Study of Monalizumab and Cetuximab in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck
Primary Purpose
Head and Neck Neoplasms
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Monalizumab
Cetuximab
Anti-PD(L)1
Sponsored by
About this trial
This is an interventional treatment trial for Head and Neck Neoplasms
Eligibility Criteria
Main Inclusion Criteria:
- Age ≥ 18 years
- Histologically or cytologically-confirmed, HPV (+) or HPV (-) squamous cell carcinoma of the nasopharynx (WHO Type 1), oropharynx, hypopharynx, larynx (supraglottis, glottis, subglottis) or oral cavity.
- Recurrent or metastatic disease, documented by imaging (CT scan, MRI, X-ray) and/or physical examination with measurable disease as per Response Evaluation Criteria in Solid Tumors [RECIST] 1.1
For phase II cohorts:
- Cohort #1: Patients who received a maximum of two prior systemic regimens for recurrent and/or metastatic disease and not amenable to further therapy with curative intent
- Cohort #2: Patients with R/M SCCHN not amenable to therapy of curative intent, who have received a maximum of two prior systemic regimens in the R/M setting and who have received prior PD-(L)1 blockers
- Cohort #3: Patients with R/M SCCHN who have not received prior systemic regimens in the R/M setting and who have not received prior PD-(L)1 inhibitors
Main Exclusion Criteria:
- For phase II cohort #1 and cohort #2: Patients who received more than 2 prior systemic regimens for recurrent and/or metastatic disease (no restriction in the phase Ib part of the trial).
- For phase II cohort #1 and cohort #2: Patients who received cetuximab or another inhibitor of epidermal growth factor receptor are excluded from the phase II of the trial, except if cetuximab was given as part of a primary treatment approach, with no progressive disease for at least 4 months following the end of prior cetuximab treatment.
Sites / Locations
- University of California, Moores Cancer Center
- Stanford Cancer Center
- University of Chicago
- University of Maryland, Greenebaum Comprehensive Cancer Center
- Washington University School of Medicine
- Icahn School of Medicine at Mount Sinaï
- University of Pennsylvania
- Fox Chase Cancer Center
- Vanderbilt University Medical Center
- Centre Jean Perrin
- Centre Oscar Lambret
- Centre Leon Berard
- Hopital La Timone
- Institut Regional du Cancer de Montpellier
- Centre Antoine Lacassagne
- Centre Eugene Marquis
- ICO Rene Gauducheau
- Institut Gustave Roussy
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Dose escalation
Expansion cohort 1
Expansion cohort 2
Expansion cohort 3
Arm Description
Dose escalation of monalizumab in combination with cetuximab
monalizumab + cetuximab expansion cohort
monalizumab + cetuximab expansion cohort in patients with prior exposure to PD-(L)1 blockers
monalizumab + cetuximab + anti-PD(L)1
Outcomes
Primary Outcome Measures
Occurrence of Dose Limiting Toxicities (DLT) in the dose escalation part of the study
To assess the occurrence of Drug Limited Toxicities (DLTs)
Objective Response Rate for expansion cohorts
rate of patients in complete or partial response according to RECIST 1.1.
Secondary Outcome Measures
Objective Response Rate for dose escalation part of the study
rate of patients in complete or partial response according to RECIST 1.1
Duration of Response for expansion cohorts
Duration of complete and partial response
Progression Free Survival for expansion cohorts
time between the start of treatment and the first documented progression or death
Overall Survival for expansion cohorts
time between the start of treatment and death
Full Information
NCT ID
NCT02643550
First Posted
December 17, 2015
Last Updated
May 11, 2023
Sponsor
Innate Pharma
Collaborators
AstraZeneca
1. Study Identification
Unique Protocol Identification Number
NCT02643550
Brief Title
Study of Monalizumab and Cetuximab in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck
Official Title
Phase 1b/2 Trial of IPH2201 And Cetuximab in Patients With Human Papillomavirus (HPV) (+) and HPV (-) Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Completed
Study Start Date
December 2015 (undefined)
Primary Completion Date
March 28, 2023 (Actual)
Study Completion Date
March 28, 2023 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Innate Pharma
Collaborators
AstraZeneca
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objective of this study is to evaluate in a 3 +3 design, the safety of escalating doses of Monalizumab given IV in combination with cetuximab in patients who have received prior systemic regimen(s) for recurrent and/or metastatic squamous cell carcinoma of the head and neck (SCCHN).
Cohorts expansion will evaluate antitumor activity of monalizumab and cetuximab with or without anti-PD(L)1
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Head and Neck Neoplasms
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
143 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Dose escalation
Arm Type
Experimental
Arm Description
Dose escalation of monalizumab in combination with cetuximab
Arm Title
Expansion cohort 1
Arm Type
Experimental
Arm Description
monalizumab + cetuximab expansion cohort
Arm Title
Expansion cohort 2
Arm Type
Experimental
Arm Description
monalizumab + cetuximab expansion cohort in patients with prior exposure to PD-(L)1 blockers
Arm Title
Expansion cohort 3
Arm Type
Experimental
Arm Description
monalizumab + cetuximab + anti-PD(L)1
Intervention Type
Biological
Intervention Name(s)
Monalizumab
Other Intervention Name(s)
IPH2201
Intervention Type
Biological
Intervention Name(s)
Cetuximab
Intervention Type
Biological
Intervention Name(s)
Anti-PD(L)1
Primary Outcome Measure Information:
Title
Occurrence of Dose Limiting Toxicities (DLT) in the dose escalation part of the study
Description
To assess the occurrence of Drug Limited Toxicities (DLTs)
Time Frame
within 4 weeks after first administration
Title
Objective Response Rate for expansion cohorts
Description
rate of patients in complete or partial response according to RECIST 1.1.
Time Frame
up to 12 months
Secondary Outcome Measure Information:
Title
Objective Response Rate for dose escalation part of the study
Description
rate of patients in complete or partial response according to RECIST 1.1
Time Frame
up to 12 months
Title
Duration of Response for expansion cohorts
Description
Duration of complete and partial response
Time Frame
From confirmed response until disease progression, up to 12 months
Title
Progression Free Survival for expansion cohorts
Description
time between the start of treatment and the first documented progression or death
Time Frame
Until disease progression or death, up to 2 years
Title
Overall Survival for expansion cohorts
Description
time between the start of treatment and death
Time Frame
Until death, up to 2 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria:
Age ≥ 18 years
Histologically or cytologically-confirmed, HPV (+) or HPV (-) squamous cell carcinoma of the nasopharynx (WHO Type 1), oropharynx, hypopharynx, larynx (supraglottis, glottis, subglottis) or oral cavity.
Recurrent or metastatic disease, documented by imaging (CT scan, MRI, X-ray) and/or physical examination with measurable disease as per Response Evaluation Criteria in Solid Tumors [RECIST] 1.1
For phase II cohorts:
Cohort #1: Patients who received a maximum of two prior systemic regimens for recurrent and/or metastatic disease and not amenable to further therapy with curative intent
Cohort #2: Patients with R/M SCCHN not amenable to therapy of curative intent, who have received a maximum of two prior systemic regimens in the R/M setting and who have received prior PD-(L)1 blockers
Cohort #3: Patients with R/M SCCHN who have not received prior systemic regimens in the R/M setting and who have not received prior PD-(L)1 inhibitors
Main Exclusion Criteria:
For phase II cohort #1 and cohort #2: Patients who received more than 2 prior systemic regimens for recurrent and/or metastatic disease (no restriction in the phase Ib part of the trial).
For phase II cohort #1 and cohort #2: Patients who received cetuximab or another inhibitor of epidermal growth factor receptor are excluded from the phase II of the trial, except if cetuximab was given as part of a primary treatment approach, with no progressive disease for at least 4 months following the end of prior cetuximab treatment.
Facility Information:
Facility Name
University of California, Moores Cancer Center
City
La Jolla
State/Province
California
Country
United States
Facility Name
Stanford Cancer Center
City
Stanford
State/Province
California
ZIP/Postal Code
94305
Country
United States
Facility Name
University of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Facility Name
University of Maryland, Greenebaum Comprehensive Cancer Center
City
Baltimore
State/Province
Maryland
Country
United States
Facility Name
Washington University School of Medicine
City
Saint Louis
State/Province
Missouri
Country
United States
Facility Name
Icahn School of Medicine at Mount Sinaï
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Fox Chase Cancer Center
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111
Country
United States
Facility Name
Vanderbilt University Medical Center
City
Nashville
State/Province
Tennessee
Country
United States
Facility Name
Centre Jean Perrin
City
Clermont-Ferrand
Country
France
Facility Name
Centre Oscar Lambret
City
Lille
Country
France
Facility Name
Centre Leon Berard
City
Lyon
Country
France
Facility Name
Hopital La Timone
City
Marseille
Country
France
Facility Name
Institut Regional du Cancer de Montpellier
City
Montpellier
Country
France
Facility Name
Centre Antoine Lacassagne
City
Nice
Country
France
Facility Name
Centre Eugene Marquis
City
Rennes
Country
France
Facility Name
ICO Rene Gauducheau
City
Saint-Herblain
Country
France
Facility Name
Institut Gustave Roussy
City
Villejuif
Country
France
12. IPD Sharing Statement
Learn more about this trial
Study of Monalizumab and Cetuximab in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck
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