Immune checkpoint inhibitors (CPI) such as pembrolizumab or nivolumab have been recently approved for the treatment of recurrent/metastatic head and neck cancer (HNSCC). However, only a minority of patients respond to therapy. From the clinical point of view the optimal management of patients progressing on or after CPI therapy is still a challenge. Retrospective analysis showed that HNSCC patients, who progressed on/after CPI, demonstrated an overall response rate (ORR) of up to 30% subsequent to chemotherapy +/- cetuximab treatment. It is the aim of this study to evaluate if paclitaxel plus cetuximab after first line pembrolizumab failure is an effective salvage therapy in 50 R/M HNSCC patients. The primary endpoint is ORR according to RECIST V 1.1.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
57
Paclitaxel 175 mg/m2, q21
Cetuximab 400mg/m2 loading dose followed by weekly 250mg/m2
Medical University of Vienna
Vienna, State of Vienna, Austria
Overall response rate
To evaluate the Overall Response Rate (CR/PR) rate according to RECIST V 1.1
Time frame: 3 months
Median Overall Survival
The interval between start of treatment and death from any cause
Time frame: 2 years
Median Progression Free Survival
The interval between start of treatment and date of progression, or death, from any cause
Time frame: 2 years
Median Duration of response
Time frame: 2 years
Health-related quality-of-life scores per patient measured according to the European Organisation for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ) C-30 scoring manual
Time frame: 2 years
Health-related quality-of-life scores per patient measured according to the European Organisation for Research and Treatment of Cancer (EORTC) quality of life questionnaire (QLQ) H&N35 scoring manual
Time frame: 2 years
Number of participants with adverse events
AEs, treatment-related AEs, serious adverse events (SAEs), and treatment-related SAEs will be tabulated using worst grade per NCI CTCAE v 5.0 criteria.
Time frame: 2 years
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