A Phase Ib Study of Neoadjuvant Immune Biomarker Modulation With ERBITUX® (Cetuximab) and VTX-2337
Conditions
Squamous Cell Carcinoma of the Head and Neck
Conditions: official terms
Carcinoma, Squamous Cell - Head and Neck Neoplasms
Study Type
Interventional
Study Phase
Phase 1
Study Design
Endpoint Classification: Pharmacodynamics Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Intervention
Name: VTX-2337 Type: Drug
Name: Cetuximab Type: Drug
Overall Status
Recruiting
Summary
Protocol VRXP-A106 will enroll patients with Stage II-IVA head and neck cancer patients who will be treated with surgical resection. Cetuximab and VTX-2337 will be administered for a 3-4 week period before surgery. The primary objective of the study is to determine the extent to which the administration of neoadjuvant VTX-2337 plus cetuximab modulates immune biomarkers (NK, mDC and T cell activation as well as tumor infiltration and serum cytokines) in peripheral blood and head and neck cancer tumors. An exploratory objective of the study is to assess whether modulation of biomarkers as described above can predict anti-tumor response.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 18 Years
Gender: Both
Criteria: Inclusion Criteria:

- Previously untreated stage II, III, or IVA histologically or cytologically confirmed squamous cell carcinoma of the head and neck

- Primary tumors of the oral cavity, oropharynx, hypopharynx, or larynx

- Macroscopic complete resection of the primary tumor must be planned

- Age ≥ 18 years

- ECOG performance status 0-1

- Adequate hematologic, renal and hepatic function

- Have signed written informed consent

Exclusion Criteria:

- Subjects who fail to meet inclusion criteria

- Primary tumors of the sinuses, paranasal sinuses, or nasopharynx, or unknown primary tumors

- Prior severe infusion reaction to a monoclonal antibody

- Pregnancy or breastfeeding

- Evidence of distant metastasis

- Any other malignancy active within 5 years except for non-melanoma skin cancer or carcinoma in situ of the cervix, DCIS or LCIS of the breast

- Prior history of head and neck cancer

- Prior therapy targeting the EGFR pathway

- Acute hepatitis, known HIV, or active uncontrolled infection

- Patients with active autoimmune disease

- History of uncontrolled cardiac disease within prior 6 months

- Uncontrolled peptic or gastric ulcer disease, or gastrointestinal bleeding within prior 6 months

- Active alcohol abuse or other illness or circumstance that carries a likelihood of inability to comply with study treatment and follow-up or otherwise compromise the study's objectives

- Treatment with a non-approved or investigational drug within 30 days prior to Day 1 of study treatment
Location
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, United States
Status: Recruiting
Contact: Ping DeBlasio - 412-623-7957 - deblasiowx@upmc.edu
Start Date
September 2014
Completion Date
December 2015
Sponsors
VentiRx Pharmaceuticals Inc.
Source
VentiRx Pharmaceuticals Inc.
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page