Recurrent/Metastatic Head and Neck Carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Participants provide signed informed consentmust and are >-18 years of age at the time of signing the ICF. -Have histologically or cytologically-confirmed R/M HNSCC that is considered incurable by local therapies (the eligible primary tumor locations are oropharynx, oral cavity, hypopharynx, and larynx.). -Has measurable (target) disease based on RECIST 1.1. -Has an Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1. -Provides a tumor tissue sample obtained Provides a tumor tissue sample obtained at the time of or after the initial diagnosis of R/M HNSCC. -Has tumor PD-L1 expression as determined by the DAKO 22C3 assay. -If the primary tumor site is oropharyngeal carcinoma, the participant must have HPV results using a p16 histology assay. -Has adequate organ function. -If of childbearing potential, female participants must be willing to use adequate contraception.
Exclusion criteria
Exclusion criteria: -Has received prior therapy with any immune checkpoint inhibitors, including antibodies or drugs targeting PD-1, PD-L1, CTLA-4, TIGIT, CD96, or other immune checkpoint pathways. -Participants with previous malignancies unless a complete remission was achieved at least 2 years prior to study entry AND no additional therapy is required during the study period. -Has had major surgery within 4 weeks of the first dose of study intervention. -Have active tumor bleeding or a high risk of bleeding. -Has PD within 4 months of completion of curatively intended treatment for locoregionally advanced HNSCC. -Participants with any carcinomatous meningitis or leptomeningeal spread and those with uncontrolled or symptomatic CNS metastases. -Active autoimmune disease that has required systemic disease-modifying or immunosuppressive treatment within the last 2 years. -Has symptomatic ascites or pleural effusion. -History or evidence of cardiovascular risk.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the antitumor activity of novel immunotherapy combinations compared with dostarlimab in participants with PD-L1 positive R/M HNSCC | — |
Secondary
| Measure | Time frame |
|---|---|
| -To further assess the clinical activity of novel immunotherapy combinations compared with dostarlimab in participants with PD-L1 positive R/M HNSCC. -To assess the ctDNA-based response rate in novel immunotherapy combinations. -To assess the additive benefit of the triplet combination regimen in comparison to the doublet combination regimens. -To further characterize the safety of novel immunotherapy combinations. -To determine the immunogenicity of individual agents comprising novel immunotherapy combinations. -To characterize the PK properties of novel immunotherapy combinations. -To assess the relationship between ctDNA-based response with clinical activity parameters in novel immunotherapy combinations. | — |
Countries
Argentina, Brazil, Canada, Denmark, Finland, France, Germany, Greece, Hungary, Italy, Japan, Korea, Norway, Poland, Portugal, Romania, Spain, Sweden, Taiwan, Turkiye, United States
Contacts
GlaxoSmithKline K.K.