Actively Recruiting

Phase 2
Age: 18Years - 85Years
All Genders
NCT05446467

Pembrolizumab in Combination With Low-dose PFas Neoadjuvant Treatment for Locally Advanced HNSCC

Led by Zhejiang Provincial People's Hospital · Updated on 2025-08-20

80

Participants Needed

7

Research Sites

195 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

A phase Ⅱ open label multi-cencter clinical trail to evaluate the efficacy and safety of pembrolizumab combined with low-dose PF (cisplatin + 5-fluorouracil) in the neoadjuvant treatment of locally advanced head and neck squamous cell carcinoma

CONDITIONS

Official Title

Pembrolizumab in Combination With Low-dose PFas Neoadjuvant Treatment for Locally Advanced HNSCC

Who Can Participate

Age: 18Years - 85Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 to 85 years old
  • Histologically or cytologically confirmed squamous cell carcinoma of the head and neck, stage III or IV A without distant metastasis
  • Measurable primary lesions according to RECIST 1.1 criteria
  • No previous disease-related treatment except diagnostic biopsies
  • ECOG performance status of 0 or 1
  • Planned standard surgery plus standard adjuvant chemo-radiotherapy or radiotherapy
  • No active autoimmune disease
  • No concurrent malignancies
  • Estimated life expectancy over 3 months
  • Available tumor tissue for PD-L1 immunohistochemical examination
  • Adequate blood counts without recent transfusion or bleeding
  • Liver enzymes and bilirubin within specified limits
  • Serum creatinine ≤1.5 or creatinine clearance >50 mL/min
  • HPV status determined by appropriate testing
  • Ability to understand the study and provide informed consent
Not Eligible

You will not qualify if you...

  • Multiple organ failure
  • HPV p16 positive oropharyngeal cancer
  • Locally advanced head and neck squamous cell carcinoma stage T4B and/or N3
  • Distant metastasis
  • Uncontrolled serious diseases (heart, cerebrovascular, diabetes, hypertension, infection, peptic ulcer)
  • Dementia, altered mental status, or mental illness preventing consent or questionnaire completion
  • Grade 2 or higher peripheral neuropathy or hearing impairment
  • Allergy or hypersensitivity to study drugs
  • Malignancy within 5 years prior to screening except certain treated cancers without recurrence
  • Known HIV or AIDS
  • Nasopharyngeal carcinoma or squamous cell carcinoma outside oral cavity, oropharynx, larynx, hypopharynx
  • Participation in other clinical trials or investigational therapies within 30 days
  • Recent systemic corticosteroids or immunosuppressive drugs within 14 days
  • Pregnancy or breastfeeding; refusal of contraception if of childbearing age
  • Unfit for study as assessed by investigator
  • Recent systemic antibiotics or active infection
  • Known hepatitis B or active hepatitis C infection
  • Receipt of live vaccine during study or within 30 days prior to first dose

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 7 locations

1

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China, 266555

Not Yet Recruiting

2

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China, 310014

Actively Recruiting

3

Sir Run Run Shaw Hospital School of Medicine,Zhejiang University

Hangzhou, China

Actively Recruiting

4

Zhejiang Cancer Hospital

Hangzhou, China

Actively Recruiting

5

Ningbo Medical Center Lihuili Hospital

Ningbo, China

Actively Recruiting

6

Tianjin Cancer Hospital Airport Hospital

Tianjin, China

Actively Recruiting

7

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, China

Actively Recruiting

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Research Team

J

Jiajie Xu, PhD

CONTACT

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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