Resectable Locally Advanced Head and Neck Squamous Cell Carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 75 years. 2. Pathologically confirmed, resectable Stage III-IVA locally advanced head and neck squamous cell carcinoma (LA-HNSCC), with primary sites including the oral cavity, oropharynx, hypopharynx, or larynx. For oropharyngeal cancer, positive P16 expression is required. 3. Positive EGFR expression (Immunohistochemistry (IHC) >=1+); PD-L1 Combined Positive Score (CPS) >=1 as determined by the 22C3 pharmDx assay. 4. Organ function adequate for surgery. An Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 is required for all patients. 5. Normal organ function. 6. Patients must provide pre-treatment tumor tissue or blood samples during the study period. 7. Signed informed consent form.
Exclusion criteria
Exclusion criteria: 1. Presence of distant metastatic disease (M1) or unresectable lesions. Patients must have radiologically measurable lesions. 2. Previous treatment with anti-PD-1/PD-L1 agents or anti-EGFR therapy. 3. Active autoimmune disease or immunodeficiency. 4. Inadequate cardiac, pulmonary, or other organ function, hematopoietic dysfunction, or other physical conditions that would preclude the completion of treatment, or patient refusal of neoadjuvant therapy. 5. Pregnancy or lactation. 6. Requirement for immunosuppressive medication, or chronic active infection (e.g., Human Immunodeficiency Virus (HIV), Hepatitis B Virus (HBV), or Hepatitis C Virus (HCV)). 7. History of allogeneic bone marrow transplantation or solid organ transplantation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Major Pathological Response Rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Event-Free Survival;Overall Survival;Pathological Complete Response Rate;Objective Response Rate;Incidence of Treatment-Related Adverse Events; | — |
Countries
China
Contacts
The First Affiliated Hospital,Sun Yat-sen University