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A Study of Amivantamab in Addition to Carboplatin and Pembrolizumab Compared With Standard of Care- Platinum, Pembrolizumab and 5-FU Alone in Participants With Recurrent/Metastatic Head and Neck Cancer

A Phase 3, Randomized, Open-Label, Multicenter Study of Amivantamab in Addition to Carboplatin and Pembrolizumab, Compared to Standard of Care Platinum and Pembrolizumab and 5-FU, in Participants with Treatment-Naive Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma - OrigAMI-5

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2026/01/100986
Enrollment
500
Registered
2026-01-13
Start date
Unknown
Completion date
Unknown
Last updated
2026-02-02

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

Conditions

Health Condition 1: C069- Malignant neoplasm of mouth, unspecified Health Condition 2: C109- Malignant neoplasm of oropharynx,unspecified Health Condition 3: C139- Malignant neoplasm of hypopharynx,unspecified

Interventions

Intervention1: Amivantamab: Participants will receive amivantamab as a subcutaneous (SC) injection at a dose based on body weight (1,600 mg (2,240 mg for greater than equal to 80 kg) on C1D1
and 2,400/3,360 mg on C1D8 and C1D15 and Q3W from Cycle 2 onwards) for up to 24 months. Control Intervention1: Pembrolizumab: Participants will receive pembrolizumab 200 mg infusion (IV) at Q3W for up

Sponsors

Johnson and Johnson Private Limited
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Be more than or equal to 18 years of age 2. Have histologically or cytologically confirmed recurrent or metastatic HNSCC that is considered incurable by local therapies a. eligible primary tumor locations are the oral cavity, oropharynx, hypopharynx, or larynx b. Must not have a primary tumor site of nasopharynx or primary tumor of unknown location c. Must have documented local testing results per local regulations d. Human papillomavirus status must be known for participants with primary tumor location in oropharynx via p16 test, HPV DNA test, or high-risk HPV in situ hybridization. Any known p16, HPV DNA, or high-risk HPV ISH status of tumor must be negative 3. Be treatment-naive for systemic therapy in the recurrent or metastatic setting 4. Have an ECOG performance status of 0 or 1 5. Have measurable disease according to Response Evaluation Criteria in Solid Tumors, RECIST version 1.1

Exclusion criteria

Exclusion criteria: 1. Have an uncontrolled illness 2. Have untreated brain metastases or history of known presence of leptomeningeal disease 3. Have a history of clinically significant cardiovascular disease 4. Inadequate organ or bone marrow function 5. Known allergies, hypersensitivity, contraindications, or intolerance to excipients of Amivantamab, Pembrolizumab, Carboplatin, Cisplatin, 5-FU and Hyaluronidase

Design outcomes

Primary

MeasureTime frame
Overall Survival (OS) and Objective Response Rate (ORR) Using Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 as Assessed by Blinded Independent Central Review (BICR)Timepoint: Up to approximately 3 years 7 months

Secondary

MeasureTime frame
Progression-Free Survival (PFS)Timepoint: Up to approximately 3 years 7 months;Duration of Response (DOR)Timepoint: Up to approximately 3 years 7 months;ORR as Assessed by InvestigatorTimepoint: Up to approximately 3 years 7 months;Number of Participants with Treatment-Emergent Adverse EventsTimepoint: Up to approximately 3 years 7 months;Number of Participants with Laboratory AbnormalitiesTimepoint: Up to approximately 3 years 7 months;Percentage of Participants with Improved or Stable Symptoms Compared to Baseline as Measured by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck Module 43 (EORTC QLQ-HN43) Symptom Scale ScoreTimepoint: Up to approximately 3 years 7 months;Percentage of Participants with Improved or Stable Symptoms Compared to Baseline as Measured by EORTC QLQCore (C) 30 Symptom Scale ScoreTimepoint: Up to approximately 3 years 7 months;Change from Baseline in Functioning HRQoL, as Measured by Functioning Scales of the EORTC QLQ-C30 EORTC QLQ-C30, is a self-administered, 30-item questionnaire measuring the HRQoL of participants with cancer.Timepoint: Up to approximately 3 years 7 months;Change from Baseline in Overall HRQoL, as Measured by Global Health Scales of the EORTC QLQ-C30 EORTC QLQ-C30, is a self-administered, 30-item questionnaire measuring the HRQoL of participants with cancer.Timepoint: Up to approximately 3 years 7 months;Differences Between Treatment Groups (Arms A and B) for EORTC Quality of Life (QLG) Item Library-46 (IL-46) Tolerability Scale ScoresTimepoint: Up to approximately 3 years 7 months;Serum Concentration of AmivantamabTimepoint: Up to approximately 3 years 7 months;Number of Participants with Serum Anti-Amivantamab AntibodiesTimepoint: Up to approximately 3 years 7 months

Countries

Australia, Austria, Belgium, Brazil, China, Czech Republic, France, Germany, Hungary, India, Italy, Japan, Mexico, Netherlands, Poland, Portugal, Republic of Korea, Romania, Spain, Taiwan, United Kingdom, United States of America

Contacts

Public ContactDr Sanish Davis

Johnson and Johnson Private Limited

sdavis20@its.jnj.com919820958943

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 7, 2026