A Study Evaluating Ficerafusp Alfa (BCA101) QW in Combination With Pembrolizumab vs Alternative Ficerafusp Alfa Dosing in 1L R or M HNSCC

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorBicara Therapeutics

About this trial

Ficerafusp alfa is directed against two targets, Epidermal Growth Factor Receptor (EGFR) and Transforming Growth Factor beta (TGF-β).

The study aims to demonstrate that the antitumor activity of an alternative dosing regimen of ficerafusp alfa in combination with pembrolizumab is comparable to the weekly ficerafusp alfa regimen in 1L PD-L1-positive, recurrent or metastatic Head and Neck Squamous Cell Carcinoma (HNSCC).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥18 years on the day the Informed Consent Form is signed.

Histologically or cytologically confirmed R or M HNSCC. Eligible primary tumor locations are oral cavity, hypopharynx, larynx or oropharynx (with documented HPV-negative disease if presenting with OPSCC). Note: primary tumor location of paranasal sinuses and nasopharynx, any histology are excluded.

No prior systemic therapy administered in the R or M setting; and completed systemic therapy >6 months prior if given as part of multimodal treatment for locoregionally advanced disease in the adjuvant or definitive setting.

Archival tumor tissue or willing to undergo pretreatment biopsy at Screening if archival tissue is insufficient or unavailable.

Disqualifiers

Disease suitable for local therapy administered with curative intent.

Prior treatment with anti-TGFβ therapy.

Prior therapy with an anti-EGFR antibody (exception: radio sensitizing agents and multimodal treatment for locoregionally advanced disease).

Prior history of Grade ≥2 intolerance or hypersensitivity reaction to anti-EGFR therapy or other murine proteins.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Ficerafusp alfa

    Drug

    investigational agent

  • Pembrolizumab (KEYTRUDA®)

    Drug

    immunotherapy agent used in combination with investigational agent

Treatment groups

160 Participants
are divided into 2 treatment groups
Group A: Arm AExperimental treatment 2 interventions
Group B: Arm BExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Proportion of participants in maintenance phase who are progression-free as assessed by blinded independent central review (BICR) per RECIST 1.1 and alive.

Time frame
Approximately 9 months.

Secondary outcomes

1

Serum exposure of ficerafusp alfa.

Pre- and post-infusion serum concentrations and area under the curve (AUC) for ficerafusp alfa.

Time frame
Approximately 9 months.
2

Objective response rate (ORR) per RECIST 1.1 by blinded independent central review (BICR).

ORR is defined as the proportion of subjects who have a confirmed CR or PR per RECIST 1.1. by BICR.

Time frame
Approximately 1 year.
3

Disease control rate (DCR) per RECIST 1.1 by blinded independent central review (BICR)

DCR is defined as the proportion of subjects who have a SD, CR or PR per RECIST 1.1. by BICR

Time frame
Approximately 1 year.
4

Clinical Benefit Rate (CBR) per RECIST 1.1 by blinded independent central review (BICR)

CBR is defined as the proportion of subjects who demonstrated CR + PR + SD\>6 months per RECIST 1.1 by BICR.

Time frame
Approximately 3 years.

Other outcomes

Sponsors and contacts

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