About this trial
This phase II trial tests how well ivonescimab before surgery works in treating patients with stage II-IV head and neck cancer that can be removed by surgery (resectable). Ivonescimab is a bispecific monoclonal antibody that may interfere with the ability of tumor cells to grow and spread. A bispecific monoclonal antibody is a type of protein that can bind to certain targets in the body, such as molecules that cause the body to make an immune response (antigens).
Eligibility criteria
Qualifiers
At least 18 years of age
PD-L1 combined positive score (CPS) >= 1
Histologically documented advanced stage mucosal HNSCC (stage II-IV), for which surgery would be recommended in routine clinical practice
Primary tumor is amenable to fresh biopsy or availability of archival fresh frozen primary tissue
Disqualifiers
Prior radiation therapy for treatment of the current mucosal HNSCC (patients undergoing salvage resection are excluded)
Prior neck dissection on the side of current mucosal HNSCC
Major surgical procedures or serious trauma within 4 weeks prior to enrollment. Minor local procedures (excluding central venous catheterization, port implantation, and tumor biopsy) within 3 days prior to planned cycle 1, day 1
History of bleeding tendencies or coagulopathy and/or clinically significant bleeding symptoms or risk within 4 weeks prior to enrollment
Trial design
Treatments tested in this trial
- Biopsy Procedure
- Biospecimen Collection
- Computed Tomography
- Ivonescimab
- Magnetic Resonance Imaging
- Positron Emission Tomography
- Surgical Procedure
Treatment groups
Sponsors and collaborators
University of Michigan Rogel Cancer Center
Lead sponsor
Summit Therapeutics
Collaborator