Study of Retinfanlimab in Combination With INCAGN02385 and INCAGN02390 as First-Line Treatment in Participants With PD-L1-Positive (CPS ≥ 1) Recurrent/Metastatic Squamous Cell Carcinoma of the Head and Neck
Head and Neck Cancer
About this trial
This is an interventional treatment trial for Head and Neck Cancer focused on measuring squamous cell carcinoma of the head and neck (SCCHN), INCAGN02385, INCAGN02390, Retifanlimab, IgG1κ monoclonal antibody, LAG-3, TIM-3, PD-1, PD-L1
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed R/M SCCHN that is not amenable to therapy with curative intent. Participants who refuse potentially curative salvage surgery for recurrent disease are ineligible.
- Eligible primary tumor locations are oropharynx, oral cavity, hypopharynx, and larynx.
- Participants must not have received prior systemic therapy for R/M SCCHN.
- PD-L1 positive tumor status defined by CPS ≥ 1% per central laboratory determination.
- For participants with primary oropharyngeal tumors, documentation of HPV p16 status based on local institutional standard is required. HPV p16 status is not required for other eligible SCCHN primary tumor sites.
- Participant must have at least 1 measurable tumor lesion per RECIST v1.1.
- Availability of archival tissue for biomarker analysis from a core or excisional biopsy or willingness to undergo a fresh biopsy.
- ECOG performance status of 0 or 1.
- Willingness to avoid pregnancy or fathering children.
Exclusion Criteria:
- Progressive or recurrent disease within 6 months of the last dose of systemic treatment for locally advanced SCCHN. Prior PD-(L)1, LAG-3, or TIM-3 directed therapy, or any other checkpoint inhibitor therapy, for SCCHN or any other malignancy.
- Treatment with anticancer therapies or participation in another interventional clinical study within 21 days before the first administration of study treatment.
- Presence of tumors that invade major blood vessels, as shown unequivocally by imaging, and with active bleeding.
- Participants with primary tumors of the nasopharynx, sinonasal cavity, or salivary and are excluded.
- Less than 3-month life expectancy.
- Participant has not recovered to ≤ Grade 1 or baseline from residual toxicities of prior therapy.
- Participant has not recovered adequately from toxicities and/or complications from surgical intervention before starting study treatment.
- Palliative radiation therapy administered within 1 week before the first dose of study treatment or radiation therapy in the thoracic region that is > 30 Gy within 6 months before the first dose of study treatment.
- Known active CNS metastases and/or carcinomatous meningitis. Participants will be excluded if it has been < 4 weeks since radiation therapy was delivered to the CNS.
Sites / Locations
- Mayo Clinic Rochester
- City of Hope National Medical Center
- City of Hope Orange CountyRecruiting
- University of California San Diego Medical Center, Moores Cancer Center
- City of Hope-Antelope ValleyRecruiting
- Innovative Clinical Research InstituteRecruiting
- City of Hope National Medical CenterRecruiting
- University of California San Francisco Comprehensive Cancer CenterRecruiting
- Georgetown UniversityRecruiting
- Mayo Clinic JacksonvilleRecruiting
- Blessed Health CareRecruiting
- Moffitt Cancer Center
- University of Illinois At ChicagoRecruiting
- University of IowaRecruiting
- University of Kansas Hospital AuthorityRecruiting
- University of Maryland-Greenebaum Cancer CenterRecruiting
- Dana Farber Cancer InstituteRecruiting
- University of Michigan Cancer Center
- Barbara Ann Karmanos Cancer HospitalRecruiting
- Hackensack University Medical CenterRecruiting
- Fox Chase Cancer CenterRecruiting
- Huntsman Cancer Institute At University of UtahRecruiting
- University of Virginia - Emily Couric Clinical Cancer CenterRecruiting
- Kadlec Clinic Hematology and OncologyRecruiting
- Grand Hospital de Charleroi
- Jessa Ziekenhuis
- Gza Sint Augustinus
- McGill University Health Centre/Glen Site/Cedars Cancer CentreRecruiting
- Chum Hospital Notre Dame
- McGill University Jewish General Hospital
- Centre Hospitalier Universitaire de BordeauxRecruiting
- Institut CurieRecruiting
- Centre Eugene MarquisRecruiting
- Centre de Lutte Contre Le Cancer - Institut de Cancerologie de L'Ouest - Rene Gauducheau
- Icans - Institut de Cancerologie Strasbourg EuropeRecruiting
- Jsc Evex HospitalsRecruiting
- New Hospitals
- Jsc Evex Corporation-Caraps MedlineRecruiting
- Ltd Cancer Research CentreRecruiting
- University of Cologne
- Universitatsklinikum Hamburg Eppendorf
- Asklepios Klinik Altona
- Universitatsmedizin Der Johannes Gutenberg-Universitat Mainz Iii
- University Hospital of West Attica - AttikonRecruiting
- Theagenio Anticancer HospitalRecruiting
- Bioclinic Thessaloniki (Galinos Clinic)Recruiting
- Saint Lukas ClinicRecruiting
- Fondazione Del Piemonte Per L Oncologia Ircc CandioloRecruiting
- European Institute of OncologyRecruiting
- Fondazione Irccs Istituto Nazionale Del Tumori Di MilanoRecruiting
- Istituto Nazionale Tumori Irccs Fondazione PascaleRecruiting
- Iov - Istituto Oncologico Veneto IrccsRecruiting
- Fondazione Irccs Policlinico San Matteo
- Ausl-Irccs Di Reggio EmiliaRecruiting
- Pusan National University Yangsan HospitalRecruiting
- Chonnam National University Hwasun HospitalRecruiting
- Cha Bundang Medical Center
- Korea University Anam HospitalRecruiting
- Kangbuk Samsung Hospital
- Kunkuk University Medical CenterRecruiting
- Asan Medical CenterRecruiting
- Pusan National University Yangsan HospitalRecruiting
- The Dutch Cancer Institue
- Leids Universitair Medisch Centrum (Lumc) (Leiden University Medical Center)
- Centrum Onkologii Im. Prof. Franciszka Lukaszczyka
- Przychodnia Lekarska Komed Roman Karaszewski
- Centrum Onkologii Ziemi Lubelskiej Im. SW. Jana Z Dukli
- Poznan University of Medical Sciences
- Nzoz Provita Prolife Centrum Medyczne
- Centrum Onkologii - Instytut Im. Marii Sklodowskiej - Curie
- Hospital de Braga
- Centro Hospitalar Universitario AlgarveRecruiting
- Centro Hospitalar de Lisboa Norte E.P.E. - Hospital de Santa MariaRecruiting
- Instituto Portugues de Oncologia Do Porto Francisco Gentil E.P.E.
- Centro Hospitalar de Sao Joao AlamedaRecruiting
- Centro Hospitalar de Vila Nova de Gaia/Espinho, Epe-Unidade LRecruiting
- Catalans Institute of Oncology BarcelonaRecruiting
- Ico Girona Hospital Universitari de Girona Dr Josep TruetaRecruiting
- Fundacion Jimenez Diaz University HospitalRecruiting
- Hospital Universitario Ramon Y CajalRecruiting
- Hospital Universitario Quironsalud MadridRecruiting
- Hospital Regional Universitario Carlos HayaRecruiting
- Complejo Hospitalario de NavarraRecruiting
- Hospital Universitario Marques de ValdecillaRecruiting
- Hospital General Universitario de ValenciaRecruiting
- Hospital Universitari I Politecnic La FeRecruiting
- Kaohsiung Medical University Chung-Ho Memorial HospitalRecruiting
- Chang Gung Medical Foundation. Kaohsiung BranchRecruiting
- China Medical University HospitalRecruiting
- Institutional Review Board Taipei Veterans General HospitalRecruiting
- National Taiwan University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Treatment Group 1: Retifanlimab Monotherapy
Treatment Group 2: Retifanlimab + INCAGN02385
Treatment Group 3: Retifanlimab + INCAGN02385 + INCAGN02390
Retifanlimab will be administered intravenously every 4 weeks. Placebos for INCAGN02385 and INCAGN02390 will be administered intravenously every 2 weeks.
Retifanlimab will be administered intravenously every 4 weeks. INCAGN02385 and Placebo for INCAGN02390 will be administered intravenously every 2 weeks.
Retifanlimab plus INCAGN02385 and INCAGN02390 will be administered intravenously. Retifanlimab will be administered intravenously every 4 weeks. INCAGN02385 and INCAGN02390 will be administered every 2 weeks.