Re-Radiochemotherapy and Pembrolizumab vs. Immuno(Chemo)Therapy for Locoregionally Recurrent PD-L1 Positive (CPS≥1) HNSCC

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversität des Saarlandes

About this trial

Prospective, open-label, randomized controlled phase III trail that aims to investigate whether Re-Radiochemotherapy (Re-RCT) and sequential immunotherapy with pembrolizumab improves overall survival compared to the standard treatment with pembrolizumab alone (± chemotherapy) in locoregionally recurrent PD-L1 positive (CPS≥1) HNSCC.

Eligibility criteria

Qualifiers

Written informed consent obtained from the subject prior to performing any protocol-related procedures.

Age ≥ 18 years at time of study entry.

Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2.

Locoregionally recurrent or second primary HNSCC.

Disqualifiers

Prior radio(chemo)therapy of the neck less than 6 months ago.

Distant metastases (cM1).

Is currently participating and receiving trial therapy or has participated in a trial of an investigational agent and received trial therapy or used an investigational device within 4 weeks of the first dose of treatment.

Intranasal, inhaled, topical steroids, or local steroid injections (e.g., intra articular injection)

Trial design

Treatments tested in this trial

  • radiotherapy
  • Cisplatin
  • Pembrolizumab
  • cisplatin + 5-fluorouracil (5FU)
  • Alternative medications: carboplatin + 5-fluorouracil (5FU)
  • Alternative medications: carboplatin
  • Pembrolizumab

Treatment groups

214 Participants
are divided into 2 treatment groups

Sponsors and collaborators