Anti-OX40 Antibody in Head and Neck Cancer Patients
Conditions
Head and Neck Cancer
Conditions: official terms
Head and Neck Neoplasms
Conditions: Keywords
Head and Neck Cancer, anti-OX40 antibody, MEDI6469, Immunotherapy
Study Type
Interventional
Study Phase
Phase 1
Study Design
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Intervention
Name: Anti-OX40 antibody administration Type: Drug
Name: Surgical Resection Type: Procedure
Overall Status
Recruiting
Summary
The purpose of this study is to test the safety of the anti-OX40 antibody, MEDI6469, given prior to surgery in patients with advanced head and neck squamous cell carcinoma.
Detailed Description
This phase Ib clinical trial uses MEDI6469 at various dose intervals prior to definitive surgical resection of patients with stage III and IV Oral Head and Neck Squamous Cell Carcinoma (OHNSCC) with the primary objective of determining the safety and feasibility of preoperative MEDI6469 administration. In addition, tumor tissue and peripheral blood will be obtained for exploratory immunologic end points including measurements of tumor infiltrating immune cell populations based on flow cytometry and immunohistochemistry as well as circulating immunological parameters that may correlate with changes induced by MEDI6469 administration.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 18 Years
Gender: Both
Criteria: Inclusion Criteria:

- Patients with treatment naive, resectable, stage III or IV squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx or larynx who are candidates for definitive surgical resection followed by standard risk adapted adjuvant therapy.

- Histologic or cytologic diagnosis of a primary OHNSCC with no radiological evidence of metastatic disease is acceptable. Patients with bone or cartilage invasion and any T or N stage are acceptable.

- Patients with oral cavity primaries will be managed using conventional transoral or transcervical techniques; oropharynx or hypopharynx tumor will be managed with transoral robotic surgery; and larynx tumors (T3/T4 with thyroid cartilage invasion) will be managed by either total laryngectomy or larynx preservation surgery.

- Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2

- Laboratory values (performed within 28 days prior to enrollment) within protocol defined range

- Ability to give informed consent and comply with the protocol. Patients with a history of psychiatric illness must be judged able to understand the investigational nature of the study and the risks associated with the therapy.

- No active gastrointestinal bleeding.

- Anticipated lifespan greater than 12 weeks.

Exclusion Criteria:

- Locoregionally unresectable or Metastatic disease (stage IVB)

- Active infection.

- Active autoimmune disease including patients with Inflammatory Bowel Disease as determined by an autoimmune questionnaire.

- Previous treatment with mouse monoclonal antibodies

- Need for chronic maintenance oral steroids > 5mg prednisone daily equivalent.

- Any medical or psychiatric condition that in the opinion of the investigator would preclude compliance with study procedures.
Location
Portland Providence Medical Center
Portland, Oregon, United States
Status: Recruiting
Contact: Brenda Fisher, RN - 503-215-2613 - Brenda.Fisher@providence.org
Start Date
October 2014
Completion Date
October 2019
Sponsors
Providence Health & Services
Source
Providence Health & Services
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page