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Trial Title: Induction Immunochemotherapy in Stage III-IVa Head and Neck Cancer

NCT ID: NCT05551767

Condition: Neck Cancer

Conditions: Official terms:
Head and Neck Neoplasms
Cisplatin
Pembrolizumab

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: 3 cycles of induction immunochemotherapy with platinum (cisplatin 75 mg\m2, 5-FU 1000 mg/m2/day 96-hour infusion and pembrolizumab 200 mg) followed by (chemo)radiation.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Pembrolizumab
Description: 3 cycles of induction immunochemotherapy with platinum (cisplatin 75 mg\m2, 5-FU 1000 mg/m2/day 96-hour infusion and pembrolizumab 200 mg)
Arm group label: Experimental arm

Other name: cisplatin and 5-FU

Summary: patients with locally advanced cancer of oropharynx, hypopharynx or larynx and CPS>1 will recieve 3 cycles of induction immunochemotherapy with platinum, 5-FU and pembrolizumab followed by (chemo)radiation.

Detailed description: patients with locally advanced cancer of oropharynx, hypopharynx or larynx and CPS>1 will recieve 3 cycles of induction immunochemotherapy with platinum (cisplatin 75 mg\m2, 5-FU 1000 mg/m2/day 96-hour infusion and pembrolizumab 200 mg) followed by (chemo)radiation. Effect of induction therapy will be assesed by PET/CT and by endoscopic evaluation with biopsy of suspected residual tumor. Managemant of any residual tumor will be performed according with local rules and standards.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Squamous cell cancer of oropharynx (p16+: T0-3N3, T4N0-3, p16- : T3-4aN0-1, T1-4aN2-3), hypopharynx (T2-3N0-3, T1N+, T4aN0-3) or larynx III-IVa (T1-2N2-3, T3N2-3, T4aN0-3) , TNM8 staging classification; - Tumor is morphlogically confirmed; - CPS>1 (22C3 clone); - ECOG 0-2; - Age above 18 years; - Signed Informed consent form. Exclusion Criteria: - Cancer of nasopharynx; - Non-squamous cell carcimomas or absense of morphological confirmation of squamous cell cancer; - Stages I or II; - ECOG>=3.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Moscow Clinical Scientific Center named after Loginov

Address:
City: Moscow
Zip: 111123
Country: Russian Federation

Status: Recruiting

Contact:
Last name: Ludmila G Zhukova

Facility:
Name: City clinical oncology hospital 1

Address:
City: Moscow
Zip: 129090
Country: Russian Federation

Status: Recruiting

Contact:
Last name: Ilya A Pokataev

Phone: +79262858986
Email: pokia@mail.ru

Facility:
Name: Moscow City Oncology Hospital No 62

Address:
City: Moscow
Zip: 143423
Country: Russian Federation

Status: Recruiting

Contact:
Last name: Daniil L Stroyakovsky

Start date: August 30, 2022

Completion date: December 30, 2024

Lead sponsor:
Agency: City Clinical Oncology Hospital No 1
Agency class: Other

Collaborator:
Agency: Moscow City Oncology Hospital No. 62
Agency class: Other

Collaborator:
Agency: Moscow Clinical Scientific Center
Agency class: Other

Source: City Clinical Oncology Hospital No 1

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05551767

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