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Evorpacept (ALX148) in Combination With Pembrolizumab and Chemotherapy in Patients With Advanced Head and Neck Squamous Cell Carcinoma (ASPEN-04)

A Phase 2 Study of ALX148 in Combination With Pembrolizumab and Chemotherapy in Patients With Advanced Head and Neck Squamous Cell Carcinoma (ASPEN-04)

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04675333
Enrollment
172
Registered
2020-12-19
Start date
2021-05-10
Completion date
2026-06-30
Last updated
2025-08-03

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

Conditions

Head and Neck Cancer, Head and Neck Squamous Cell Carcinoma

Keywords

ALX148, CD47, SIRPα, HNSCC, pembrolizumab, evorpacept

Brief summary

A Phase 2 Study of evorpacept (ALX148) in Combination With pembrolizumab and Chemotherapy in Patients With Advanced Head and Neck Squamous Cell Carcinoma.

Detailed description

This is a open-label, randomized phase 2 multi-center study of the anti-tumor efficacy of evorpacept (ALX148) + pembrolizumab + 5FU + platinum and of pembrolizumab + 5FU + platinum in patients with metastatic or unresectable, recurrent HNSCC who have not yet been treated for their advanced disease. The study comprises of an initial safety lead-in followed by a randomized portion.

Interventions

IV Q3W

DRUGpembrolizumab

IV Q3W

DRUGCisplatin/Carboplatin; 5FU

IV Q3W

Sponsors

Merck Sharp & Dohme LLC
CollaboratorINDUSTRY
ALX Oncology Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Previously untreated metastatic or unresectable, recurrent head and neck squamous cell carcinoma. * Adequate bone marrow function. * Adequate renal and liver function. * Adequate ECOG performance status.

Exclusion criteria

* Patients with known symptomatic CNS metastases or leptomeningeal disease requiring steroids. * History of (non-infectious) pneumonitis that required steroids or current pneumonitis. * Prior treatment with any anti-CD47 or anti-SIRPα agent. * Prior treatment with anti-PD-1 or PD-L1.

Design outcomes

Primary

MeasureTime frame
Objective response rate per RECIST 1.1Last randomized patient reaching at least 24 weeks of follow-up

Secondary

MeasureTime frame
Duration of responseUp to 36 months
Progression-free survivalUp to 36 months
Overall survivalUp to 36 months
Adverse eventsUp to 36 months

Countries

Australia, Belgium, Netherlands, Singapore, South Korea, Spain, United Kingdom, United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 14, 2026