Study To Compare Avelumab In Combination With Standard of Care Chemoradiotherapy (SoC CRT) Versus SoC CRT for Definitive Treatment In Patients With Locally Advanced Squamous Cell Carcinoma Of The Head And Neck (JAVELIN HEAD AND NECK 100)
Squamous Cell Carcinoma of the Head and Neck
About this trial
This is an interventional treatment trial for Squamous Cell Carcinoma of the Head and Neck
Eligibility Criteria
INCLUSION CRITERIA
- Histological diagnosis of squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, or larynx
- HPV negative disease, Stage III, IVa, IVb; non-oropharyngeal HPV positive disease Stage III, IVa, IVb, HPV positive oropharyngeal disease T4 or N2c or N3
- No prior therapy for advanced stage SCCHN; eligible for definitive CRT with curative intent.
- Available tumor samples for submission or willing to undergo further tumor biopsies:
- Age ≥18 years (≥19 in Korea;20 years in Japan and Taiwan).
- ECOG Performance Status 0 or 1
- Adequate bone marrow function
- Adequate renal function
- Adequate liver function
- Pregnancy test (for patients of childbearing potential) negative at screening
EXCLUSION CRITERIA
- Prior immunotherapy with an anti PD 1, anti PD L1, anti PD L2, anti CD137, or anti CTLA 4 antibody (including ipilimumab), or any other antibody or drug specifically targeting T cell co stimulation or immune checkpoint pathways.
- Major surgery 4 weeks prior to randomization.
- Prior malignancy requiring tumor-directed therapy within the last 2 years prior to enrollment, or concurrent malignancy associated with clinical instability. Exceptions for disease within the 2 years are superficial esophageal cancer (TIS or T1a) fully resected by endoscopy, prostate cancer (Gleason score 6) either curatively treated or deemed to not require treatment, ductal IS carcinoma of the breast that has completed curative treatment, adequately treated basal cell or squamous cell skin cancer.
- Active autoimmune disease
- Any of the following in the 6 months prior to randomization: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident, transient ischemic attack, or symptomatic pulmonary embolism.
- Active infection requiring systemic therapy.
- Use of immunosuppressive medication at time of randomization
- Prior organ transplantation including allogenic stem-cell transplantation.
- Diagnosis of prior immunodeficiency or known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) related illness.
- Hepatitis B virus (HBV) or hepatitis C virus (HCV) infection
- Vaccination within 4 weeks prior to randomization.
- Current use of or anticipated need for treatment with other anti-cancer drugs.
- Pregnant female patients, breastfeeding female patients, and male patients able to father children and female patients of childbearing potential who are unwilling or unable to use 2 highly effective methods of contraception as outlined in the protocol for the duration of the study and for at least 6 months after the last dose of cisplatin and 60 days after the last dose of avelumab/placebo (whichever is later).
Sites / Locations
- Highlands Oncology Group
- Highlands Oncology Group
- Highlands Oncology Group
- The Oncology Institute of Hope and Innovation
- CBCC Global Research, Inc. at Comprehensive Blood and Cancer Center
- Beverly Hills Cancer Center
- Tower Hematology Oncology Medical Group
- UCSD Radiation Oncology South Bay, Cancer Treatment Centers
- City of Hope Corona
- Compassionate Care Research Group, Inc. at Compassionate Cancer Care Medical Group, Inc.
- The Oncology Institute of Hope and Innovation
- City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
- The Oncology Institute of Hope and Innovation
- UC San Diego Medical Center- La Jolla (Thornton Hospital)
- UC San Diego Moores Cancer Center
- City of Hope Antelope Valley
- The Oncology Institute of Hope and Innovation
- The Oncology Institute of Hope and Innovation
- Cedars Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute
- The Oncology Institute of Hope and Innovation
- The Oncology Institute of Hope and Innovation
- UC Irvine Medical Center
- Compassionate Care Research Group, Inc. at Compassionate Cancer Care Medical Group, Inc.
- UC San Diego Medical Center- Hillcrest
- The Oncology Institute of Hope and Innovation
- City of Hope South Pasadena
- The Oncology Institute of Hope and Innovation
- The Oncology Institute of Hope and Innovation
- The Oncology Institute of Hope and Innovation
- Rocky Mountain Lions Eye Institute
- University of Colorado Denver CTO/CTRC
- University of Colorado Hospital - Anschutz Inpatient Pavilion
- University of Colorado Hospital - Anschutz Outpatient Pavilion
- University Of Colorado Hospital Cancer Center
- Cypress Hematology & Oncology
- Cypress Hematology and Oncology
- Sylvester at Coral Gables
- Sylvester at Deerfield Beach
- Specialist Global LLC
- Memorial Cancer Institute at Memorial Regional Hospital
- Hollis Cancer Center
- Sylvester Comprehensive Cancer Center
- Memorial Cancer Institute at Memorial Hospital West
- Sylvester at Plantation
- H. Lee Moffitt Cancer Center and Research Institute
- Primary Healthcare Associates
- Ingalls Memorial Hospital
- Primary Healthcare Associates
- Primary Healthcare Associates
- IU Health Arnett Cancer Center
- Kansas City VA Radiation Oncology Clinic
- Ashland-Bellefonte Cancer Center
- Norton Cancer Institute
- Norton Hospital
- University Medical Center, Inc.
- Norton Brownsboro Hospital
- Norton Cancer Institute
- Highlands Cancer Center
- Maryland Proton Treatment Center
- University of Maryland School of Medicine
- University of Maryland, Greenebaum Comprehensive Cancer Center
- Dana-Farber Cancer Institute
- Karmanos Cancer Institute
- Henry Ford Hospital
- Karmanos Cancer Institute
- Herbert-Herman Cancer Center, Sparrow Hospital
- University of Missouri- Ellis Fischel Cancer Center
- Siteman Cancer Center - West County
- Kansas City VA Medical Center
- Barnes-Jewish Hospital
- Washington University School of Medicine Siteman Cancer Center
- Siteman Cancer Center - South County
- Siteman Cancer Center- St. Peters
- Department of Radiation Oncology Methodist Hospital
- Oncology Hematology West, PC dba Nebraska Cancer Specialists
- Memorial Sloan Kettering Cancer Center-Basking Ridge
- Hackensack University Medical Center
- John Theurer Cancer Center at Hackensack University Medical Center
- Memorial Sloan Kettering Cancer Center- Monmouth
- Memorial Sloan Kettering Cancer Center- Bergen
- University of New Mexico Comprehensive Cancer Center
- Montefiore-Einstein Center for Cancer Care
- Montefiore Medical Center
- Memorial Sloan Kettering Cancer Center Commack
- Memorial Sloan Kettering Cancer Center Westchester
- Bellevue Hospital Center
- Laura and Isaac Perlmutter Cancer Center at NYU Langone
- NYU Langone Medical Center
- NYU Langone Radiology
- NYU Langone Radiology - Ambulatory Care Center East 41st Street
- Memorial Sloan Kettering Cancer Center
- Memorial Sloan Kettering Cancer Center: Breast and Imaging Center
- Memorial Sloan Kettering Cancer Center
- Stony Brook University
- Stony Brook Cancer Center
- Memorial Sloan Kettering Cancer Center- Nassau
- Oncology Specialists of Charlotte, PA
- DJL Clinical Research, PLLC
- Wake Forest Baptist Health
- University Hospitals Cleveland Medical Center
- OU Medical Center
- Stephenson Cancer Center
- University of Oklahoma Health Sciences Center- Stephenson Cancer Center
- Lehigh Valley Health Network Cancer Center Pharmacy
- Lehigh Valley Health Network-Cedar Crest
- Radiation Oncology Cancer Services
- Lehigh Valley Health Network-Muhlenberg
- Precision Cancer Research / Gettysburg Cancer Center
- PinnacleHealth Cancer Institute
- PinnacleHealth Cancer Institute
- Fox Chase Cancer Center
- UPMC Hillman Cancer Center
- UPMC Shadyside Radiation Oncology
- MUSC- Rutledge Tower
- Medical University of South Carolina- Hollings Cancer Center
- MUSC SCTR Research Nexus Clinical Science Building
- MUSC- Ashley River Tower
- MUSC- Radiation Oncology
- MUSC- University Hospital
- GHS Cancer Institute
- GHS Cancer Institute
- GHS Cancer Institute
- GHS Cancer Institute
- GHS Cancer Institute
- GHS Cancer Institute
- The West Clinic, PC dba West Cancer Center
- The West Clinic PC dba West Cancer Center
- Henry-Joyce Cancer Clinic
- Texas Oncology El Paso Cancer Treatment Center
- William Beaumont Army Medical Center
- William Beaumont Army Medical Center
- University of Texas Medical Branch
- Memorial Hermann Hospital - TMC
- UTHealth/Memorial Hermann Cancer Center
- UTMB Cancer Center at Victory Lakes
- Utah Cancer Specialists
- Utah Cancer Specialists
- Virginia Mason Medical Center
- VA Puget Sound Health Care System
- Chris O'Brien Lifehouse Medical Imaging
- Chris O'Brien Lifehouse Radiation Oncology Department
- Chris O'Brien Lifehouse
- Northern Sydney Cancer Centre
- Illawarra Shoalhaven Local Health District
- Barwon Health, University Hospital Geelong
- Austin Health
- Ordensklinikum Linz GmbH
- University Hospital Brussels
- Grand Hopital de Charleroi - Site Notre-Dame
- Centre Hospitalier de Jolimont
- Site Sainte Elisabeth / CHU UCL Namur
- GZA Hospitals Campus Sint Augustinus
- CHU de Quebec - Universite Laval
- Beijing Cancer Hospital
- Fujian Cancer Hospital
- SUN Yat-Sen University Cancer Center
- Cancer Center of Guangzhou Medical University/Oncology Department
- Affiliated Tumor Hospital of Guangxi Medical University
- Hai Nan General Hospital
- Harbin Medical University Cancer Hospital
- Henan Cancer Hospital
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
- Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology/Cancer Center
- Xiangya Hospital Central South University/Oncology Department
- Liaoning Cancer Hospital & Institute
- Fudan University Shanghai Cancer Center
- Shanghai East Hospital/Oncology Department
- West China Hospital of Sichuan University
- Tianjin Cancer Hospital
- Institut de Cancerologie de l'Ouest (ICO) - Site Paul Papin
- Institut Sainte Catherine
- Hopital Pellegrin - Service de radiologie et d'imagerie
- Hopital Saint-Andre
- Cabinet de radiologie Privé - Dr Joseph Mocaer
- Clinique Pasteur - CFRO
- Hopital Franco-Britannique, Institut d'Oncologie Hauts-de-Seine Nord
- Institut Regional du Cancer Montpellier - Val d'Aurelle
- Hopital prive du Confluent S.A.S.
- Hopital prive du Confluent S.A.S
- Clinique Hartmann
- Hopital Americain de Paris
- Centre Antoine Lacassagne
- Institut Curie
- Centre Hospitalier Prive Saint Gregoire
- Institut de Cancerologie de l'Ouest (ICO) - Site Rene Gauducheau
- Institut de cancerologie de la Loire Lucien Neuwirth
- Centre Paul Strauss - Radiologie et medecine nucleaire
- ICANS - Institut de cancerologie Strasbourg Europe
- Institut Gustave Roussy
- Helios Klinikum Berlin-Buch, Institut fur Rontgendiagnostik
- Helios Klinikum Berlin-Buch, Klinik fur Nuklearmedizin
- Helios Klinikum Berlin-Buch, Klinik fur Strahlentherapie
- Helios Klinikum Berlin-Buch
- Universitatsklinikum Dusseldorf
- Universitatsklinikum Jena
- Universitatsklinikum Jena
- Universitätsklinikum Regensburg
- General Oncology Hospital of Kifissia "Agioi Anargiroi"
- Attikon University Hospital
- Euromedica General Clinic
- Orszagos Onkologiai Intezet, B Belgyogyaszati Osztaly
- Orszagos Onkologiai Intezet, Sugarterapias Osztaly
- Uzsoki Utcai Korhaz
- Debreceni Egyetem Klinikai Kozpont
- Petz Aladar Megyei Oktato Koraz, Onkoradiologiai osztaly
- Pecsi Tudomanyegyetem, Klinikai Kozpont, Onkoterapias Intezet
- Szegedi Tudomanyegyetem, Szent-Gyorgyi Albert Klinikai Kozpont
- St Luke's Radiation Oncology Network, St Luke's Hospital
- St James's Hospital
- St. James's Hospital
- Blackrock Clinic
- Rambam Health Care Campus
- Hadassah University Hospital, Department of Oncology
- Rabin Medical Center
- The Chaim Sheba M.C.Tel-Hashomer
- ASST degli Spedali Civili di Brescia
- Istituto Scientifico Romagnolo per lo studio e la cura dei Tumori (I.R.S.T)
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST)
- Ospedale M. Bufalini
- IRCCS Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST)
- Presidio Ospedaliero Vito Fazzi
- AOU Policlinico Di Modena
- Azienda Ospedaliero-Universitaria di Parma
- UOC Oncologia Medica, AUSL della Romagna -RAVENNA
- IRCCS Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST)
- UOC Oncologia Medica, AUSL della Romagna - RAVENNA
- AULSS 9 - Scaligera Ospedale Mater Salutis
- Istituto Nazionale Tumori IRCCS - Fondazione Pascale
- AUSL - IRCCS and Reggio Emilia
- Aichi cancer center central hospital
- Nagoya University Hospital
- National Cancer Center Hospital East
- National Hospital Organization Shikoku Cancer Center
- Hokkaido University Hospital
- Kobe University Hospital
- Miyagi Cancer Center
- Tohoku University Hospital
- Osaka International Cancer Institute
- Kindai University Hospital
- Saitama Cancer Center
- Shizuoka Cancer Center
- Jichi Medical University Hospital
- National Cancer Center Hospital
- Cancer Institute Hospital, Japanese Foundation for Cancer Research
- Center for Proton Therapy, National Cancer Center
- Center for Specific Organ Cancer, National Cancer Center
- Department of Radiation Oncology, CHA Bundang Medical Center, CHA University
- Seoul National University Bundang Hospital
- Chonnam National University Hwasun Hospital
- Division of Radiation Oncology, Seoul National University Hospital
- Asan Medical Center
- Division of Radiation Oncology, Asan Medical Center
- Samsung Medical Center
- SMG-SNU Boramae Medical Center
- Department of Radiation Oncology, Ulsan University Hospital
- Ulsan University Hospital
- Centrum Onkologii im. prof. F. Lukaszczyka
- Uniwersyteckie Centrum Kliniczne
- Centrum Onkologii - Instytut im. M. Sklodowskiej - Curie, Klinika Radioterapii i Chemioterapii
- SPZOZ Ministerstwa Spraw Wewnetrznych i Administracji z Warminsko-Mazurskim Centrum Onkologii
- NZOZ Provita Prolife Centrum Medyczne
- Specjalistyczny Szpital Onkologiczny NU-MED sp. z o.o.
- Hospital Pedro Hispano
- CUF Porto
- Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE
- Instituto Portugues de Oncologia de Coimbra Francisco Gentil, E.P.E.
- Centro Hospitalar do Porto, E.P.E.- Hospital de Santo Antonio
- Instituto Portugues de Oncologia do Porto Francisco Gentil, E.P.E.
- Centro Hospitalar São João, E.P.E
- Julio Teixeira
- SBIH "Chelyabinsk Regional Clinical Centre of Oncology and Nuclear Medicine"
- N. N. Blokhin NMRCO
- Budgetary Institution of Healthcare of Omsk Region "Clinical Oncology Dispensary"
- FSBI "National Medical Research Center of Oncology n.a. N.N. Petrov"
- SBIH "SPb Clinical Research Centre of Specialized Kinds of Medical Care (Oncology)"
- SBHI YaR "Regional Clinical Oncology Hospital"
- Institut Catala d'Oncologia Badalona, Hospital Germans Trias i Pujol
- Hospital Universitario Donostia
- Hospital Costa del Sol
- Hospital Clinico Universitario Virgen de la Arrixaca
- Hospital Universitari Vall d'Hebron
- Hospital Clinic de Barcelona
- Hospital de la Santa Creu i Sant Pau
- Hospital Universitario Reina Sofia
- Institut Catala D'Oncologia de Girona
- Complejo Hospitalario de Jaen
- Hospital Clinico San Carlos
- Hospital Universitario La Paz
- Hospital Virgen de la Victoria
- Hospital Universitario de Salamanca
- Fundacion Instituto Valenciano de Oncologia
- Hospital Clinico Universitario Lozano Blesa
- Klinik fur Radiologie und Nuklearmedizin
- Klinik fur Strahlentherapie und Radioonkologie
- Universitatsspital Basel
- Istituto Oncologico della Svizzera Italiana IOSI, Ospedale San Giovanni
- Radiologia ORBV, Ospedale San Giovanni
- Centre Hospitalier Universitaire Vaudois
- Kantonsspital Winterthur, Medizinische Onkologie
- Kantonsspital Winterthur, Radiologie
- Kantonsspital Winterthur
- Institut fur Klinische Pathologie
- Klinik fur Nuklearmedizin
- Universitatsspital Zurich
- China Medical University Hospital
- Taichung Veterans General Hospital
- National Cheng Kung University Hospital
- National Taiwan University Hospital
- Taipei Veterans General Hospital
- Koo Foundation Sun Yat-Sen Cancer Center
- Chang Gung Memorial Hospital-Linkou Branch
- NHS Grampian
- The Clatterbridge Cancer Centre NHS Foundation Trust
- University Hospital Bristol NHS Foundation Trust
- NHS Lothian, Western General Hospital
- Guy's and St. Thomas' NHS Foundation Trust
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Avelumab + SOC Chemoradiation Therapy
Placebo + SOC CRT
Avelumab 10 mg/kg IV: Day 1 of the Lead-in Phase; Days 8, 25, and 39 of the CRT Phase; and Q2W for 12 months during the Maintenance Phase Cisplatin 100 mg/m2 IV: Days 1, 22, and 43 of the CRT Phase Intensity Modulated Radiation Therapy (IMRT) 70 Gy/35 fractions/7 weeks; 1 fraction per day, 5 fractions/week for 7 weeks during the CRT Phase
Placebo IV matching avelumab: Days 1 of the Lead-in Phase; Days 8, 25, and 39 of the CRT Phase; Q2W for 12 months during the Maintenance Phase Cisplatin 100 mg/m2 IV: Days 1, 22, and 43 of the CRT Phase IMRT 70 Gy/35 fractions/7 weeks; 1 fraction per day, 5 fractions/week for 7 weeks during the CRT Phase