Overview

Neoadjuvant Chemotherapy, Tislelizumab With Afatinib for HNSCC

Status:
Not yet recruiting
Trial end date:
2024-08-19
Target enrollment:
0
Participant gender:
All
Summary
To explore the efficiency and safety of TP chemotherapy, tislelizumab, combined with afatinib as a new neoadjuvant treatment regimen for patients with resectable HNSCC.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
West China Hospital
Treatments:
Afatinib
Albumin-Bound Paclitaxel
Paclitaxel
Criteria
Inclusion Criteria:

1. Age 18 years or above.

2. Patients with pathologically confirmed HNSCC (except for nasopharyngeal carcinoma) and
meet the following conditions:

- were newly diagnosed and without distant metastasis;

- were deemed surgically resectable evaluated by a head and neck surgeon;

- were willing to undergo surgery.

3. Eastern Cooperative Oncology Group (ECOG) performance status 0-1.

4. Adequate organ and bone marrow function:

- absolute neutrophil count ≥ 1.5 × 10^9/L, hemoglobin ≥ 80 g/L, platelets ≥ 80 ×
10^9/L;

- ALT, AST and ALP < 2.5× upper limit of normal (ULN), total bilirubin ≤ 2×ULN;

- albumin≥ 2.8 g/dL;

- creatinine clearance ≥ 60 ml/min;

- INR≤ 1.5;APTT≤ 1.5×ULN;

5. Written informed consent.

Exclusion Criteria:

1. History of other malignancies (except for the history of malignant tumors that have
been cured and have not recurred within 5 years, such as skin basal cell carcinoma,
skin squamous cell carcinoma, superficial bladder cancer, in situ cervical cancer, and
gastrointestinal mucosal cancer, etc.)

2. Have an active autoimmune disease requiring systemic treatment or a documented history
of clinically severe autoimmune disease.

3. Any history of allergic disease, or a sever hypersensitivity reaction to drugs, or
allergy to the study drug components.

4. Any of prior therapy with:

- anti-PD-1, anti-PD-L1/2, anti-CTLA-4 antibody, anti-EGFR antibody or EGFR-TKIs;

- antitumor vaccine;

- any active vaccine against an infectious disease within 4 weeks prior to the
first dose or planned during the study period;

- major surgery or serious trauma within 4 weeks before the first dose;

- toxicity from prior antitumor therapy has not recovered to ≤ CTCAE Version 5.0
Grade 1 or the level specified by the inclusion/exclusion criteria.

5. With serious medical diseases, such as grade II and above cardiac dysfunction (NYHA
criteria), ischemic heart disease, supraventricular or ventricular arrhythmia, poorly
controlled diabetes mellitus, poorly controlled hypertension, echocardiographic
ejection fraction < 50%, etc.

6. With interstitial pneumonitis, non-infectious pneumonitis, active pulmonary
tuberculosis, or history of pulmonary tuberculosis infection that were not controlled
by treatment.

7. With hyperthyroidism, or organic thyroid disease.

8. With active infection, or unexplained fever during the screening period or 48 hours
before the first dose.

9. With active hepatitis B or C, or known history of positive HIV test, or acquired
immunodeficiency syndrome.

10. History of a clear neurological or psychiatric disorder.

11. History of drug abuse or alcohol abuse.

12. Women who are pregnant or breastfeeding, or have a reproductive plan from the
screening period to 3 months after the end of the study, or have sex without
contraceptive measures, or are unwilling to take appropriate contraceptive measures.

13. Received any investigational drug within 4 weeks prior to the first dose, or
concurrently enrolled in another clinical trial.

14. Any other factors that are not suitable for inclusion in this study judged by
investigators.