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A Multicenter, Randomized, Double-blind, Phase 2/3 Study of Ficerafusp Alfa (BCA101) or Placebo in Combination with Pembrolizumab for First-Line Treatment of PD-L1-positive, Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma.

Status
Recruiting
Phases
Phase 2Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-519654-37-00
Acronym
BCA101X301
Enrollment
191
Registered
2025-10-06
Start date
2025-11-07
Completion date
Unknown
Last updated
2025-11-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma.

Brief summary

Phase 2 (Dose Selection) - Safety: Incidence and severity of TEAEs, treatment-emergent SAEs., Phase 2 (Dose Selection) - Tolerability: TEAEs leading to dose interruption, dose reduction or permanent discontinuation., Phase 2 (Dose Selection) - ORR is defined as the proportion of subjects in the DDS who have a confirmed CR or PR per RECIST 1.1. by BICR, at least 12 weeks of follow-up., Phase 3 - OS: Defined as the time from the randomization to death due to any cause., Phase 3 - ORR: Defined as the proportion of the subjects in the FAS who have confirmed CR or PR by BICR per RECIST 1.1. (Subset of FAS).

Detailed description

Phase 2 - DOR: For subjects who demonstrated CR or PR, DOR is defined as the time from first documented evidence of CR or PR until disease progression or death, whichever occurs first, per RECIST 1.1 by BICR., Phase 3 - Safety: Incidence and severity of TEAEs, and treatment-emergent SAEs., Phase 3 - Tolerability: TEAEs leading to dose interruption, dose reduction, or permanent discontinuation., Phase 3 - PFS: Defined as the time from randomization to the first documented PD per RECIST 1.1 as determined by BICR or death due to any cause, whichever occurs first., Phase 3 - ORR: Defined as confirmed CR + PR per RECIST 1.1 by BICR. (FAS)., Phase 3 - DOR: For subjects who demonstrated CR or PR, DOR is defined as the time from first documented evidence of CR or PR until disease progression or death, whichever occurs first per RECIST 1.1 by BICR., Phase 3 - Clinical Benefit Rate: For subject who demonstrated CR + PR + SD>6 months per RECIST 1.1 by BICR. (FAS)., Phase 3 - ORR, DOR, and PFS per RECIST 1.1 as determined by investigator’s assessment., Phase 3 - The TTD in global health status measured by the EORTC QLQ C30 items for global health status and quality of life scale (item 29/30) and pain measured by the EORTC HN 35 (items 31-34) pain domain.

Interventions

DRUGKEYTRUDA 25 mg/mL concentrate for solution for infusion
DRUGSaline bag
DRUGPEMBROLIZUMAB

Sponsors

Bicara Therapeutics Inc.
Lead SponsorINDUSTRY

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Phase 2 (Dose Selection) - Safety: Incidence and severity of TEAEs, treatment-emergent SAEs., Phase 2 (Dose Selection) - Tolerability: TEAEs leading to dose interruption, dose reduction or permanent discontinuation., Phase 2 (Dose Selection) - ORR is defined as the proportion of subjects in the DDS who have a confirmed CR or PR per RECIST 1.1. by BICR, at least 12 weeks of follow-up., Phase 3 - OS: Defined as the time from the randomization to death due to any cause., Phase 3 - ORR: Defined as the proportion of the subjects in the FAS who have confirmed CR or PR by BICR per RECIST 1.1. (Subset of FAS).

Secondary

MeasureTime frame
Phase 2 - DOR: For subjects who demonstrated CR or PR, DOR is defined as the time from first documented evidence of CR or PR until disease progression or death, whichever occurs first, per RECIST 1.1 by BICR., Phase 3 - Safety: Incidence and severity of TEAEs, and treatment-emergent SAEs., Phase 3 - Tolerability: TEAEs leading to dose interruption, dose reduction, or permanent discontinuation., Phase 3 - PFS: Defined as the time from randomization to the first documented PD per RECIST 1.1 as determined by BICR or death due to any cause, whichever occurs first., Phase 3 - ORR: Defined as confirmed CR + PR per RECIST 1.1 by BICR. (FAS)., Phase 3 - DOR: For subjects who demonstrated CR or PR, DOR is defined as the time from first documented evidence of CR or PR until disease progression or death, whichever occurs first per RECIST 1.1 by BICR., Phase 3 - Clinical Benefit Rate: For subject who demonstrated CR + PR + SD>6 months per RECIST 1.1 by BICR. (FAS)., Phase 3 - ORR, DOR, and PFS pe

Countries

Austria, Belgium, Czechia, France, Germany, Greece, Ireland, Italy, Poland, Portugal, Spain

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026