Neoadjuvant Chemoimmunotherapy (Camrelizumab + Paclitaxel + Carboplatin) for Resectable HNSCC
- Sponsor
- National Medical Research Radiological Centre of the Ministry of Health of Russia
- Study ID
- NCT07400094
- Phase
- PHASE2
- Status
- Not Yet Recruiting
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Conditions
- Laryngeal Neoplasms
- Oral Cavity Neoplasm
- Squamous Cell Carcinoma of Head and Neck
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 75 Years
- Healthy Volunteers
- Not accepted
Interventions
- Camrelizumab — DRUG200 mg IV on Day 1, every 21 days for 3 cycles
- Paclitaxel — DRUG175 mg/m² IV on Day 1, every 21 days for 3 cycles
- carboplatin — DRUGAUC 6 IV on Day 1, every 21 days for 3 cycles
- Radical Surgery — PROCEDUREStandard radical resection 4-6 weeks after neoadjuvant therapy
Study Details
This phase II study evaluates the efficacy and safety of neoadjuvant chemoimmunotherapy consisting of camrelizumab (PD-1 inhibitor), paclitaxel, and carboplatin in patients with resectable locally advanced (Stage III-IVA) squamous cell carcinoma of the oral cavity and/or larynx. Fifty patients will receive 3 cycles of therapy (camrelizumab 200 mg IV, paclitaxel 175 mg/m2 IV, carboplatin AUC6 IV, Day 1 every 21 days) followed by radical surgery 4-6 weeks later. Patients are then stratified to risk-adapted adjuvant therapy based on pathological findings (radiation or chemoradiation with cisplatin if adverse features present). The primary endpoint is the pathological complete response (pCR) rate and major pathological response (MPR, \<10% viable tumor cells) rate at surgery. Secondary endpoints include objective response rate (ORR) by imaging (MRI/PET-CT), correlation of PET-CT metabolic response with pathological response, proportion requiring adjuvant chemoradiation, and 3-year event-free survival compared to historical controls. Study period: 2026-2029.
Key Dates
- Start date
- Feb 28, 2026
- Status verified
- Feb 2026
- Primary completion
- Feb 28, 2029
- Completion
- Feb 28, 2029
Study Design
- Enrollment
- 50 participants (estimated)
- Allocation
- NA
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Neoadjuvant ChemoimmunotherapyPatients receive 3 cycles of camrelizumab + paclitaxel + carboplatin followed by surgery. Number of Participants: 50 (Anticipated)
Primary Outcome Measure
Pathological Complete Response (pCR) Rate [ Time Frame: At the time of surgery (approximately 10-12 weeks from baseline) ]
Central Contacts
- Larisa V. Bolotina, MD, PhD+79039686637
- Maxim S. Ruban, MD+79204335470
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