Phase II Study of MEDI4736 Monotherapy in Treatment of Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck

This is an interventional treatment trial for Recurrent or Metastatic PD-L1-positive Squamous Cell Carcinoma of the Head and Neck focused on measuring Head and neck cancer; SCCHN Read More

Inclusion Criteria:

• Age ≥18 years
• Written informed consent obtained from the patient/legal representative
• Histologically confirmed recurrent or metastatic SCCHN
• Tumor progression or recurrence during or after treatment with only 1 systemic palliative regimen for recurrent or metastatic disease that must have contained a platinum agent.
• Written consent to provide newly acquired tumor tissue (preferred) or archival tissue for the purpose of establishing PD-L1 status.
• Confirmed PD-L1-positive SCCHN by Ventana SP263 assay
• WHO/ECOG performance status of 0 or 1
• At least 1 measurable lesion at baseline
• No prior exposure to immune-mediated therapy
• Adequate organ and marrow function
• Evidence of post-menopausal status or negative urinary or serum pregnancy test.

Exclusion Criteria:

• Histologically confirmed squamous cell carcinoma of any other primary anatomic location in the head and neck
• Received more than 1 systematic palliative regimen for recurrent or metastatic disease
• Any concurrent chemotherapy, Investigational Product, biologic, or hormonal therapy for cancer treatment
• Prior randomization or treatment in a previous MEDI4736 and/or tremelimumab clinical study regardless of treatment arm assignment or receipt of any investigational anticancer therapy within 28 days or 5 half-lives
• Receipt of last dose of an approved (marketed) anticancer therapy (chemotherapy, targeted therapy, biologic therapy, mAbs, etc) within 21 days prior to the first dose of study treatment
• Major surgical procedure within 28 days prior to the first dose of Investigational Product
• Any unresolved toxicity NCI CTCAE Grade ≥2 from previous anticancer therapy with the exception of alopecia, vitiligo, and the laboratory values defined in the inclusion criterion
• Current or prior use of immunosuppressive medication within 14 days before the first dose of MEDI4736
• History of allogeneic organ transplantation
• Active or prior documented autoimmune or inflammatory disorders;
• Uncontrolled intercurrent illness
• Another primary malignancy
• Patients with history of brain metastases, spinal cord compression, or leptomeningeal carcinomatosis
• History of active primary immunodeficiency
• Known history of previous tuberculosis
• Active infection including hepatitis B, hepatitis C or human immunodeficiency virus (HIV)
• Receipt of live, attenuated vaccine within 30 days prior to the first dose of MEDI4736
• Pregnant or breast-feeding female patients
• Mean QT interval corrected for heart rate (QTc) ≥470 ms calculated from 3 electrocardiograms (ECGs) using Fridericia's Correction
• Any condition that, in the opinion of the Investigator, would interfere with evaluation of the IP or interpretation of patient safety or study results