Actively Recruiting

Phase 3
Age: 18Years +
All Genders
ID06496178

A Phase 3 Open-label, Randomized Controlled Study to Evaluate the Efficacy and Safety of Petosemtamab Compared With Investigator's Choice Monotherapy in Previously Treated Patients With Incurable, Metastatic/Recurrent Head and Neck Squamous Cell Carcinoma

Led by Merus B.V. · Updated on 2026-06-03

600

Participants Needed

216

Research Sites

56 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating petosemtamab compared with investigator's choice monotherapy in patients with incurable, metastatic or recurrent head and neck squamous cell carcinoma (HNSCC) who have previously received treatment. This phase 3 open-label, randomized, controlled, multicenter study focuses on patients whose disease progressed after anti-PD-1 and platinum-containing therapies. The study aims to assess treatment options for second- and third-line therapy in this challenging condition. Participants will be randomly assigned to receive either petosemtamab or one of several investigator-chosen monotherapies, including cetuximab, methotrexate, or docetaxel. The study compares these treatment approaches without masking, allowing patients and researchers to know the assigned therapies. Treatments will be provided according to the study protocol, with follow-up to monitor effects and safety. During the study, participants will undergo assessments including radiologic evaluations to measure tumor response, laboratory tests to monitor organ function, and quality of life questionnaires. The main outcome is overall survival tracked for up to about three years, with additional measures such as response rate, progression-free survival, and treatment-related side effects observed for up to two years. Safety will be closely monitored, including adverse events and antibody responses, ensuring comprehensive evaluation throughout the study period.

CONDITIONS

Brief Title

A Phase 3 Study to Evaluate Petosemtamab Compared With Investigator's Choice Monotherapy in Previously Treated Head and Neck Squamous Cell Carcinoma Patients (LiGeR-HN2)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent form before starting any study procedures
  • Age 18 years or older at time of consent
  • Histologically confirmed head and neck squamous cell carcinoma with metastatic or locally advanced disease not curable by standard treatments
  • Disease progressed on or after anti-PD-1 therapy and platinum-containing chemotherapy
  • Primary tumor located in oropharynx, oral cavity, hypopharynx, or larynx
  • Documented p16 status for oropharyngeal cancer patients
  • Availability of a new tumor sample or existing suitable tumor tissue sample
  • Measurable disease by radiologic methods according to RECIST v1.1
  • Eastern Cooperative Oncology Group performance status of 0 or 1
  • Life expectancy of at least 12 weeks as assessed by investigator
  • Adequate organ function as defined in the study protocol
Not Eligible

You will not qualify if you...

  • Untreated or symptomatic central nervous system metastases or leptomeningeal involvement
  • Use of any systemic anticancer therapy within 4 weeks before randomization
  • Major surgery within 3 weeks or palliative radiotherapy within 2 weeks before randomization
  • Persistent clinically significant toxicities greater than Grade 1 from prior cancer treatments
  • History of allergic reactions to any study treatment components
  • Unstable angina, serious heart failure, or recent myocardial infarction within 6 months
  • History of prior cancers except for certain localized cancers treated curatively
  • Current resting dyspnea or diseases requiring continuous oxygen therapy
  • Serious uncontrolled illnesses including infections, pulmonary, metabolic, or psychiatric disorders
  • Known infectious diseases as outlined in the protocol
  • Pregnancy or breastfeeding
  • Primary tumor site in the nasopharynx (any histology)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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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 petosemtamab or investigator's choice monotherapy as second- or third-line treatment for incurable metastatic or recurrent head and neck squamous cell carcinoma.

Visits scheduled according to treatment cycles and assessments

Follow-up

Duration - Up to approximately 3 years

Participants are monitored for overall survival and safety outcomes after treatment ends.

Periodic visits for follow-up assessments

Trial Site Locations

Total: 216 locations

1

Site 160

Mobile, Alabama, United States, 36608

Actively Recruiting

2

Site 102

Prescott, Arizona, United States, 86301

Completed

3

Site 125

Scottsdale, Arizona, United States, 85054

Actively Recruiting

4

Site 82

Duarte, California, United States, 91010

Actively Recruiting

5

Site 25

La Jolla, California, United States, 92037

Actively Recruiting

6

Site 173

Orange, California, United States, 92868

Actively Recruiting

7

Site 28

Palo Alto, California, United States, 94304

Actively Recruiting

8

Site 127

Sacramento, California, United States, 95817

Actively Recruiting

9

Site 46

San Francisco, California, United States, 94158

Actively Recruiting

10

Site 130

Lone Tree, Colorado, United States, 80124

Actively Recruiting

11

Site 104

Washington D.C., District of Columbia, United States, 20010

Actively Recruiting

12

Site 12

Fort Myers, Florida, United States, 33901

Actively Recruiting

13

Site 123

Jacksonville, Florida, United States, 32224

Actively Recruiting

14

Site 9

Orlando, Florida, United States, 32827

Actively Recruiting

15

Site 138

Tampa, Florida, United States, 33612

Actively Recruiting

16

Site 187

Atlanta, Georgia, United States, 30322

Actively Recruiting

17

Site 207

Atlanta, Georgia, United States, 30341

Actively Recruiting

18

Site 152

Chicago, Illinois, United States, 60607

Actively Recruiting

19

Site 213

Chicago, Illinois, United States, 60611

Actively Recruiting

20

Site 68

Chicago, Illinois, United States, 60637

Actively Recruiting

21

Site 31

Indianapolis, Indiana, United States, 46202

Actively Recruiting

22

Site 8

Louisville, Kentucky, United States, 40202

Actively Recruiting

23

Site 40

Baton Rouge, Louisiana, United States, 70809

Actively Recruiting

24

Site 100

New Orleans, Louisiana, United States, 70121

Actively Recruiting

25

Site 153

Columbia, Maryland, United States, 21044

Actively Recruiting

26

Site 77

Boston, Massachusetts, United States, 02215

Actively Recruiting

27

Site 103

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

28

Site 5

Detroit, Michigan, United States, 48201

Actively Recruiting

29

Site 49

Maple Grove, Minnesota, United States, 55369

Actively Recruiting

30

Site 124

Rochester, Minnesota, United States, 55905

Actively Recruiting

31

Site 18

St Louis, Missouri, United States, 63110

Actively Recruiting

32

Site 86

Hackensack, New Jersey, United States, 07601

Actively Recruiting

33

Site 15

Albuquerque, New Mexico, United States, 87131

Actively Recruiting

34

Site 24

New York, New York, United States, 10029

Actively Recruiting

35

Site 214

The Bronx, New York, United States, 10461

Actively Recruiting

36

Site 98

Chapel Hill, North Carolina, United States, 27514

Actively Recruiting

37

Site 122

Durham, North Carolina, United States, 27710

Actively Recruiting

38

Site 23

Cincinnati, Ohio, United States, 45219

Actively Recruiting

39

Site 87

Cleveland, Ohio, United States, 44195

Actively Recruiting

40

Site 32

Columbus, Ohio, United States, 43210

Actively Recruiting

41

Site 26

Portland, Oregon, United States, 97213

Actively Recruiting

42

Site 151

Bensalem, Pennsylvania, United States, 19020

Actively Recruiting

43

Site 158

Philadelphia, Pennsylvania, United States, 19107

Actively Recruiting

44

Site 159

Philadelphia, Pennsylvania, United States, 19114

Actively Recruiting

45

Site 50

Charleston, South Carolina, United States, 29425

Actively Recruiting

46

Site 60

Chattanooga, Tennessee, United States, 37404

Actively Recruiting

47

Site 54

Memphis, Tennessee, United States, 38103

Actively Recruiting

48

Site 59

Nashville, Tennessee, United States, 37203

Actively Recruiting

49

Site 67

Nashville, Tennessee, United States, 37232

Actively Recruiting

50

Site 55

Denison, Texas, United States, 75020

Actively Recruiting

51

Site 34

El Paso, Texas, United States, 79915

Actively Recruiting

52

Site 51

Houston, Texas, United States, 77030

Actively Recruiting

53

Site 7

Houston, Texas, United States, 77030

Actively Recruiting

54

Site 94

Pearland, Texas, United States, 77584

Actively Recruiting

55

Site 4

Salt Lake City, Utah, United States, 84112

Actively Recruiting

56

Site 10

Blacksburg, Virginia, United States, 24060

Actively Recruiting

57

Site 22

Charlottesville, Virginia, United States, 22908

Actively Recruiting

58

Site 156

Winchester, Virginia, United States, 22601

Actively Recruiting

59

Site 163

Seattle, Washington, United States, 98109

Actively Recruiting

60

Site 6

Spokane, Washington, United States, 99202

Actively Recruiting

61

Site 216

Madison, Wisconsin, United States, 53705

Actively Recruiting

62

Site 37

Buenos Aires, Argentina, C1125ABD

Withdrawn

63

Site 80

Buenos Aires, Argentina, C1426ANZ

Withdrawn

64

Site 58

Caba, Argentina, C1280AEB

Actively Recruiting

65

Site 193

CABA, Argentina, Clll3AAE

Actively Recruiting

66

Site 45

Córdoba, Argentina, X5008HHW

Actively Recruiting

67

Site 110

Rosario, Argentina, S2000KZE

Actively Recruiting

68

Site 57

Viedma, Argentina, 8500

Actively Recruiting

69

Site 3

Darlinghurst, Australia, 2010

Actively Recruiting

70

Site 170

Herston, Australia, 4060

Actively Recruiting

71

Site 38

Melbourne, Australia, 3000

Actively Recruiting

72

Site 30

Nedlands, Australia, 6009

Actively Recruiting

73

Site 11

Saint Leonards, Australia, 2065

Actively Recruiting

74

Site 73

Sydney, Australia, 2050

Actively Recruiting

75

Site 129

Brussels, Belgium, 1070

Withdrawn

76

Site 56

Brussels, Belgium, 1200

Actively Recruiting

77

Site 92

Ghent, Belgium, 9000

Actively Recruiting

78

Site 72

Leuven, Belgium, 3000

Actively Recruiting

79

Site 108

Liège, Belgium, 4000

Actively Recruiting

80

Site 69

Namur, Belgium, 5000

Actively Recruiting

81

Site 154

Brasília, Brazil, 70390-140

Actively Recruiting

82

Site 145

Porto Alegre, Brazil, 90110-270

Actively Recruiting

83

Site 150

Porto Alegre, Brazil, 90610-000

Actively Recruiting

84

Site 146

Recife, Brazil, 50040-000

Actively Recruiting

85

Site 155

Rio de Janeiro, Brazil, 22.250-905

Actively Recruiting

86

Site 148

Rio de Janeiro, Brazil, 22281-100

Actively Recruiting

87

Site 147

São Paulo, Brazil, 01509-900

Actively Recruiting

88

Site 144

São Paulo, Brazil, 04538-132

Actively Recruiting

89

Site 172

Montreal, Canada, H2X 0A9

Actively Recruiting

90

Site 196

Toronto, Canada, M4N 3M5

Actively Recruiting

91

Site 16

Providencia, Chile, 7500859

Actively Recruiting

92

Site 20

Recoleta, Chile, 8420000

Actively Recruiting

93

Site 27

Santiago, Chile, 7500921

Actively Recruiting

94

Site 21

Santiago, Chile, 7560908

Actively Recruiting

95

Site 188

Nový Jičín, Czechia, 74101

Actively Recruiting

96

Site 201

Olomouc, Czechia, 779 00

Actively Recruiting

97

Site 202

Prague, Czechia, 150 06

Actively Recruiting

98

Site 105

Bordeaux, France, 33075

Actively Recruiting

99

Site 211

Brest, France, 29200

Actively Recruiting

100

Site 162

Le Mans, France, 72000

Actively Recruiting

101

Site 149

Lille, France, 59000

Actively Recruiting

102

Site 118

Lyon, France, 69373

Actively Recruiting

103

Site 115

Marseille, France, 13005

Actively Recruiting

104

Site 106

Montpellier, France, 34298

Actively Recruiting

105

Site 169

Nice, France, 06189

Actively Recruiting

106

Site 114

Paris, France, 75005

Actively Recruiting

107

Site 167

Paris, France, 75013

Actively Recruiting

108

Site 136

Poitiers, France, 86000

Actively Recruiting

109

Site 141

Rennes, France, 35042

Actively Recruiting

110

Site 107

Rouen, France, 76038

Actively Recruiting

111

Site 119

Toulouse, France, 31059

Actively Recruiting

112

Site 142

Vandœuvre-lès-Nancy, France, 54519

Actively Recruiting

113

Site 113

Villejuif, France, 94800

Actively Recruiting

114

Site 101

Aachen, Germany, 52074

Actively Recruiting

115

Site 121

Berlin, Germany, 12203

Actively Recruiting

116

Site 210

Dresden, Germany, 01307

Actively Recruiting

117

Site 165

Essen, Germany, 45147

Actively Recruiting

118

Site 84

Giessen, Germany, 35390

Actively Recruiting

119

Site 62

Greifswald, Germany, 17475

Actively Recruiting

120

Site 79

Hamburg, Germany, 20246

Actively Recruiting

121

Site 88

Hamburg, Germany, 22763

Actively Recruiting

122

Site 112

Hanover, Germany, 30625

Actively Recruiting

123

Site 116

Leipzig, Germany, 04103

Actively Recruiting

124

Site 175

Mannheim, Germany, 68167

Actively Recruiting

125

Site 168

München, Germany, 81675

Actively Recruiting

126

Site 99

Würzburg, Germany, 97080

Actively Recruiting

127

Site 91

Athens, Greece, 124 62

Actively Recruiting

128

Site 96

Athens, Greece, 15123

Actively Recruiting

129

Site 120

Heraklion, Greece, 71500

Actively Recruiting

130

Site 126

Rio, Greece, 26504

Actively Recruiting

131

Site 83

Thessaloniki, Greece, 55236

Actively Recruiting

132

Site 204

Nyíregyháza, Hungary, 4400

Actively Recruiting

133

Site 195

Pécs, Hungary, 7624

Actively Recruiting

134

Site 198

Szeged, Hungary, 6725

Actively Recruiting

135

Site 19

Haifa, Israel, 3109601

Actively Recruiting

136

Site 1

Jerusalem, Israel, 9112001

Actively Recruiting

137

Site 14

Ramat Gan, Israel, 5265601

Actively Recruiting

138

Site 2

Tel Aviv, Israel, 6423906

Actively Recruiting

139

Site 93

Brescia, Italy, 25123

Actively Recruiting

140

Site 111

Cuneo, Italy, 12100

Actively Recruiting

141

Site 128

Milan, Italy, 20133

Actively Recruiting

142

Site 81

Milan, Italy, 20141

Actively Recruiting

143

Site 209

Naples, Italy, 80131

Actively Recruiting

144

Site 89

Naples, Italy, 80131

Actively Recruiting

145

Site 203

Roma, Italy, 00161

Actively Recruiting

146

Site 85

Rozzano, Italy, 20089

Actively Recruiting

147

Site 132

Chūōku, Japan, 104-0045

Actively Recruiting

148

Site 199

Fukuoka, Japan, 810-8563

Actively Recruiting

149

Site 192

Fukuoka, Japan, 812-8582

Actively Recruiting

150

Site 131

Kashiwa, Japan, 277-8577

Actively Recruiting

151

Site 135

Miki, Japan, 761-0793

Actively Recruiting

152

Site 205

Minatoku, Japan, 105-8471

Actively Recruiting

153

Site 139

Nagoya, Japan, 464-8681

Actively Recruiting

154

Site 186

Natori, Japan, 981-1293

Actively Recruiting

155

Site 133

Ōsaka-sayama, Japan, 589-8511

Actively Recruiting

156

Site 134

Sendai, Japan, 980-8574

Actively Recruiting

157

Site 180

Kaunas, Lithuania, 50161

Actively Recruiting

158

Site 181

Vilnius, Lithuania, 08406

Actively Recruiting

159

Site 76

Amsterdam, Netherlands, 1066 CX

Actively Recruiting

160

Site 61

Nijmegen, Netherlands, 6525 GA

Actively Recruiting

161

Site 66

Utrecht, Netherlands, 3584 CX

Actively Recruiting

162

Site 190

Bydgoszcz, Poland, 85-796

Actively Recruiting

163

Site 143

Gdansk, Poland, 80-214

Actively Recruiting

164

Site 97

Gliwice, Poland, 44-102

Actively Recruiting

165

Site 177

Krakow, Poland, 31-826

Actively Recruiting

166

Site 200

Lodz, Poland, 93-513

Actively Recruiting

167

Site 117

Poznan, Poland, 60-185

Actively Recruiting

168

Site 179

Warsaw, Poland, 02-781

Actively Recruiting

169

Site 182

Coimbra, Portugal, 3004-561

Actively Recruiting

170

Site 183

Lisbon, Portugal, 1998-018

Actively Recruiting

171

Site 197

Portimão, Portugal, 8500-338

Actively Recruiting

172

Site 185

Porto, Portugal, 4200-072

Actively Recruiting

173

Site 161

Busan, South Korea, 48108

Actively Recruiting

174

Site 215

Busan, South Korea, 49267

Actively Recruiting

175

Site 212

Daegu, South Korea, 42601

Actively Recruiting

176

Site 13

Goyang-si, South Korea, 10408

Actively Recruiting

177

Site 29

Hwasun, South Korea, 58128

Actively Recruiting

178

Site 206

Seongnam-si, South Korea, 13620

Actively Recruiting

179

Site 137

Seoul, South Korea, 03080

Actively Recruiting

180

Site 36

Seoul, South Korea, 05505

Actively Recruiting

181

Site 47

Seoul, South Korea, 06351

Actively Recruiting

182

Site 208

Seoul, South Korea, 07061

Actively Recruiting

183

Site 33

Soeul, South Korea, 03722

Actively Recruiting

184

Site 164

Suwon, South Korea, 16499

Actively Recruiting

185

Site 78

Barcelona, Spain, 08035

Actively Recruiting

186

Site 109

Madrid, Spain, 28040

Actively Recruiting

187

Site 75

Madrid, Spain, 28040

Actively Recruiting

188

Site 71

Madrid, Spain, 28041

Actively Recruiting

189

Site 166

Madrid, Spain, 28050

Actively Recruiting

190

Site 63

Pamplona, Spain, 31008

Actively Recruiting

191

Site 64

Pamplona, Spain, 31008

Actively Recruiting

192

Site 74

Valencia, Spain, 46009

Actively Recruiting

193

Site 184

Bellinzona, Switzerland, CH-6500

Actively Recruiting

194

Site 189

Geneva, Switzerland, 1211

Actively Recruiting

195

Site 194

Lausanne, Switzerland, 1011

Actively Recruiting

196

Site 178

Sankt Gallen, Switzerland, 9007

Actively Recruiting

197

Site 41

Changhua, Taiwan, 500

Withdrawn

198

Site 17

Kaohsiung City, Taiwan, 807

Actively Recruiting

199

Site 95

Kaohsiung City, Taiwan, 833

Actively Recruiting

200

Site 53

Taichung, Taiwan, 40447

Actively Recruiting

201

Site 176

Tainan, Taiwan, 70428

Actively Recruiting

202

Site 39

Taipei, Taiwan, 100

Actively Recruiting

203

Site 35

Taipei, Taiwan, 112

Actively Recruiting

204

Site 52

Taoyuan City, Taiwan, 333

Actively Recruiting

205

Site 65

Cambridge, United Kingdom, CB2 0QQ

Actively Recruiting

206

Site 174

Cardiff, United Kingdom, CF14 2TL

Actively Recruiting

207

Site 171

Glasgow, United Kingdom, G12 0YN

Actively Recruiting

208

Site 44

Liverpool, United Kingdom, L7 8YA

Actively Recruiting

209

Site 157

London, United Kingdom, E20 1JQ

Actively Recruiting

210

Site 140

London, United Kingdom, EC1A 7BE

Actively Recruiting

211

Site 90

London, United Kingdom, SE1 9RT

Actively Recruiting

212

Site 42

London, United Kingdom, SW3 6JJ

Actively Recruiting

213

Site 48

Manchester, United Kingdom, M20 4BX

Actively Recruiting

214

Site 70

Middlesex, United Kingdom, HA6 2RN

Actively Recruiting

215

Site 191

Newcastle upon Tyne, United Kingdom, NE7 7DN

Actively Recruiting

216

Site 43

Sutton, United Kingdom, SM2 5PT

Actively Recruiting

Loading map...

Research Team

D

David Yao, MD

E

Eduardo Pennella, MD

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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Published Research Related To This Trial

LiGeR-HN phase III trials of petosemtamab + pembrolizumab and petosemtamab monotherapy in recurrent or metastatic HNSCC.

Jean-Pascal Machiels, Jérôme Fayette, Robert Haddad...

https://pubmed.ncbi.nlm.nih.gov/40511820