[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100628108":3},{"organization":4,"armGroups":7,"interventions":14,"overallOfficials":20,"centralContacts":21,"locations":27,"responsibleParty":48,"collaborators":20,"id":50,"slug":51,"hasResults":52,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":20,"eligibilityCriteria":56,"healthyVolunteers":52,"sex":57,"minAge":58,"maxAge":59,"enrollmentInfo":60,"targetDuration":20,"studyType":63,"phases":64,"briefSummary":66,"conditions":67,"keywords":20,"overallStatus":30,"whyStopped":20,"lastUpdateSubmitDate":69,"lastUpdatePostDateStruct":70,"startDateStruct":73,"completionDateStruct":75,"leadSponsor":77,"locationsCount":78},{"fullName":5,"class":6},"Second Affiliated Hospital, School of Medicine, Zhejiang University","OTHER",[8],{"label":9,"type":10,"description":11,"interventionNames":12},"Neoadjuvant treatment (chemotherapy+immunotherapy+JAKi)","EXPERIMENTAL","Patients are stratified into three cohorts based on resectability status:\n\nCohort A (Resectable) + Cohort B (Potentially Resectable) + Cohort C (Unresectable) All enrolled patients receive the same neoadjuvant therapy.",[13],"Drug: cisplatin+ nab-paclitaxel +adebrelimab + imaxitinib",[15],{"type":16,"name":17,"description":18,"armGroupLabels":19,"otherNames":20},"DRUG","cisplatin+ nab-paclitaxel +adebrelimab + imaxitinib","Treatment is administered in 21-day cycles, with a response assessment after 2 cycles. On Day 1 of each cycle, patients receive cisplatin (60mg\u002Fm²) plus nab-paclitaxel (260mg\u002Fm²) concurrently with adebrelimab (1200mg). Starting from Day 8 through Day 21 of each cycle, patients orally take 4mg of imaxitinib daily.",[9],null,[22],{"name":23,"role":24,"phone":25,"phoneExt":20,"email":26},"Ting Zhang, phD.","CONTACT","+8657187783521","zezht@zju.edu.cn",[28],{"facility":29,"status":30,"city":31,"state":32,"zip":33,"country":34,"countryCode":35,"cosmosGeoPoint":36,"geoPoint":41,"contacts":42},"2nd Affiliated Hospital, School of Medicine","RECRUITING","Hangzhou","Zhejiang","310000","China","CN",{"type":37,"coordinates":38},"Point",[39,40],120.16142,30.29365,{"lat":40,"lon":39},[43,46],{"name":44,"role":24,"phone":45,"phoneExt":20,"email":26},"Ting Zhang phD","+86571-87783521",{"name":47,"role":24,"phone":20,"phoneExt":20,"email":20},"phD",{"type":49,"investigatorFullName":20,"investigatorTitle":20,"investigatorAffiliation":20,"oldNameTitle":20,"oldOrganization":20},"SPONSOR","100628108","phase-2-a-study-testing-emactinib-sulfate-with-chemotherapy-and-immunotherapy-before-surgery-for-advanced-head-and-neck-cancer-100628108",false,"NCT07457346","A Study Testing Emactinib Sulfate With Chemotherapy and Immunotherapy Before Surgery for Advanced Head and Neck Cancer","A Pilot Trial of Neoadjuvant Sulfate Emactinib Plus Chemo-immunotherapy for Locoregionally Advanced Squamous Cell Carcinoma of the Head and Neck.","Inclusion Criteria:\n\n1. ECOG Performance Status of 0-1.\n2. Histologically and\u002For cytologically confirmed Stage III-IVA head and neck squamous cell carcinoma (oral cavity, oropharynx, hypopharynx, or larynx).\n3. Classified according to the Asia-Pacific multidisciplinary consensus (Y.Guo et al., Oral Oncol 2024):\n\n   * Cohort A: Resectable\\*\\* (amenable to upfront surgery): T2N2-3M0, T3-4N0-2M0 (AJCC 8th edition).\n   * Cohort B: Potentially Resectable:\\*\\* Cases with relative contraindications to surgery (e.g., cervical lesion directly invading skin, anterior 2\u002F3 tongue tumor extending below the hyoid level, extension to the vallecula) or where surgery would cause significant disfigurement\u002Ffunctional loss, requiring discussion by an MDT (head \\& neck surgery, radiology) to weigh risks vs. non-surgical options.\n   * Cohort C: Unresectable: Tumor extensively invading skull base, extending to nasopharynx\u002Fdeep nasopharyngeal wall, invading\u002Fencasing carotid artery, extending to mediastinal structures, prevertebral fascia, or cervical spine; T3-4 (N0-3) or any N2a-3 (T1-4) M0 (AJCC 8th edition).\n4. Biomarker: Peripheral blood flow cytometry analysis showing that PD-1+TIM-3+CD8+ exhausted T cells account for \\>10% of CD8+ T cells.\n5. Adequate baseline organ function within 14 days prior to enrollment:\n\n   * Hematological: White Blood Cell count (WBC) ≥4000\u002FμL, Absolute Neutrophil Count (ANC) ≥2000\u002FμL, Hemoglobin (HGB) ≥9 g\u002FdL, Platelet count (PLT) ≥100,000\u002FμL.\n   * Renal: Serum creatinine \\\u003C1.5 times the Upper Limit of Normal (ULN) OR Creatinine Clearance (CrCl) \\>60 mL\u002Fmin (calculated by Cockcroft-Gault formula).\n   * Hepatic: Total bilirubin ≤1.5x ULN (except subjects with Gilbert's syndrome, who may have total bilirubin \\\u003C3x ULN); Aspartate Aminotransferase (AST) \u002F Alanine Aminotransferase (ALT) ≤3x ULN; Alkaline Phosphatase (ALP) ≤3x ULN; Albumin (ALB) ≥3 g\u002FdL.\n6. Ability to understand and willingness to sign the Informed Consent Form. Subjects must be willing and able to comply with the protocol, including receiving treatments and scheduled visits\u002Fexaminations, including follow-up.\n\nExclusion Criteria:\n\n1. Prior treatment with immunotherapy (anti-PD-1, anti-PD-L1, anti-PD-L2, or anti-CTLA-4 agents) or JAK inhibitors. History of severe allergic reactions to any component of monoclonal antibodies.\n2. Active autoimmune disease or condition requiring immunosuppressive therapy. Subjects requiring systemic corticosteroids or other immunosuppressive drugs prior to enrollment.\n3. History of other active malignancies or active infections (including tuberculosis and hepatitis); uncontrolled infections (HIV, HBV, HCV).\n4. Severe cardiac or pulmonary dysfunction, including severe cardiac insufficiency (e.g., NYHA Class III or higher) or severe pulmonary dysfunction (e.g., FEV1 \\\u003C50% predicted); history of thrombotic diseases, coagulation disorders (Prothrombin Time (PT) \\>16 seconds, Activated Partial Thromboplastin Time (APTT) \\>53 seconds, Thrombin Time (TT) \\>21 seconds, Fibrinogen (FIB) \\\u003C1.5 g\u002FL), bleeding tendency, or current thrombolytic\u002Fanticoagulant therapy.\n5. Pregnant or lactating women. Subjects unwilling to use effective contraception during the study period.","ALL","18 Years","75 Years",{"count":61,"type":62},76,"ESTIMATED","INTERVENTIONAL",[65],"PHASE2","The goal of this clinical trial is to evaluate the efficacy and safety of a novel combination therapy for locally advanced head and neck squamous cell carcinoma (HNSCC). The therapy combines the JAK1 inhibitor Sulfamethoxazole, the anti-PD-L1 antibody Adebrelimab, and chemotherapy (Nab-paclitaxel + Cisplatin) as a neoadjuvant treatment (given before surgery). The main questions it aims to answer are:\n\n* For patients with resectable locally advanced HNSCC: Can this combination improve the pathological complete response (pCR) rate (the absence of viable cancer cells in the surgical specimen) compared to current neoadjuvant therapies?\n* For patients with potentially resectable or unresectable locally advanced HNSCC: Can this combination improve the objective response rate (ORR) (the percentage of patients with significant tumor shrinkage), potentially making surgery possible or reducing its scope?\n\nResearchers will also assess secondary outcomes including event-free survival (EFS), overall survival (OS), and the safety profile of the combination.\n\nParticipants will:\n\n* Receive neoadjuvant treatment with the combination of Sulfamethoxazole, Adebrelimab, and chemotherapy. A key feature is the timed sequencing of the JAK inhibitor, which will be started on day 8 of each treatment cycle.\n* Be evaluated for surgery after the neoadjuvant treatment. For those who undergo surgery, the pathological response will be analyzed.\n* Have regular follow-up assessments, including imaging studies (such as CT or MRI scans) and safety monitoring, to evaluate long-term treatment response, survival, and side effects.\n* Provide tissue and\u002For blood samples for exploratory biomarker analysis (e.g., Interferon-Stimulated Gene signature) to help identify patients who benefit most from this treatment.",[68],"Head and Neck Cancer Squamous Cell Carcinoma","2026-03-04",{"date":71,"type":72},"2026-03-09","ACTUAL",{"date":74,"type":72},"2026-01-01",{"date":76,"type":62},"2030-08-30",{"name":5,"class":6},1]