Study of Retinfanlimab in Combination With INCAGN02385 and INCAGN02390 as First-Line Treatment in Participants With PD-L1-Positive (CPS ≥ 1) Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck

Sponsor: Incyte Biosciences International Sàrl

Sponsor score: 0

ClinicalTrials ID:NCT05287113

This study assesses the safety and efficacy of retifanlimab with INCAGN02385 and INCAGN02390 in PD-L1-positive R/M SCCHN. Eligible participants must have confirmed R/M SCCHN, no prior systemic therapy, and measurable lesions. Interventions include retifanlimab (500mg every 4 weeks), INCAGN02385 (350mg every 2 weeks), and INCAGN02390 (400mg every 2 weeks).

Patient Parameters

Program Overview

The purpose of this study is to evaluate the safety and efficacy of the combination of retifanlimab plus INCAGN02385 and retifanlimab plus INCAGN02385 and INCAGN02390 compared with retifanlimab alone as first-line treatment in PD-L1-positive and systemic therapy-naive recurrent/metastatic (R/M) squamous cell carcinoma of the head and neck (SCCHN).

Eligibility Criteria

Inclusion Criteria

  • Histologically or cytologically confirmed R/M SCCHN that is not amenable to therapy with curative intent. Participants who refuse potentially curative salvage surgery for recurrent disease are ineligible.
  • Eligible primary tumor locations are oropharynx, oral cavity, hypopharynx, and larynx.
  • Participants must not have received prior systemic therapy for R/M SCCHN.
  • PD-L1 positive tumor status defined by CPS ≥ 1% per central laboratory determination.
  • For participants with primary oropharyngeal tumors, documentation of HPV p16 status based on local institutional standard is required. HPV p16 status is not required for other eligible SCCHN primary tumor sites.
  • Participant must have at least 1 measurable tumor lesion per RECIST v1.1.
  • Availability of archival tissue for biomarker analysis from a core or excisional biopsy or willingness to undergo a fresh biopsy.
  • ECOG performance status of 0 or 1.
  • Willingness to avoid pregnancy or fathering children.

Exclusion Criteria

  • Progressive or recurrent disease within 6 months of the last dose of systemic treatment for locally advanced SCCHN. Prior PD-(L)1, LAG-3, or TIM-3 directed therapy, or any other checkpoint inhibitor therapy, for SCCHN or any other malignancy.
  • Treatment with anticancer therapies or participation in another interventional clinical study within 21 days before the first administration of study treatment.
  • Presence of tumors that invade major blood vessels, as shown unequivocally by imaging, and with active bleeding.
  • Participants with primary tumors of the nasopharynx, sinonasal cavity, or salivary and are excluded.
  • Less than 3-month life expectancy.
  • Participant has not recovered to ≤ Grade 1 or baseline from residual toxicities of prior therapy.
  • Participant has not recovered adequately from toxicities and/or complications from surgical intervention before starting study treatment.
  • Palliative radiation therapy administered within 1 week before the first dose of study treatment or radiation therapy in the thoracic region that is > 30 Gy within 6 months before the first dose of study treatment.
  • Known active CNS metastases and/or carcinomatous meningitis. Participants will be excluded if it has been < 4 weeks since radiation therapy was delivered to the CNS.

Locations

FACILITYZIPCITYSTATE
Mayo Clinic Rochester85259ScottsdaleArizona
City of Hope National Medical Center91010-9200DuarteCalifornia
City of Hope Orange County92618IrvineCalifornia
University of California San Diego Medical Center, Moores Cancer Center92093La JollaCalifornia
City of Hope-Antelope Valley93534LancasterCalifornia
Innovative Clinical Research Institute90805Long BeachCalifornia
City of Hope National Medical Center90813Long BeachCalifornia
University of California San Francisco Comprehensive Cancer Center94115San FranciscoCalifornia
Georgetown University20057Washington D.C.District of Columbia
Mayo Clinic Jacksonville32224JacksonvilleFlorida

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