Finotonlimab Combined With Stapokibart in the Treatment of Recurrent/Metastatic HNSCC

ConditionHNSCC
Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-75
SponsorBeijing Tongren Hospital

About this trial

This is a single-arm, phase Ib study involving HNSCC patients who had received first-line treatment with either PD-1 combined with platinum-based drugs or PD-1 monotherapy. The aim of the study is to evaluate the safety and efficacy of Finotonlimab in combination with Stapokibart in the treatment of recurrent/metastatic HNSCC patients.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Voluntarily sign the ICF;

Recurrent/metastatic HNSCC of the oral cavity, oropharyngeal, pharyngeal, and laryngeal regions;

Male/female, ≥ 18 years old, ECOG 0~1;

After PD-1 and platinum therapy, or PD-1 monotherapy, disease progression occurs within 24 weeks after the last ICI administration (as assessed by RECIST 1.1);

Disqualifiers

Suitable for local treatment;

Merge with other malignant tumors;

Brain metastasis;

If the toxicity does not recover to level 0-1 after surgery/radiotherapy/drug treatment, excluding chronic toxicity;

Trial design

Design model

Single group

Treatments tested in this trial

  • Stapokibart and Finotonlimab

    Combination product

    Receive the combination therapy with Stapokibart and Finotonlimab. Stapokibart, 600mg for the first cycle, 300mg for the second and subsequent cycles, administered subcutaneously every 3 weeks; Finotonlimab 200mg, administered intravenously every 3 weeks. Treatment with Stapokibart in combination with Finotonlimab was continued until confirmed disease progression occurs according to the RECIST 1.1 imaging criteria (if the researcher determines that the subject can benefit from continuing PD-1 drug treatment, and the subject can tolerate the study treatment and agree, PD-1 drug can be continued and recorded in the study records), unacceptable toxic side effects, initiation of new anti-tumor treatment, withdrawal from the study or death (whichever occurs first), or reaching a maximum treatment period of 2 years.

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: Stapokibart and FinotonlimabExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Adverse events (AEs)

Number of participants with AEs assessed by Common Terminology Criteria for Adverse Events v5.0.

Time frame
Up to 2 years
2

Overall response rate (ORR)

Percentage of participants with a confirmed best overall complete response (CR) or partial response (PR) according to response evaluation criteria in solid tumors version 1.1 (RECIST 1.1).

Time frame
Up to 2 years

Secondary outcomes

1

Disease control rate (DCR)

The proportion of participants who achieve complete response (CR), partial response (PR), or stable disease (SD) as their best overall response, according to RECIST 1.1 criteria.

Time frame
Up to 2 years
2

Progression free survival (PFS)

PFS will be calculated from the first administration of Stapokibart to the date of documented disease progression, or death from any cause.

Time frame
Up to 2 years
3

Duration of response (DOR)

The time from the date of first response (CR or PR) to the date of progression of disease or death of any cause.

Time frame
Up to 2 years

Other outcomes

1

Histopathological evaluation of tumor tissues

Mean change from baseline in the proportions (%) of Ki67-, p63-, and EGFR-positive cells in tumor tissue, assessed by immunohistochemistry, before and after treatment with Stapokibart and Finotonlimab.

Time frame
Up to 10 weeks
2

Change in proportions of tumor-infiltrating immune cell subtypes

Mean change from baseline in the proportion (%) of tumor-infiltrating immune cells, including T cells, B cells, natural killer cells, dendritic cells, macrophages, and mast cells, in tumor tissue following treatment.

Time frame
up to 10 weeks
3

Change in serum cytokine concentrations from baseline to Week 10

Mean change from baseline in serum concentrations of IL-4, IL-13, IFN-γ, IL-17A, IL-8, IL-10 and other exploratory cytokines following treatment.

Time frame
up to 10 weeks
4

Change in peripheral immune cell subtypes and activation status

Mean change from baseline in the proportion (%) and activation status of peripheral immune cell subsets, including T cells, B cells, natural killer cells, dendritic cells and monocytes, assessed by flow cytometry following treatment.

Time frame
up to 10 weeks

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Beijing Tongren Hospital

Lead sponsor

Sinocelltech Ltd.

Collaborator

Keymed Biosciences Co.Ltd

Collaborator