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Head and Neck CancerPhase 2NCT04634825

Enoblituzumab Plus Retifanlimab or Tebotelimab in Head and Neck Cancer

A Phase 2 study testing Enoblituzumab, Retifanlimab and Tebotelimab in people with Head and Neck Cancer and Head and Neck Neoplasms, run by MacroGenics at 42 sites in 7 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

This is a Phase 2 study of enoblituzumab combined with either retifanlimab or tebotelimab administered as first-line treatment to patients with recurrent or metastatic squamous cell carcinoma of the head and neck. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Enoblituzumab, Retifanlimab and Tebotelimab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
62 participants
Where
42 sitesin 7 countries
Study dates
17 Mar 2021to 29 Jul 2022
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically proven, recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN) not curable by local therapy
  • No prior systemic therapy for SCCHN in the recurrent or metastatic setting (with the exception of systemic therapy completed > 6 months prior if given as part of multimodal treatment for locally advanced disease)
  • Primary tumor locations of oropharynx, oral cavity, hypopharynx, or larynx. Patients may not have a primary tumor site of upper esophagus, salivary gland, or nasopharynx (any histology)
  • Availability of formalin-fixed, paraffin embedded tumor specimen or contemporary biopsy for immunohistochemical evaluation of pharmacodynamic markers of interest
  • Willing to consent for baseline and on-treatment biopsy.
  • Performance status 0 or 1
Show all 14Show fewer
  • Life expectancy of 6 months or more
  • Adequate end organ function
  • At least one radiographically measurable lesion
  • PD-L1 expression level that is either
  • Positive (combined positive score [CPS] ≥ 1) for the retifanlimab cohort, or
  • Negative (CPS < 1) for the tebotelimab cohort
  • Results available from human papilloma virus p16 status for oropharyngeal cancer
  • Acceptable laboratory results

Who cannot join

  • Disease suitable for local therapy administered with curative intent
  • Progressive disease within 6 months of completion of curatively intended systemic treatment for locoregionally advanced SCCHN
  • Radiation or other non-systemic therapy within 2 weeks prior to the first dose of study drug
  • Prior therapy with an anti-B7-H3, anti-PD-1, anti-PD-L1, or anti-LAG-3 agent

Trial locations and contacts

42 sites in 7 countries.

42 sites in 7 countries

Australia7 sites
  • Andrew Love Cancer Centre, Barwon Health

    Geelong, Victoria, 3220

  • Liverpool Hospital

    Liverpool, New South Wales, 2170

  • Fiona Stanley Hospital

    Murdoch, Western Australia, 6150

  • Monash Health, Medical Oncology Department

    Ruse, New South Wales, 3168

  • Icon Cancer Centre Southport

    Southport, Queensland, 4215

  • Royal North Shore Hospital

    Sydney, New South Wales, 2065

  • Calvary Mater Newcastle

    Waratah, New South Wales, 2298

Other trials in Australia

Bulgaria7 sites
  • Complex Oncology Center Ruse Ltd.

    Dobrich, 7002

  • MHAT Serdica

    Panagyurishte, 1632

  • MBAL Uni Hospital

    Pleven, 4500

  • MHAT Nadezhda, Medical Oncology

    Sofia, 1373

  • UMHAT Tsarisa Yoanna - ISUL

    Sofia, 1527

  • UMHAT Georgi Stranski Medical Oncology Department

    Sofia, 5800

  • COC Dobrich

    Sofia, 9300

Other trials in Bulgaria

United States6 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

  • University of Maryland, Greenebaum Comprehensive Cancer Center

    Baltimore, Maryland, 21201

  • University of North Carolina - Lineberger Cancer Center

    Chapel Hill, North Carolina, 27514

  • Comprehensive Cancer Centers of Nevada

    Las Vegas, Nevada, 89169

  • University of Pennsylvania - Abramson Cancer Center

    Philadelphia, Pennsylvania, 19104

  • University of Pittsburgh Medical Center- Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

Other trials in United States

Spain6 sites
  • Complejo Hospitalario Universitario de Badajoz

    Badajoz, 06080

  • Hospital Universitario Vall D'Hebrón

    Barcelona, 08035

  • Hospital Clínic de Barcelona

    Barcelona, 08036

  • Hospital Clínico San Carlos

    Madrid, 28040

  • Clinica Universidad de Navarra

    Pamplona, 31008

  • Hospital Universitario Virgen de la Macarena

    Seville, 41009

Other trials in Spain

Ukraine6 sites
  • Communal Non-profit Enterprise "City Clinical Hospital#4" of Dnipro City

    Dnipro, 49102

  • Communal Non-Profit Enterprise "Regional Center of Oncology", Oncosurgical Department of Head and Neck

    Kharkiv, 61070

  • Communal Non-profit Enterprise "Regional Clinical Oncology Center of Kirovohrad Regional Council",

    Kropyvnytskyi, 25000

  • Kyiv City Clinical Oncological Centre

    Kyiv, 03115

  • Municipal Non-Profit Enterprise of Sumy Regional Council "Sumy Regional Clinical Oncology Dispensary"

    Sumy, 40022

  • Communal Nonprofit Enterprise Podilsky Regional Center of Oncology

    Vinnytsia, 21029

Other trials in Ukraine

Hungary5 sites
  • Bajcsy-Zsilinszky Korhaz

    Budapest, 01106

  • Uzsoki Street Hospital

    Budapest, 1145

  • Dept of Oncology, University of Debrecen

    Debrecen, 04032

  • Dept of Oncology, Bekec County Hosp

    Gyula, 5700

  • Dept of Oncology, Tolna County Hospital

    Szekszárd, 7100

Other trials in Hungary

Poland5 sites
  • The Ewa Pilecka Department of Clinical Oncology

    Bialystok, 15027

  • Uniwersyteckie Centrum Kliniczne

    Gdansk, 80-214

  • I Clinics of Radiotherapy and Chemiotherapy; The Maria Sklodowska-Curie National Research Institute of Oncology

    Gliwice, 44-102

  • Biokinetica

    Józefów, 05-410

  • Clinics of Head and Neck Cancer, The Maria Sklodowska-Curie National Research Institute of Oncology

    Warsaw

Other trials in Poland

About this study

Official title: A Phase 2 Open-Label Trial to Evaluate Enoblituzumab in Combination With Retifanlimab or Tebotelimab in the First-Line Treatment of Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck

This is a Phase 2 study of enoblituzumab combined with either retifanlimab or tebotelimab administered as first-line treatment to patients with recurrent or metastatic squamous cell carcinoma of the head and neck.

Being tested
Enoblituzumab, Retifanlimab, Tebotelimab
Medical subject headings
Head and Neck Neoplasms, Squamous Cell Carcinoma of Head and Neck

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EnoblituzumabBiological

    Also called MGA271

    Anti-B7-H3 antibody

  • RetifanlimabBiological

    Also called INCMGA00012, MGA012, Zynyz

    Anti-PD-1 antibody

  • TebotelimabBiological

    Also called MGD013

    PD-1 X LAG-3 bispecific DART molecule

Study groups in NCT04634825
Study groupRoleWhat they receive
Retifanlimab CohortExperimentalEnoblituzumab 15 mg/kg every 3 weeks plus retifanlimab 375 mg every 3 weeks for up to 35 cycles
Receives: Biological: Enoblituzumab; Biological: Retifanlimab
Tebotelimab CohortExperimentalEnoblituzumab 15 mg/kg every 3 weeks plus tebotelimab 600 mg every 3 weeks for up to 35 cycles
Receives: Biological: Enoblituzumab; Biological: Tebotelimab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Response Rate (ORR) of Enoblituzumab Plus Retifanlimab

    Investigator-assessed ORR. defined as the percentage of patients in the response evaluable population who achieve the best overall response of complete response (CR) or partial response (PR),per Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1 criteria..

    CR is defined as disappearance of all target and non-target lesions. PR is defined as at least a 30% decrease from baseline in the sum of diameters of target lesions

    Measured: Tumor assessment is conducted 6 weeks after the first dose, then every 9 weeks until disease progression, up to 16.5 months.

  2. Number of Patients With Adverse Events (AEs) Receiving Enoblituzumab Plus Tebotelimab

    Measured: Throughout the study, up to 16.5 months.

  3. ORR of Enoblituzumab Plus Tebotelimab

    Investigator-assessed ORR. ORR, defined as the percentage of patients in the response evaluable population who achieve the a best overall response of complete response (CR) or partial response (PR), per RECIST, version 1.1 criteria.

    CR is defined as disappearance of all target and non-target lesions. PR is defined as at least a 30% decrease from baseline in the sum of diameters of target lesions

    Measured: Tumor assessment is conducted 6 weeks after the first dose, then every 9 weeks until disease progression, up to 16.5 months

Secondary outcomes (15)
  1. Progression-free Survival (PFS)

    Time from the first dose date to the date of first documented progression or death from any cause, whichever occurs first, evaluated by cohort

    Measured: Tumor assessment is conducted 6 weeks after the first dose, then every 9 weeks until disease progression, up to 16.5 months

  2. Disease-control Rate (DCR)

    Percentage of response-evaluable patients with CR, PR, or stable disease (SD) for at least 3 months, evaluated by cohort

    Measured: Tumor assessment is conducted 6 weeks after the first dose, then every 9 weeks until disease progression, up to 16.5 months

  3. Duration of Response

    Time from the date of initial response (CR or PR) to the date of first documented progression or death from any cause, whichever occurs first, evaluated by cohort

    Measured: Tumor assessment is conducted 6 weeks after the first dose, then every 9 weeks until disease progression, up to 16.5 months

  4. Overall Survival

    Time from the first dose date to the date of death from any cause, evaluated by cohort

    Measured: up to 16.5 months

  5. Best Overall Response (BOR)

    The participants best response to treatment during their study participation. Responses are categorized as CR, PR, stable disease (SD), progressive disease (PD), or not evaluated (NE), per RECIST 1.1 criteria CR is defined as disappearance of all target and non-target lesions. PR is defined as at least a 30% decrease from baseline in the sum of diameters of target lesions, and non-PD in non-target lesions PD is defined as at least a 20% increase from nadir in the sum of diameters of target lesions or unequivocal progression in non-target lesions SD is defined as non-PD in target and non-target lesions

    Measured: Tumor assessment is conducted 6 weeks after first dose, then every 9 weeks until disease progression, up to 16.5 months

  6. Number of Patients With AEs Receiving Enoblituzumab Plus Retifanlimab

    Measured: Throughout the study, up to 16.5 months.

  7. Maximum Drug Concentration or Drug Concentration of Enoblituzumab at the End of Infusion of Enoblituzumab (Cmax)

    The highest measured concentration of enoblituzumab in the bloodstream.

    Measured: Cycle 1 Day 1: Pre-infusion, end of infusion (EOI [2 hours]), 4 hours after EOI; Cycle 1 Days 2, 3, 8 and 15 at any time; On Day 1 of Cycles 2, 3, 4, 5 and 6: Pre-infusion and EOI (each cycle is 21 days)

  8. Maximum Drug Concentration or Drug Concentration of Tebotelimab at the End of Infusion of Tebotelimab (Cmax)

    The highest measured concentration of tebotelimab in the bloodstream.

    Measured: Cycle 1 Day 1: Pre-infusion, end of infusion (EOI [1 hour]), 4 hours after EOI; Cycle 1 Days 2, 3, 8 and 15 at any time; On Day 1 of Cycles 2, 3, 4, 5 and 6: Pre-infusion and EOI (each cycle is 21 days)

  9. Maximum Drug Concentration or Drug Concentration of Retifanlimab at the End of Infusion of Enoblituzumab (Cmax)

    The highest measured concentration of retifanlimab in the bloodstream.

    Measured: Cycle 1 Day 1: Pre-infusion, end of infusion (EOI [1 hour]), 4 hours after EOI; Cycle 1 Days 2, 3, 8 and 15 at any time; On Day 1 of Cycles 2, 3, 4, 5 and 6: Pre-infusion and EOI (each cycle is 21 days)

  10. Trough Concentration of Enoblituzumab (Ctrough or Cmin)

    The amount of enoblituzumab left in the bloodstream before the next dose is given.

    Measured: Cycle 1 Day 1: Pre-infusion, end of infusion (EOI [2 hours]), 4 hours after EOI; Cycle 1 Days 2, 3, 8 and 15 at any time; On Day 1 of Cycles 2, 3, 4, 5 and 6: Pre-infusion and EOI (each cycle is 21 days

  11. Trough Concentration of Tebotelimab (Ctrough or Cmin)

    The amount of tebotelimab left in the bloodstream before the next dose is given.

    Measured: Cycle 1 Day 1: Pre-infusion, end of infusion (EOI [1 hour]), 4 hours after EOI; Cycle 1 Days 2, 3, 8 and 15 at any time; On Day 1 of Cycles 2, 3, 4, 5 and 6: Pre-infusion and EOI (each cycle is 21 days)

  12. Trough Concentration of Retifanlimab (Ctrough or Cmin)

    The amount of retifanlimab left in the bloodstream before the next dose is given.

    Measured: Cycle 1 Day 1: Pre-infusion, end of infusion (EOI [1 hour]), 4 hours after EOI; Cycle 1 Days 2, 3, 8 and 15 at any time; On Day 1 of Cycles 2, 3, 4, 5 and 6: Pre-infusion and EOI (each cycle is 21 days)

  13. Number of Patients Who Develop Antidrug Antibodies (ADA) to Enoblituzumab.

    Measured: Prior to treatment (baseline) and at the beginning of every 3-week cycle of treatment (post baseline) up to 16.5 months

  14. Number of Patients Who Develop ADA to Tebotelimab

    Measured: Prior to treatment (baseline) and at the beginning of every 3-week cycle of treatment (post baseline) up to 16.5 months

  15. Number of Patients Who ADA to Retifanlimab

    Measured: Prior to treatment (baseline) and at the beginning of every 3-week cycle of treatment (post baseline) up to 16.5 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Nov 2020
  2. Study start17 Mar 2021
  3. Primary completion29 Jul 2022
  4. Study completion29 Jul 2022

Why it stopped: Based on internal review of safety data

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Enrollment into each cohort will occur independently in a non-randomized fashion, based on PD-L1 expression results. Patients may not crossover between cohorts.
Masking
None (open label)
Enrolment
62 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04634825
Sponsor's protocol ID
CP-MGA271-06
Status last verified
Dec 2023
First submitted
12 Nov 2020
Last updated
20 Dec 2023
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Enoblituzumab, Retifanlimab and Tebotelimab in people with Head and Neck Cancer and Head and Neck Neoplasms, run by MacroGenics at 42 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 14 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 20 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in Australia, Bulgaria, United States, Spain, Ukraine and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 20 Dec 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Response Rate (ORR) of Enoblituzumab Plus Retifanlimab (time frame: Tumor assessment is conducted 6 weeks after the first dose, then every 9 weeks until disease progression, up to 16.5 months.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Dec 2023.

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