local advanced squamous cacinoma of head and neck
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Histologically confirmed previously untreated head and neck squamous cell carcinoma (HNSCC), and investigators judge that subjects can safely receive neoadjuvant immunotherapy and carbon ion radiotherapy; 2. HPV status determined via p16 immunohistochemical staining; 3. Age ranging from 18 to 75 years old; 4. Capable of providing informed consent, complying with study protocol, and signing trial-specific informed consent documentation; 5. Zubrod performance status (ZPS) 0 or 1; 6. Adequate bone marrow, hepatic, renal, cardiac and pulmonary function to tolerate immunotherapy, surgery and radiotherapy.
Exclusion criteria
Exclusion criteria: 1. Patients with prior history of chemotherapy or previous radiotherapy to the head and neck region; 2. Patients with any other current malignant tumors, except for adequately treated non-melanoma skin cancer, cervical carcinoma in situ, and papillary thyroid carcinoma; 3. Patients with any uncontrolled clinical conditions, such as bleeding disorders, active infections, or psychiatric illnesses, which may interfere with safe study participation and protocol compliance; 4. Patients requiring long-term maintenance oral steroid therapy (>=20 mg prednisone equivalent daily), with the exception of those receiving inhaled, topical, or non-absorbable steroids; 5. Patients with a history of autoimmune diseases, including but not limited to inflammatory bowel disease, rheumatoid arthritis, autoimmune hepatitis, systemic sclerosis (including scleroderma and its variants), systemic lupus erythematosus, autoimmune vasculitis, and autoimmune neuropathy (e.g., Guillain-Barré syndrome).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety of carbon ion radiotherapy combined with PD-1 antibodies at the optimal dose; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pathologic Complete Response Rate, pCR;Major pathological response rate, MPR; | — |
Countries
China
Contacts
Zhejiang Cancer Hospital