbockTexas
Inova Schar Cancer Institute22031FairfaxVirginia

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