About this trial
This study is a multicenter, prospective, single-arm Phase II clinical trial evaluating the efficacy and safety of neoadjuvant therapy with TROP-2 ADC in combination with toripalimab for resectable locally advanced oral squamous cell carcinoma, followed by curative surgery and postoperative adjuvant radiotherapy or chemoradiotherapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Ages 18-75 (inclusive); no gender restrictions.
Histologically or cytologically confirmed locally advanced oral squamous cell carcinoma (AJCC 8th Edition stages III-IVA).
Resectable and having not previously received any antitumor therapy for oral squamous cell carcinoma.
At least one evaluable tumor lesion according to RECIST version 1.1.
Disqualifiers
Presence of precancerous lesions such as oral leukoplakia, erythroplakia, or lichen planus.
History of head and neck radiation therapy.
History of allogeneic hematopoietic stem cell transplantation or organ transplantation.
Received other investigational drugs or treatments not yet approved for marketing within 4 weeks prior to the first administration of the study drug.
Trial design
Single group
Treatments tested in this trial
Sacituzumab Govitecan OR Sacituzumab Tirumotecan in Combination with Toripalimab
DrugSacituzumab Govitecan(10 mg/kg, intravenous infusion, on Days 1 and 8) in combination with toripalimab (240 mg, intravenous infusion, on Day 1) every 3 weeks, for 2 cycles. OR Sacituzumab Tirumotecan (5 mg/kg, intravenous infusion, on Day 1) in combination with toripalimab (3 mg/kg, intravenous infusion, on Day 1) every 2 weeks, for 3 cycles.
Radical Surgery for OSCC
Procedure/SurgeryIf imaging studies following neoadjuvant therapy show a tumor response of PR or SD, or PD but the tumor is amenable to curative resection, surgery is performed.
Radiation Therapy
RadiationParticipants will begin adjuvant radiation therapy 4-6 weeks after surgery. Radiation therapy will be administered using intensity-modulated radiation therapy (IMRT) at a dose of 66-70 Gy (investigators may adjust the dose appropriately based on the patient's actual condition).
Cisplatin
DrugParticipants with high-risk factors, such as extracapsular lymph node invasion or inadequate surgical margins, should receive concurrent cisplatin therapy (unless the investigator determines that the patient is not suitable for cisplatin treatment). The cisplatin regimen includes a 3-week schedule (100 mg/m², at least 2 cycles) or a weekly schedule (40 mg/m², at least 5 cycles), as determined by the investigator based on the patient's individual condition.
Treatment groups
Trial outcomes
Primary outcomes
MPR rate
Secondary outcomes
Incidence and frequency of AEs and SAEs
pCR
ORR
EFS
Sponsors and contacts
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Shanghai East Hospital
Lead sponsor
Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
Collaborator
Huashan Hospital
Collaborator
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