Actively Recruiting
A Clinical Trial Comparing Low-Dose RT + Targeted Therapy+ Immunotherapy vs Targeted Therapy+ Immunotherapy Alone as Neoadjuvant Therapy in Operable HNSCC Patients.
Led by West China Hospital · Updated on 2026-05-04
98
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This study aimed to compare the efficacy of neoadjuvant low-dose radiotherapy combined with targeted therapy and immunotherapy versus targeted therapy and immunotherapy alone in patients with resectable head and neck squamous cell carcinoma.
CONDITIONS
Official Title
A Clinical Trial Comparing Low-Dose RT + Targeted Therapy+ Immunotherapy vs Targeted Therapy+ Immunotherapy Alone as Neoadjuvant Therapy in Operable HNSCC Patients.
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 years or above
- Pathologically confirmed head and neck squamous cell carcinoma (excluding nasopharyngeal carcinoma)
- Newly diagnosed without distant metastasis
- Tumor deemed surgically resectable by a head and neck surgeon
- Willingness to undergo surgery
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Adequate organ and bone marrow function including neutrophil count ≥ 1.5 × 10^9/L, hemoglobin ≥ 80 g/L, platelets ≥ 80 × 10^9/L
- Liver enzymes (ALT, AST, ALP) less than 2.5 times the upper limit of normal; total bilirubin ≤ 2 times upper limit of normal; albumin ≥ 2.8 g/dL
- Creatinine clearance ≥ 60 ml/min
- INR ≤ 1.5, APTT ≤ 1.5 times upper limit of normal
- Signed written informed consent
You will not qualify if you...
- History of other malignancies except cured tumors without recurrence within 5 years (such as basal or squamous cell skin cancer, superficial bladder cancer, in situ cervical cancer, gastrointestinal mucosal cancer)
- Active autoimmune disease requiring systemic treatment or history of severe autoimmune disease
- History of allergic disease, severe hypersensitivity, or allergy to study drug components
- Prior therapy with anti-PD-1, anti-PD-L1/2, anti-CTLA-4, anti-EGFR antibodies, EGFR-TKIs, antitumor vaccines, or recent active vaccines within 4 weeks before first dose
- Major surgery or serious trauma within 4 weeks before first dose
- Unrecovered toxicity from prior antitumor therapy above grade 1 per CTCAE v5.0
- Serious medical diseases including grade II or higher cardiac dysfunction, ischemic heart disease, arrhythmias, poorly controlled diabetes or hypertension, ejection fraction below 50%
- Interstitial pneumonitis, non-infectious pneumonitis, active or uncontrolled pulmonary tuberculosis
- Hyperthyroidism or organic thyroid disease
- Active infection or unexplained fever during screening or within 48 hours before first dose
- Active hepatitis B or C, positive HIV test, or AIDS
- History of neurological or psychiatric disorders
- History of drug or alcohol abuse
- Women who are pregnant, breastfeeding, or planning pregnancy during the study period without contraceptive measures
- Use of investigational drugs within 4 weeks prior to first dose or concurrent enrollment in another trial
- Other factors judged unsuitable by investigators
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Department of Radiation Oncology
Chengdu, Sichuan, China, 610000
Actively Recruiting
Research Team
X
Xingchen Peng
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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