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En studie for å teste om behandling med BI 770371 i kombinasjon med pembrolizumab med eller uten cetuximab hjelper personer med hode- og nakkekreft sammenlignet med pembrolizumab alene

27. oktober 2026 oppdatert av: Boehringer Ingelheim

En fase IB åpen etikett randomisert klinisk studie for å evaluere sikkerhet og effektivitet av BI 770371 i kombinasjon med pembrolizumab med eller uten cetuximab sammenlignet med pembrolizumab monoterapi for førstelinjebehandling av pasienter med metastatisk eller tilbakevendende hode og nakke plateepitelcellekarsinom (HNSCC)

This study is open to adults with head and neck cancer. The purpose of this study is to find out whether combining different study medicines makes tumors shrink in people with head and neck cancer.

The tested medicines in this study are antibodies that act in different ways against cancer. BI 770371 and pembrolizumab may help the immune system fight cancer. Cetuximab blocks growth signals and may prevent the tumor from growing.

Participants are put into 3 groups randomly. Each group receives a different combination of study medicines. All study medicines are given as an infusion into a vein at the study site.

Participants can stay in the study as long as they benefit from treatment. Doctors regularly check the size of the tumor and check whether it has spread to other parts of the body. The doctors also regularly check participants' health and take note of any unwanted effects.

Studieoversikt

Status

Aktiv, ikke rekrutterende

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Faktiske)

91

Fase

  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • New South Wales
      • Gosford, New South Wales, Australia, 2250
        • Gosford Hospital
    • Victoria
      • Geelong, Victoria, Australia, 3220
        • Andrew Love Cancer Centre
      • Barretos, Brasil, 14784-400
        • Hospital de Amor
      • Natal, Brasil, 59062-000
        • Liga Norte Riograndense contra o cancer
      • São José do Rio Preto, Brasil, 15090-000
        • Fundaçao Faculdade Regional de Medicina de Sao Jose do Rio Preto
      • Sofia, Bulgaria, 1404
        • MBAL Sveta Sofia
    • Kentucky
      • Louisville, Kentucky, Forente stater, 40202
        • Norton Cancer Institute, Downtown
    • Minnesota
      • Minneapolis, Minnesota, Forente stater, 55455
        • M Health Fairview Clinics and Surgery Center - Minneapolis
    • Ohio
      • Columbus, Ohio, Forente stater, 43210
        • The Ohio State University Wexner Medical Center
      • Lille, Frankrike, 59020
        • CTR Oscar Lambret
      • Lyon, Frankrike, 69373
        • CTR Leon Berard
      • Marseille, Frankrike, 13385
        • HOP Timone
      • Villejuif, Frankrike, 94805
        • Institut Gustave Roussy
      • Tbilisi, Georgia, 0112
        • ARENSIA Exploratory Medicine LLC
      • Meldola (FC), Italia, 47014
        • Istituto Scientifico Romagnolo
      • Verona, Italia, 37126
        • Azienda Ospedaliera Universitaria Integrata Verona
      • Hokkaido, Sapporo, Japan, 060-8648
        • Hokkaido University Hospital
      • Hyogo, Kobe, Japan, 650-0017
        • Kobe University Hospital
      • Osaka, Hirakata, Japan, 573-1191
        • Kansai Medical University Hospital
      • Shizuoka, Sunto-gun, Japan, 411-8777
        • Shizuoka Cancer Center
      • Tokyo, Koto-ku, Japan, 135-8550
        • Japanese Foundation for Cancer Research
      • Mexico City, Mexico, 04660
        • Unidad Clinica Farmacologica Bioemagno
      • México, Mexico, 14080
        • Instituto Nacional de Cancerologia
      • México, Mexico, 06760
        • Centro Oncologico Personalizado
      • Tlajomulco de Zuñiga, Mexico, 45640
        • Centro Oncológico Internacional
      • Chisinau, Moldova, MD-2025
        • ARENSIA Exploratory Medicine
      • Lublin, Polen, 20090
        • Center of Oncology of the Lublin Region St. Jana z Dukli
      • Bucharest, Romania, 022328
        • "Prof. Dr. Alexandru Trestioreanu" Oncology Institut
      • Singapore, Singapore, 119228
        • National University Hospital-Singapore-22806
      • Barcelona, Spania, 08035
        • Hospital Universitari Vall d'Hebron
      • London, Storbritannia, EC1A 7BE
        • St Bartholomew's Hospital
      • London, Storbritannia, SW3 6JJ
        • The Royal Marsden Hospital, Chelsea
      • Sutton, Storbritannia, SM2 5PT
        • The Royal Marsden Hospital, Sutton
      • Aarau, Sveits, 5001
        • Cantonspital Aarau
      • Seoul, Sør -Korea, 03722
        • Severance Hospital
      • Seoul, Sør -Korea, 135-710
        • Samsung Medical Center
      • Suwon, Sør -Korea, 16247
        • The Catholic University of Korea, St.Vincent's Hospital
      • Taipei, Taiwan, 11217
        • Taipei Veterans General Hospital
      • Taipei, Taiwan, 10048
        • National Taiwan University Hospital
      • Bangkoknoi, Thailand, 10700
        • Siriraj Hospital
      • Adana, Tyrkia (Türkiye), 01220
        • Adana City Hospital
      • Ankara, Tyrkia (Türkiye), 06800
        • Ankara Bilkent City Hospital
      • Ankara, Tyrkia (Türkiye), 06200
        • Abdurrahman Yurtaslan Oncology Training and Research Hospital
      • Ankara, Tyrkia (Türkiye), 06230
        • Hacettepe University Oncology Hospital
      • Istanbul, Tyrkia (Türkiye), 34093
        • Istanbul University Medical Faculty Capa Hospital
      • Braunschweig, Tyskland, 38114
        • Städtisches Klinikum Braunschweig gGmbH
      • Jena, Tyskland, 07743
        • Universitätsklinikum Jena
      • Leipzig, Tyskland, 04103
        • Universität Leipzig
      • Ulm, Tyskland, 89081
        • Universitätsklinikum Ulm
      • Budapest, Ungarn, 1083
        • Semmelweis University
      • Gyöngyös, Ungarn, 3200
        • Clinexpert Gyongyos

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • Patients with histologically confirmed metastatic or recurrent HNSCC of the primary tumour location of oral cavity, oropharynx, hypopharynx, and larynx not amenable to locoregional treatment with curative intent.
  • Willingness to provide pretreatment (baseline) biopsy/tissue to the sponsor (fresh or archival one). A newly obtained biopsy is preferred but an archival sample is acceptable, with tumor tissue (formalin fixed paraffin embedded [FFPE] block preferred, or at least 10 freshly sectioned unstained FFPE slides) from a core or excisional biopsy. Any deviation from this rule requires approval by the sponsor. Details on the requirements for archival tumour tissue and on biopsy sample collection are provided in the Laboratory Manual.
  • Patients who have not received prior systemic treatment for metastatic or recurrent HNSCC. Systemic therapy (including cetuximab) which was completed more than 6 months prior to progression of disease if given as part of multimodal treatment for locally advanced disease is allowed.
  • Patients who do not have contraindications to pembrolizumab monotherapy according to pembrolizumab local label, guidelines, treatment standards, regulations or the document (label of another country if pembrolizumab local label is not available) provided in the investigator site file (ISF) by the sponsor.
  • Patients who do not have contraindications to treatment with cetuximab according to cetuximab local label, guidelines, treatment standards, regulations, or the document (label of another country if cetuximab local label is not available) provided in the ISF by the sponsor.
  • Presence of at least one measurable non-central nervous system (CNS) lesion (according to RECIST v1.1.).
  • Further inclusion criteria apply.

Exclusion Criteria:

  • Nasopharyngeal carcinoma (NPC) of any histology, primary tumour location at nasal cavity, paranasal sinuses of any histology, any cancer of unknown primary.
  • Any tumour location necessitating an urgent therapeutic intervention (e.g., palliative care, surgery, or radiation therapy), such as spinal cord compression, other compressive mass, uncontrolled painful lesion, bone fracture.
  • Patients with progressive HNSCC within 6 months of completion of systemic therapy for locoregionally advanced disease with curative intent.
  • Receiving treatment for brain metastases or leptomeningeal disease (LMD) which may interfere with safety and/or endpoint assessment. Patients with previously diagnosed brain metastases are eligible if they have completed their treatment and have recovered from the acute effects of radiation therapy or surgery prior to trial entry, have discontinued corticosteroid treatment for these metastases and are clinically stable, off anticonvulsants for at least 4 weeks and are neurologically stable before enrollment.
  • Patients for whom single agent pembrolizumab is not the preferred treatment (e.g. patients for whom chemotherapy or anti-PD-1 in combination with chemotherapy is considered the preferred therapy by the investigator or treating physician).
  • Prior treatment with any anti signal regulatory protein alpha (SIRPα) or anti-integrin-associated protein (CD47) agent, regardless of treatment intent.
  • Prior cancer treatment with any anti PD-1 or anti PD-L1 agent or with an agent directed to another stimulatory or co-inhibitory Tcell receptor (e.g. CTLA-4, OX 40, CD137), regardless of treatment intent.
  • Prior allogeneic stem cell or solid organ transplantation.
  • Further exclusion criteria apply.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Pembrolizumab

Pembrolizumab

Eksperimentell: Pembrolizumab + BI 770371

Pembrolizumab

BI 770371

Eksperimentell: Pembrolizumab + BI 770371 + Cetuximab

Pembrolizumab

BI 770371

Cetuximab

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Objective response (OR) with confirmation
Tidsramme: Up to 27 months

OR defined as the best overall response of complete response (CR) or partial response (PR), where best overall response is determined according to response evaluation criteria in solid tumours version 1.1 (RECIST v1.1).

Objective response (OR) will be defined by investigator's assessment from first treatment administration until the earliest of disease progression, death, or last evaluable tumour assessment before start of subsequent anti-cancer therapy, lost to follow-up or withdrawal of consent.

Up to 27 months

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Forekomst av behandlingsrelaterte bivirkninger (AE) fra First Treatment Administration til de tidligste av 90 dager etter den siste dosen, død, påfølgende antikreftbehandling, tapt for oppfølging eller tilbaketrekking av samtykke
Tidsramme: Opptil 27 måneder
Opptil 27 måneder
Forekomst av behandlingsrelaterte AE som fører til behandling av behandling fra første behandlingsadministrasjon til de tidligste av 90 dager etter den siste dosen, død, påfølgende antikreftbehandling, tapt for oppfølging eller tilbaketrekking av samtykke
Tidsramme: Opptil 27 måneder
Opptil 27 måneder
Overall survival (OS)
Tidsramme: Up to 27 months

OS defined as the time from first treatment administration until death from any cause.

Up to 27 months
Overall survival at 6 and 12 months (OS6 and OS12)
Tidsramme: At 6 months and 12 months

OS defined as being alive at 6 months or at 12 months from first treatment administration.

At 6 months and 12 months
Progression-free survival (PFS)
Tidsramme: Up to 27 months

PFS defined as the time from first treatment administration until disease progression (PD) according to RECIST v1.1 or death from any cause, whichever occurs earlier.

Up to 27 months
Progression-free survival at 6 months (PFS6)
Tidsramme: At 6 months

PFS defined as being alive and without progression at 6 months from first treatment administration.

At 6 months
Duration of objective response (DOR)
Tidsramme: Up to 27 months

DOR defined as the time from first documented CR or PR (RECIST v1.1) until the earliest of PD or death among patients with OR.

Up to 27 months

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Hjelpsomme linker

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

14. mai 2025

Primær fullføring (Antatt)

31. august 2027

Studiet fullført (Antatt)

31. august 2027

Datoer for studieregistrering

Først innsendt

28. januar 2025

Først innsendt som oppfylte QC-kriteriene

28. januar 2025

Først lagt ut (Faktiske)

4. februar 2025

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

28. oktober 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

27. oktober 2026

Sist bekreftet

1. oktober 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • 1501-0002
  • U1111-1312-0435 (Registeridentifikator: WHO International Clinical Trials Registry Platform (ICTRP))
  • 2024-517091-38-00 (Registeridentifikator: CTIS (EU))

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

Once the criteria in section 'time frame' are fulfilled, researchers can use the following link https://www.clinicalstudies.boehringer-ingelheim.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Furthermore, researchers can request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website.

IPD-delingstidsramme

One year after the approval has been granted by major Regulatory Authorities and after the primary manuscript has been accepted for publication, or after termination of the development program.

Tilgangskriterier for IPD-deling

For study documents -upon signing of a 'Document Sharing Agreement'.For study data -1. after the submission and approval of the research proposal (checks will be performed by the sponsor and/or the independent review panel, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a legal agreement.

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Ja

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .