A Study to Determine the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ABBV-368 Plus Tilsotolimod and Other Therapy Combinations in Participants With Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma
A Phase 1b, Multicenter, Open-Label Study to Determine the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of ABBV-368 Plus Tilsotolimod and Other Therapy Combinations in Subjects With Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
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Alpes-Maritimes
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Nice, Alpes-Maritimes, France, 06189
- Centre Antoine Lacassagne - Nice /ID# 215706
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Bouches-du-Rhone
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Marseille CEDEX 05, Bouches-du-Rhone, France, 13385
- AP-HM - Hopital de la Timone /ID# 215657
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Gironde
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Bordeaux, Gironde, France, 33075
- Hopital Saint-Andre /ID# 215702
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Ile-de-France
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Paris CEDEX 05, Ile-de-France, France, 75248
- Institut Curie /ID# 215653
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Berlin, Germany, 12203
- Charite Universitaetsklinikum Berlin - Campus Benjamin Franklin /ID# 214197
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Bayern
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Erlangen, Bayern, Germany, 91054
- Universitaetsklinikum Erlangen /ID# 214196
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Sachsen
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Leipzig, Sachsen, Germany, 04103
- Universitaetsklinikum Leipzig /ID# 214200
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Haifa, Israel, 3109601
- Rambam Health Care Campus /ID# 215231
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Jerusalem, Israel, 91120
- Gastroenterology Institute, Division of Medicine /ID# 215862
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Tel-Aviv
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Ramat Gan, Tel-Aviv, Israel, 5265601
- The Chaim Sheba Medical Center /ID# 215229
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Noord-Holland
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Amsterdam, Noord-Holland, Netherlands, 1066 CX
- Antoni van Leeuwenhoek /ID# 215291
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Barcelona, Spain, 08036
- Hospital Clinic de Barcelona /ID# 214264
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Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre /ID# 214198
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Madrid, Spain, 28050
- Hospital Universitario HM Sanchinarro /ID# 214110
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Malaga, Spain, 29010
- Hospital Universitario Virgen de la Victoria /ID# 214109
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Valencia, Spain, 46010
- Hospital Clinico Universitario de Valencia /ID# 221401
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Barcelona
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Hospitalet de Llobregat, Barcelona, Spain, 08908
- Instituto Catalan de Oncologia (ICO) L'Hospitalet /ID# 221402
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Madrid
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Fuenlabrada, Madrid, Spain, 28942
- Hospital Universitario de Fuenlabrada /ID# 214263
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Illinois
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Chicago, Illinois, United States, 60637-1443
- The University of Chicago Medical Center /ID# 217196
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Kentucky
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Louisville, Kentucky, United States, 40241-2832
- Norton Cancer Institute /ID# 216179
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Michigan
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Detroit, Michigan, United States, 48201
- Barbara Ann Karmanos Cancer In /ID# 214050
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Nebraska
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Omaha, Nebraska, United States, 68114
- Nebraska Methodist Hospital /ID# 215786
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New Jersey
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Morristown, New Jersey, United States, 07960-6136
- Atlantic Health System /ID# 216159
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New York
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Buffalo, New York, United States, 14263
- Roswell Park Comprehensive Cancer Center /ID# 215882
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Tennessee
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Nashville, Tennessee, United States, 37232-0021
- Vanderbilt Ingram Cancer Center /ID# 214040
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Texas
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Houston, Texas, United States, 77030
- MD Anderson Cancer Center /ID# 214041
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Participants should weigh at least 35 kg.
- Eastern Cooperative Oncology Group performance status of 0 or 1 and a life expectancy of >= 3 months.
- Participant have >= 1 lesion accessible for intratumoral injection.
Histologically or cytologically confirmed R/M HNSCC (of the following 4 subsites: oral cavity, oropharynx, larynx, and hypopharynx) who previously progressed either during or after <= 3 prior treatment regimens administered in the recurrent or metastatic setting.
- Must have received 1 immunotherapy regimen which included a PD-(L)1 inhibitor.
- Must have received platinum-based therapy, or be considered ineligible for platinum-based therapy by the investigator.
Exclusion Criteria:
Uncontrolled metastases to the central nervous system (CNS).
- Participants with brain metastases are eligible provided that evidence of clinical and radiographic stable disease for at least 4 weeks after definitive therapy is given and participants have not used prohibited levels of steroids for at least 4 weeks prior to first dose of the study.
- Received prior treatment with OX40 or toll-like receptor (TLR) agonists (excluding topical agents).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Experimental: Arm 1: ABBV-368 + Tilsotolimod
Participants will be administered ABBV-368 and Tilsotolimod at various timepoints as described in the protocol.
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Intravenous (IV) infusion
Intratumoral (IT) injection
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Experimental: Arm 2: ABBV-368 + Tilsotolimod + Nab-paclitaxel
Participants will be administered ABBV-368, Tilsotolimod and Nab-paclitaxel at various timepoints as described in the protocol.
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Intravenous (IV) infusion
Intratumoral (IT) injection
Intravenous (IV) infusion
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Experimental: Arm 3: ABBV-368 + Tilsotolimod + Nab-paclitaxel + ABBV-181
Participants will be administered ABBV-368, Tilsotolimod, Nab-paclitaxel and ABBV-181 at various timepoints as described in the protocol.
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Intravenous (IV) infusion
Intratumoral (IT) injection
Intravenous (IV) infusion
Intravenous (IV) infusion
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants with Adverse Events (AEs)
Time Frame: Up to approximately 2 years following the first dose
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An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment.
The investigator assesses the relationship of each event to the use of study.
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Up to approximately 2 years following the first dose
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Change in Vital Signs
Time Frame: Up to approximately 2 years following the first dose
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Number of participants with clinically significant change from baseline in vital signs like systolic and diastolic blood pressure will be reported.
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Up to approximately 2 years following the first dose
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Change in Clinical Laboratory Test Results
Time Frame: Up to approximately 2 years following the first dose
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Number of participants with clinically significant change from baseline in clinical laboratory test results like hematology will be reported.
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Up to approximately 2 years following the first dose
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Maximum Observed Serum Concentration (Cmax) of ABBV-368
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Maximum Serum Concentration (Cmax) of ABBV-368
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Time to Maximum Serum Concentration (Tmax) of ABBV-368
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Time to Maximum Serum Concentration (Tmax) of ABBV-368
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Area Under Serum Concentration-Time Curve of ABBV-368 From Time 0 to the Time of Last Measurable Concentration (AUCt)
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Area Under Serum Concentration-Time Curve of ABBV-368 From Time 0 to the Time of Last Measurable Concentration (AUCt)
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal-Phase Elimination Rate Constant (β) of ABBV-368
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal-Phase Elimination Rate Constant (β) of ABBV-368
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal Half-Life (t1/2) of ABBV-368
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal Half-Life (t1/2) of ABBV-368
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Maximum Plasma Concentration (Cmax) of Tilsotolimod
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Maximum Observed Plasma Concentration (Cmax) of Tilsotolimod
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Time to Maximum Plasma Concentration (Tmax) of Tilsotolimod
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Time to Maximum Plasma Concentration (Tmax) of Tilsotolimod
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Area Under Plasma Concentration-Time Curve of Tilsotolimod From Time 0 to the Time of Last Measurable Concentration (AUCt)
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Area Under Plasma Concentration-Time Curve of Tilsotolimod From Time 0 to the Time of Last Measurable Concentration (AUCt)
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal-Phase Elimination Rate Constant (β) of Tilsotolimod
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal-Phase Elimination Rate Constant (β) of Tilsotolimod
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal Half-Life (t1/2) of Tilsotolimod
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal Half-Life (t1/2) of Tilsotolimod
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Maximum Observed Serum Concentration (Cmax) of ABBV-181 (Arm 3 Only)
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Maximum Observed Serum Concentration (Cmax) of ABBV-181
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Time to Maximum Serum Concentration (Tmax) of ABBV-181 (Arm 3 Only)
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Time to Maximum Serum Concentration (Tmax) of ABBV-181
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Area Under Serum Concentration-Time Curve of ABBV-181 From Time 0 to the Time of Last Measurable Concentration (AUCt) (Arm 3 Only)
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Area Under Serum Concentration-Time Curve of ABBV-181 From Time 0 to the Time of Last Measurable Concentration (AUCt)
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal-Phase Elimination Rate Constant (β) of ABBV-181 (Arm 3 Only)
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal-Phase Elimination Rate Constant (β) of ABBV-181
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal Half-Life (t1/2) of ABBV-181 (Arm 3 Only)
Time Frame: Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Terminal Half-Life (t1/2) of ABBV-181
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Cycle 1 through Cycle 3 (each cycle is approximately 28 days)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Objective Response Rate (ORR)
Time Frame: Up to approximately 2 years following the first dose
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ORR is measured as the percentage of participants with a complete response (CR) or partial response (PR) as a confirmed response.
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Up to approximately 2 years following the first dose
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Clinical Benefit Rate (CBR)
Time Frame: Up to approximately 2 years following the first dose
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CBR is measured as the percentage of participants with a confirmed complete response (CR), confirmed partial response (PR), or stable disease (SD)
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Up to approximately 2 years following the first dose
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Time to Response (TTR)
Time Frame: Up to approximately 2 years following the first dose
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TTR is the time from date of first study drug exposure to the first instance of a complete response (CR) or partial response (PR) as a confirmed response, whichever occurs first.
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Up to approximately 2 years following the first dose
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Progression Free Survival (PFS)
Time Frame: Up to approximately 2 years following the first dose
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PFS is the time from date of first study drug exposure to disease progression or death, whichever occurs first.
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Up to approximately 2 years following the first dose
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Duration of Response (DOR)
Time Frame: Up to approximately 2 years following the first dose
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DOR is the time from the participant's initial response (CR or PR as a confirmed response) to disease progression or death, whichever occurs first.
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Up to approximately 2 years following the first dose
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Neoplasms, Glandular and Epithelial
- Head and Neck Neoplasms
- Neoplasms, Squamous Cell
- Carcinoma
- Carcinoma, Squamous Cell
- Squamous Cell Carcinoma of Head and Neck
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Phytogenic
- Paclitaxel
Other Study ID Numbers
Other Study ID Numbers
- M19-894
- 2019-003167-22 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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