About this trial
This study evaluates H101 combined with transarterial chemoembolization (TACE) to enhance local tumor killing and immune activation while minimizing toxicity in r/m HNSCC patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age between 18 and under 80 years old.
Pathologically confirmed head and neck malignancies (including nasopharyngeal carcinoma, oral cavity cancer, oropharyngeal cancer, laryngeal cancer, hypopharyngeal cancer, salivary gland cancer, nasal cavity and paranasal sinus cancer, etc.); patients who have failed at least two lines of standard treatment (including cetuximab and immuno check point inhibitors).
Expected survival ≥3 months.
Eastern Cooperative Oncology Group Performance Status (ECOG PS) score of 0-2.
Disqualifiers
Expected survival less than 3 months.
Positive pregnancy test for women of childbearing age.
Concurrent diseases or conditions that affect the patient's ability to enroll normally or safety during the study period.
Active psychiatric disorders or other psychological conditions that affect the patient's ability to sign the informed consent or understand the study.
Trial design
Single group
Treatments tested in this trial
H101
DrugH101 combined with transarterial chemoembolization (TACE) for the treatment of recurrent or metastatic head and neck squamous cell carcinoma (r/m HNSCC)
TACE
Procedure/SurgeryH101 combined with transarterial chemoembolization (TACE) for the treatment of recurrent or metastatic head and neck squamous cell carcinoma (r/m HNSCC)
Treatment groups
Trial outcomes
Primary outcomes
Objective Response Rate (ORR)
The proportion of participants achieving a complete response (CR) or partial response (PR) based on modified RECIST v1.1 (mRECIST) criteria for target lesions assessed via MRI or CT imaging.
Secondary outcomes
Progression-Free Survival (PFS)
The time from the start of treatment to the first occurrence of disease progression as per mRECIST criteria or death from any cause, whichever occurs first.
Overall Survival (OS)
The time from the start of treatment to death from any cause.
Incidence of Treatment-Related Adverse Events (AEs)
The frequency and severity of adverse events assessed according to CTCAE v5.0, including those related to the oncolytic virus H101 and transarterial chemoembolization (TACE), such as injection site reactions, flu-like symptoms, myelosuppression, and procedural complications.
Other outcomes
Change in Quality of Life (QoL) Score
The change from baseline in the Global Health Status / Quality of Life scale (Items 29 \& 30) of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30. This scale consists of two items rated on a 7-point Likert scale (1='Very poor' to 7='Excellent'). The raw score is linearly transformed to a 0 to 100 scale, with a higher score indicating a better quality of life.
Change in Head and Neck Cancer-Specific Symptoms
The change from baseline in the total symptom score of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck Cancer Module 35. The QLQ-H\&N35 assesses symptoms and side effects specific to head and neck cancer and its treatment across multiple domains. Items are rated on a 4-point Likert scale (1='Not at all' to 4='Very much'). Scores are linearly transformed to a 0 to 100 scale, with a higher score indicating more severe symptoms or problems.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.