Study of Cetuximab Treatment After Immunotherapy Failure in Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma
Led by Wake Forest University Health Sciences · Updated on 2026-07-17
38
Participants Needed
1
Research Sites
52 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are studying the use of Cetuximab as a single treatment for patients with recurrent or metastatic head and neck squamous cell carcinoma who have not responded to or cannot tolerate immunotherapy with PD-1 inhibitors, alone or combined with chemotherapy. This Phase II trial aims to evaluate the overall response rate to Cetuximab, along with progression-free survival, overall survival, duration of response, and treatment toxicity in this patient population.
Participants receive an initial loading dose of Cetuximab intravenously over 2 hours followed by a 1-hour observation. Subsequent weekly maintenance doses are given intravenously over 1 hour without further observation. Treatment continues weekly unless the disease progresses or unacceptable side effects occur. After treatment ends, patients are monitored with follow-up visits at 1 week and then every 6 to 8 weeks for up to approximately 2 years.
During the trial, participants undergo regular scans to measure tumor response before treatment, at 7 weeks, and then every 6 to 8 weeks during treatment. Researchers also collect data on survival times and treatment side effects using standardized criteria. Additional assessments include quality of life questionnaires. The total participation duration may extend up to about 2 years, including treatment and follow-up periods.
CONDITIONS
Brief Title
Cetuximab After Immunotherapy for the Treatment of Head and Neck Squamous Cell Cancer
Research Team
A
Ashley Fansler
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This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
Single‑arm trial of cetuximab monotherapy given weekly after prior PD‑1 immunotherapy in recurrent or metastatic HNSCC patients.
Combination of cetuximab plus platinum‑based chemotherapy has long been used as a standard second‑line systemic therapy (EXTREME regimen) in recurrent/metastatic HNSCC.
Role in the study
Investigational regimen administered to all enrolled participants.
Not part of this study; included for external reference to usual care.
Primary use
Second‑line treatment following progression on PD‑1 inhibitor immunotherapy.
Previously used as a second‑line systemic therapy after initial platinum or immunotherapy in recurrent/metastatic HNSCC.
How it is given or performed
IV loading dose of 400 mg/m2 over 2 h followed by weekly maintenance 250 mg/m2 over 1 h starting 7 days later.
Cetuximab plus platinum‑based chemotherapy administered per EXTREME regimen protocols.
Evidence status
Evidence limited to single‑arm outcomes; efficacy after immunotherapy not yet established.
Has historical evidence of activity and survival benefit in second‑line setting (EXTREME regimen), though newer immunotherapy options now dominate earlier lines.
Important risks
Known cetuximab risks include infusion reactions, skin reactions, electrolyte imbalance and possible pulmonary toxicity.
Combination therapy adds usual chemotherapy toxicities in addition to cetuximab risks.
Important limitations
No randomized comparator; outcomes cannot determine comparative benefit over current therapies.
Historical data may not reflect current immunotherapy‑exposed populations; sequencing impact uncertain.
Patient impact
Unknown impact; efficacy outcomes not published yet.
Historical benefit shown in EXTREME trial (improved survival), though immunotherapy may now be earlier in the sequence.
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
Who Can Participate
Age: 18Years +
All Genders
Eligibility Criteria
You may qualify if you...
Patients must have histologically or cytologically confirmed head and neck squamous cell carcinoma.
Patients must have at least one measurable lesion by scans.
Patients must have received prior immunotherapy with a PD-1 inhibitor alone or combined with chemotherapy.
Patients must have a Performance Status between 0 and 2.
Patients must be 18 years or older.
Participants must be willing and able to follow the study protocol for its duration.
Ability to understand and sign an informed consent document approved by the Institutional Review Board.
You will not qualify if you...
Prior treatment with Cetuximab or therapies targeting the EGFR pathway within the last 5 years.
Prior allergic reaction to Cetuximab.
History of allergic reactions to compounds similar to Cetuximab.
Receiving any other investigational agents.
Taking medications that must be continued and might interact with Cetuximab.
Any uncontrolled condition that could interfere with safe and timely study completion.
History or evidence of interstitial lung disease.
Serious or non-healing wounds, ulcers, or bone fractures.
Recent abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 28 days.
History of stroke or transient ischemic attack within 12 months.
Recent significant cardiac disease within 6 months.
Recent arterial or venous thrombosis or thromboembolic event within 6 months.
Conditions requiring immunosuppression, excluding stable corticosteroid treatment for rheumatologic conditions.
Pregnancy, breastfeeding, or planning to conceive or father children during the study and up to 6 months after last dose.
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Up to approximately 2 years
Participants receive an initial loading dose of Cetuximab intravenously followed by weekly maintenance doses as long as there is no disease progression or unacceptable side effects.
Weekly intravenous infusions
Follow-up
Duration - Up to approximately 2 years
After treatment ends, participants are followed up at 1 week and then every 6 to 8 weeks to monitor health and treatment effects.
Regular follow-up visits every 6 to 8 weeks
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Published Research Related To This Trial
Study protocol: phase II study to evaluate the effect of cetuximab monotherapy after immunotherapy with PD-1 inhibitors in patients with head and neck squamous cell cancer.
Kimberly M Burcher, Chance H Bloomer, Elena Gavrila...