Health Condition 1: C049- Malignant neoplasm of floor of mouth, unspecified Health Condition 2: C009- Malignant neoplasm of lip, unspecified Health Condition 3: C069- Malignant neoplasm of mouth, unspecified Health Condition 4: C109- Malignant neoplasm of oropharynx,unspecified Health Condition 5: C148- Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx Health Condition 6: C029- Malignant neoplasm of tongue, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults with advanced HNSCC 2. With an Eastern Cooperative Oncology Group performance status of 0-2 3. Who were planned for palliative systemic therapy 4. With normal organ function 5. At least one measurable lesion. 6. Biopsy proven 7. Inoperable and metastatic 8. Platinum sensitive and refractory as well.
Exclusion criteria
Exclusion criteria: 1. Patients less than 18 years of age 2. Patients not meeting the above-mentioned criteria 3. Patients or patient relatives who do not consent 4. Pregnant and lactating females. 5. Patients on any other investigational agent(s) 6. Patients with autoimmune disease 7. Patients receiving immunosuppressants 8. Patients with uncontrolled comorbidities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate progression free survival(PFS) with low dose Nivolumab plus TMC (Methotrexate, Erlotinib, Celecoxib) in new or recurrent metastatic Head & Neck squamous cell carcinoma(HNSCC).Timepoint: 3 monthly | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To assess overall survival(OS) with low dose Nivolumab plus TMC. 2. To determine the Response rate of low dose Nivolumab plus TMC. 3. To evaluate the toxicity of low dose Nivolumab plus TMC. Timepoint: 3 monthly | — |
Countries
India
Contacts
Institute of Medical sciences and SUM Hospital