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Head and Neck Squamous Cell CarcinomaPhase 2ELEVATE HNSCCNCT04854499

Study of Magrolimab Combination Therapy in Patients With Head and Neck Squamous Cell Carcinoma

A Phase 2 study testing Magrolimab, Pembrolizumab and Docetaxel in people with Head and Neck Squamous Cell Carcinoma, run by Gilead Sciences at 88 sites in 11 countries.

Terminated

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

Official record
Search all trials

Trial summary

The goals of this clinical study are to learn about the safety, tolerability, dosing and effectiveness of the study drug, magrolimab in combination with other anticancer therapies in participants with head and neck squamous cell carcinoma (HNSCC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Head and Neck Squamous Cell Carcinoma
What is being tested?
Magrolimab, Pembrolizumab and Docetaxel
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
193 participants
Where
88 sitesin 11 countries
Study dates
7 Sep 2021to 2 Oct 2024
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 or cytologically confirmed metastatic or locally recurrent HNSCC that is considered incurable by local therapies.
  • Safety Run-in Cohort 1 and Phase 2 Cohorts 1
  • Should not have had prior systemic therapy administered in the recurrent or metastatic setting.
  • Eligible primary tumor locations include oropharynx, oral cavity, hypopharynx, and larynx. Nasopharynx is not included.
  • HNSCC per protocol specified inclusion criteria regardless of PD-L1 status.
  • Safety Run-in Cohort 2 and Phase 2 Cohort 3
  • Histologically or cytologically confirmed locally advanced/mHNSCC regardless of PD-L1 status with at least 1 and no more than 2 lines of prior systemic anticancer therapy in the locally advanced/metastatic setting.

Who cannot join

  • Active central nervous system (CNS) disease (individuals with asymptomatic and stable, treated CNS lesions who have been off corticosteroids, radiation, or other CNS-directed therapy for at least 4 weeks are not considered active).
  • History of (noninfectious) pneumonitis that required steroids or current pneumonitis.
  • Progressive disease within 6 months of completion of curatively intended treatment for locally advanced/mHNSCC.
  • Safety Run-in Cohort 1, Pre-expansion Safety Run-in Cohort for Magrolimab + Pembrolizumab (if Applicable), and Phase 2 Cohorts 1 and 2
  • Prior treatment with any of the following:
  • Anti-programmed cell death protein 1 or anti-PD-L1 checkpoint inhibitors.
Show all 10Show fewer
  • Anti-cytotoxic T-lymphocyte-associated protein 4 checkpoint inhibitors.
  • Safety Run-in Cohort 2 and Phase 2 Cohort 3
  • Prior treatment with a taxane.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

88 sites in 11 countries.

88 sites in 11 countries

United States22 sites
  • University Center and Blood Center,LLC.

    Athens, Georgia, 30607

  • Ironwood Cancer and Research Center

    Chandler, Arizona, 85224

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • City of Hope

    Duarte, California, 91010

  • Astera Cancer Care

    East Brunswick, New Jersey, 08816

  • Sanford Roger Maris Cancer Center

    Fargo, North Dakota, 58122

  • Memorial Healthcare System

    Hollywood, Florida, 33021

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • Indiana University Melvin and Bren Simon Cancer Center

    Indianapolis, Indiana, 46202

  • Lancaster General Hospital

    Lancaster, Pennsylvania, 17602

  • UCLA Hematology/Oncology

    Los Angeles, California, 90095

  • Virginia Piper Cancer Center (Alliant Health

    Minneapolis, Minnesota, 55407

  • Icahn School of Medicine at Mount Sinai and the Mount Sinai Hospital

    New York, New York, 10029

  • Ocala Oncology Center

    Ocala, Florida, 34471

  • OU Health Stephenson Cancer Center

    Oklahoma City, Oklahoma, 73104

  • Stanford Cancer Institute

    Palo Alto, California, 94305

  • New York Cancer and Blood Specialists

    Port Jefferson Station, New York, 11776

  • Torrance Memorial Physician Network - Cancer Care Associates

    Redondo Beach, California, 90277

  • Huntsman Cancer Institute

    Salt Lake City, Utah, 84112

  • Providence Medical Foundation

    Santa Rosa, California, 95403

  • Avera Cancer Institute

    Sioux Falls, South Dakota, 57105

  • Washington University of Medicine- Siteman Cancer Center

    St Louis, Missouri, 63110

Other trials in United States

Spain13 sites
  • Hospital Universitari Vall d'Hebron

    Barcelona, 08035

  • Hospital del Mar

    Barcelona, 8003

  • Hospital De La Santa Creu I Sant Pau

    Barcelona, 8041

  • Hospital Universitario de Jaen

    Jaén, 23007

  • Hospital General Universitario Gregorio Maranon

    Madrid, 28007

  • MD Anderson Cancer Center

    Madrid, 28033

  • Hospital Universitario La Paz

    Madrid, 28046

  • Hospital Regional Universitario de Malaga

    Málaga, 29010

  • Clinica Universidad de Navarra

    Pamplona, 31008

  • Hospital Universitario Virgen Macarena

    Seville, 41009

  • Hospital Universitario Virgen del Rocio

    Seville, 41013

  • Hospital Universitari i Politecnic La Fe

    Valencia, 46026

  • Hospital Clínico Universitario de Valencia

    Valencia

Other trials in Spain

France10 sites
  • Institut Bergonie

    Bordeaux, 33000

  • Centre Georges François Leclerc

    Dijon, 21079

  • Centre Léon Bérard

    Lyon, 69373

  • Hopital de la Timone

    Marseille, 13005

  • Centre de Lutte Contre le Cancer (CLCC) - Centre Antoine Lacassagne (CAL) - Site Est

    Nice, 6189

  • Institut Curie

    Paris, 75005

  • Hopital Pitie-Salpetriere

    Paris, 75013

  • Civils de Lyon-Centre Hopitalier Lyon Sud

    Pierre-Bénite, 69310

  • Hopital Foch

    Suresnes, 92151

  • Institut Gustave Roussy

    Villejuif, 94805

Other trials in France

Australia8 sites
  • Cairns Hospital

    Cairns, Queensland, 4870

  • St. Vincent's Hospital Sydney

    Darlinghurst, New South Wales, 2010

  • Austin Health

    Heidelberg, Victoria, 3084

  • Macquarie University

    Macquarie Park, New South Wales, 2109

  • Alfred Health

    Melbourne, Victoria, 3004

  • University of the Sunshine Coast

    Sippy Downs, Queensland, 4556

  • Blacktown Hospital

    Westmead, New South Wales, 2145

  • Princess Alexandra Hospital

    Woolloongabba, Queensland, 4102

Other trials in Australia

Belgium7 sites
  • ZiekenhuisNetwerk Antwerpen (ZNA) - Stuivenberg

    Antwerp, 2020

  • Algemeen Ziekenhuis Klina

    Brasschaat, 2930

  • UZ Antwerpen

    Edegem, 2650

  • Universitaire Ziekenhuis Leuven

    Leuven, 3000

  • Centre Hospitalizer De L'Ardenne

    Libramont-Chevigny, 6800

  • AZ Sint-Maarten

    Mechelen, 2800

  • CHU UCL Namur - Sainte-Elisabeth

    Namur, 5000

Other trials in Belgium

Italy7 sites
  • Azienda Ospedaliero - Universitaria di Bologna - IRCCS

    Bologna, 40138

  • ASST degli Spedali Civili di Brescia

    Brescia, 25123

  • Ospedale San Luca Luca

    Lucca, 55100

  • Fondazione IRCCS Istituto Nazionale Tumori Milano

    Milan, 20133

  • Azienda Ospedaliero-Universitaria di Modena - Policlinico

    Modena, 41124

  • Arcispedale Santa Maria Nuova

    Reggio Emilia, 42100

  • Azienda Ospedaliero - Universitaria Senese

    Siena, 53100

Other trials in Italy

Germany6 sites
  • Charite University Medicine

    Berlin, 10177

  • Universitätsklinikum Bonn, Medizinische Klinik und Poliklinik III

    Bonn, 53127

  • Universitatsmedizin Gottingen

    GÃttingen, 37075

  • Kath. Marienkrankenhaus gGmbH

    Hamburg, 22087

  • Universitäres Krebszentrum Leipzig

    Leipzig, 4103

  • Technische Universitat Munchen (TUM) - Klinikum Rechts der Isar

    Munich, 81675

Other trials in Germany

Portugal6 sites
  • Hospital de Braga

    Braga, 4710-243

  • Centro Hospitalar do Algarve

    Faro, 8000-366

  • Hospital CUF Descobertas

    Lisbon, 1998-018

  • Unidade Local de Saude de Matosinhos EPE - Hospital Pedro Hispano SA

    Matosinhos Municipality, 4464-513

  • Centro Hospitalar Universitario do Porto

    Porto, 4050-011

  • Instituto Portugues de Oncologia Do Porto Francisco Gentil,E.P.E.

    Porto, 4200-072

Other trials in Portugal

Poland5 sites
  • Centrum Onkologii im. Prof. Franciszka Lukaszczyka w Bydgoszczy

    Bydgoszcz, 85-796

  • Narodowy Instytut Onkologii im. M. Sklodowskiej-Curie, Panstwowy Instytut Badawczy, Oddzial x Gliwicach

    Gliwice, 44-102

  • Wielkopolskie Centrum Onkologii im. Marii Sklodowskiej-Curie, Oddzial Onkologii Klinicznej i Immunookologii z Poddoddzialem Dziennym i Izba Przyjec

    Poznan, 61-866

  • Wojewodzki Szpital Specjalistyczny w Siedlcach

    Siedlce, 08-110

  • Narodowy Instytut Onkologii im. M. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy, Klinika Nowotworow Glowy i Szyi

    Warsaw, 2781

Other trials in Poland

Hong Kong2 sites
  • Queen Mary Hospital

    Hong Kong

  • Princess Margaret Hospital

    Lai Chi Kok

Other trials in Hong Kong

United Kingdom2 sites
  • Royal Marsden NHS Foundation Trust, Royal Marsden - Sutton

    London, SM2 5PT

  • Musgrove Park Hospital

    Taunton, TA1 5DA

Other trials in United Kingdom

About this study

Official title: A Phase 2 Study of Magrolimab Combination Therapy in Patients With Head and Neck Squamous Cell Carcinoma

The goals of this clinical study are to learn about the safety, tolerability, dosing and effectiveness of the study drug, magrolimab in combination with other anticancer therapies in participants with head and neck squamous cell carcinoma (HNSCC).

Being tested
Magrolimab, Pembrolizumab, Docetaxel, 5-FU, Cisplatin
Medical subject headings
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.

  • MagrolimabDrug

    Also called GS-4721

    Administered intravenously

  • PembrolizumabDrug

    Also called KEYTRUDA®

    Administered intravenously

  • DocetaxelDrug

    Administered intravenously

  • 5-FUDrug

    Administered intravenously

  • CisplatinDrug

    Administered intravenously

  • CarboplatinDrug

    Administered intravenously

  • ZimberelimabDrug

    Administered intravenously

Study groups in NCT04854499
Study groupRoleWhat they receive
Safety Run-in Cohort 1, Magrolimab + Pembrolizumab + 5-FU + PlatinumExperimentalParticipants with untreated metastatic or unresectable, locally recurrent head and neck squamous cell carcinoma (HNSCC) regardless of programmed cell death ligand 1 (PD-L1) status will receive the following: * magrolimab 1 mg/kg on Cycle 1 Day 1; 30 mg/kg, beginning at Day 8 and for the next 5 doses * pembrolizumab 200 mg on Day 1 of each cycle * 5-fluorouracil (5-FU) 1000 mg/m^2/day Days 1-4 of each cycle (for up to 6 cycles) * platinum chemotherapy (cisplatin 100 mg/m^2 or carboplatin area under the concentration versus time curve (AUC) 5 per investigator choice (for up to 6 cycles)) Participants will continue treatment until unacceptable toxicity or disease progression, whichever occurs first, and will not change their magrolimab dose level after the recommended Phase 2 dose (RP2D) is determined. Each cycle is 21 days.
Receives: Drug: Magrolimab; Drug: Pembrolizumab; Drug: 5-FU; Drug: Cisplatin; Drug: Carboplatin
Safety Run-in Cohort 2, Magrolimab + DocetaxelExperimentalParticipants with locally advanced/metastatic HNSCC regardless of PD-L1 status who were previously treated with at least 1 and no more than 2 lines of prior systemic therapy will receive the following: * magrolimab 1 mg/kg on Cycle 1 Day 1; 30 mg/kg, beginning at Day 8 and for the next 5 doses * docetaxel 75 mg/m^2 on Day 1 of each cycle Participants will continue treatment until unacceptable toxicity or disease progression, whichever occurs first, and will not change their magrolimab dose level after the RP2D is determined. Each cycle is 21 days.
Receives: Drug: Magrolimab; Drug: Docetaxel
Pre-expansion Safety Run-in Cohort, Magrolimab + PembrolizumabExperimentalThe pre-expansion safety run-in cohort may be conducted at the sponsor's discretion prior to the initiation of Phase 2 Cohort 2. Participants with untreated metastatic or unresectable, locally recurrent HNSCC with a PD-L1 combined positive score (CPS) ≥ 1 will receive magrolimab and pembrolizumab 200 mg on Day 1 of each cycle. Each cycle is 21 days. Participants will continue treatment until unacceptable toxicity or disease progression, whichever occurs first, and will not change their magrolimab dose level after the RP2D is determined. Each cycle is 21 days.
Receives: Drug: Magrolimab; Drug: Pembrolizumab
Phase 2 Cohort 1, Magrolimab + Pembrolizumab + 5-FU + Platinum (Arm A)ExperimentalParticipants with untreated metastatic or unresectable, locally recurrent HNSCC regardless of PD-L1 status will receive magrolimab at the recommended Phase 2 dose (RP2D) determined in the Safety run-in cohort 1, pembrolizumab 200 mg on Day 1 of each cycle, 5-FU 1000 mg/m^2/day Days 1-4 of each cycle, and platinum chemotherapy (cisplatin 100 mg/m^2 or carboplatin AUC 5 per investigator choice). Each cycle is 21 days. Magrolimab will be continued until loss of clinical benefit, unacceptable toxicity, or death. Pembrolizumab therapy will be administered for up to 24 months or until loss of clinical benefit or unacceptable toxicity, whichever occurs first. 5-FU and platinum chemotherapy will be administered for up to 6 cycles or until loss of clinical benefit or unacceptable toxicity, whichever occurs first.
Receives: Drug: Magrolimab; Drug: Pembrolizumab; Drug: 5-FU; Drug: Cisplatin; Drug: Carboplatin
Phase 2 Cohort 1, Pembrolizumab + 5-FU + Platinum (Arm B)Active comparatorParticipants with untreated metastatic or unresectable, locally recurrent HNSCC regardless of PD-L1 status will receive pembrolizumab 200 mg on Day 1 of each cycle, 5-FU 1000 mg/m^2/day Days 1-4 of each cycle, and platinum chemotherapy (cisplatin 100 mg/m^2 or carboplatin AUC 5 per investigator choice). Each cycle is 21 days. Pembrolizumab therapy will be administered for up to 24 months or until loss of clinical benefit or unacceptable toxicity, whichever occurs first. 5-FU and platinum chemotherapy will be administered for up to 6 cycles or until loss of clinical benefit or unacceptable toxicity, whichever occurs first.
Receives: Drug: 5-FU; Drug: Cisplatin; Drug: Carboplatin
Phase 2 Cohort 1, Magrolimab + Zimberelimab + 5-FU + Platinum (Arm C)Active comparatorParticipants with untreated metastatic or unresectable, locally recurrent HNSCC regardless of PD-L1 status will receive magrolimab at the recommended Phase 2 dose (RP2D) determined in the Safety run-in cohort 1, zimberelimab 360 mg on Day 1 of each cycle, 5- FU 1000 mg/m^2/day Days 1-4 of each cycle, and platinum chemotherapy (cisplatin 100 mg/m^2 or carboplatin AUC 5 per investigator choice). Each cycle is 21 days. Magrolimab will be continued until loss of clinical benefit, unacceptable toxicity, or death. Zimberelimab therapy will be administered up to 24 months or until loss of clinical benefit or unacceptable toxicity, whichever occurs first. 5-FU and platinum chemotherapy will be administered for up to 6 cycles or until loss of clinical benefit or unacceptable toxicity, whichever occurs first.
Receives: Drug: Magrolimab; Drug: 5-FU; Drug: Cisplatin; Drug: Carboplatin; Drug: Zimberelimab
Phase 2 Cohort 2, Magrolimab + PembrolizumabExperimentalParticipants with untreated metastatic or unresectable, locally recurrent HNSCC with a PD-L1 combined positive score (CPS) ≥ 1 will receive magrolimab at the RP2D determined in the Safety run-in cohort 1 and pembrolizumab 200 mg on Day 1 of each cycle. Each cycle is 21 days. Magrolimab will be continued until loss of clinical benefit, unacceptable toxicity, or death. Pembrolizumab therapy will be administered for up to 24 months or until loss of clinical benefit or unacceptable toxicity, whichever occurs first.
Receives: Drug: Magrolimab; Drug: Pembrolizumab
Phase 2 Cohort 3, Magrolimab + DocetaxelExperimentalParticipants with locally advanced/metastatic HNSCC regardless of PD-L1 status who were previously treated with at least 1 and no more than 2 lines of prior systemic therapy will receive magrolimab at the RP2D determined in the Safety run-in cohort 2 and docetaxel 75 mg/m^2 on Day 1 of each cycle. Each cycle is 21 days. Magrolimab and docetaxel will be continued until loss of clinical benefit, unacceptable toxicity, or death.
Receives: Drug: Magrolimab; Drug: Docetaxel

What is being measured

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

  1. Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Dose Limiting Toxicities (DLTs) According to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 5.0

    A DLT was defined as any Grade 3 or higher hematologic toxicity or Grade 3 or higher nonhematologic toxicity that had worsened in severity from pretreatment baseline during the DLT assessment period and, in the opinion of the investigator, the AE was related to magrolimab and the relationship of the AE with the combination partner regimen can be ruled out.

    Measured: First dose date up to 21 days

  2. Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Grade 3 or 4 Laboratory Abnormalities

    Treatment-emergent laboratory abnormalities were defined as values that increase at least 1 toxicity grade from baseline at any postbaseline time point up to and including last dose date of study drug plus 30 days (or last dose date of zimberelimab plus 90 days) and prior to the day of initiation of subsequent anti-cancer therapy.

    Measured: First dose date up to 73 weeks plus 30 days

  3. Phase 2 Cohort 1, Arms A and B: Progression-free Survival (PFS)

    PFS was defined as the time from the date of randomization until the earliest date of documented disease progression, as assessed by investigator assessment, or death from any cause, whichever occurred first. Progressive disease (PD) is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this included the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progression). Kaplan-Meier (KM) estimates were used in outcome measure analysis.

    Measured: Up to 129 weeks

  4. Phase 2 Cohort 3: Objective Response Rate (ORR)

    ORR was defined as the percentage of participants who achieved a complete response (CR) or partial response (PR) as measured by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1 as determined by investigator assessment. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: Up to 129 weeks

Secondary outcomes (11)
  1. Safety Run-in Cohort 1 and 2, Phase 2 Cohort 1 Arm A and Phase 2 Cohort 3: Serum Concentration of Magrolimab

    Measured: Day 8 1-Hour Postdose; Days 15, 22, 43: Predose; Day 43 1-Hour Postdose; Day 71 1-Hour Postdose; Days 85,127, 190,197, 211, 253 Predose; Day 253 1-Hour Postdose

  2. Safety Run-in Cohort 1 and 2, Phase 2 Cohort 1 Arm A, C and Phase 2 Cohort 3: Percentage of Participants Who Developed Antidrug Antibodies (ADAs) to Magrolimab

    Measured: Up to end of treatment (up to approximately 73 weeks)

  3. Phase 2 Cohort 1, Arms B and C: Progression-free Survival (PFS)

    PFS was defined as the time from the date of randomization (Phase 2 Cohorts 1) or date of dose initiation (Phase 2 Cohorts 2 and 3) until the earliest date of documented disease progression as determined by investigator assessment per RECIST, version 1.1, or death from any cause, whichever occurs first. Disease progression is defined in OM#2. KM estimates were used in outcome measure analysis.

    Measured: Up to 129 weeks

  4. Phase 2 Cohort 1, Arms A, B and C: Objective Response Rate (ORR)

    ORR was defined as the percentage of participants who achieved a CR or PR as determined by investigator assessment. CR and PR are defined in OM#3.

    Measured: Up to 129 weeks

  5. Phase 2 Cohort 3: Progression-free Survival (PFS)

    PFS was defined as the time from the date of dose initiation (Phase 2 Cohort 3) until the earliest date of documented disease progression as determined by investigator assessment per RECIST, version 1.1, or death from any cause, whichever occurs first. Disease progression is defined in OM#2. KM estimates were used in outcome measure analysis

    Measured: Up to 129 weeks

  6. All Phase 2 Cohorts: Duration of Response (DOR)

    DOR was defined as the time from first documentation of CR or PR to the earliest date of documented disease progression or death from any cause, whichever occurs first. Disease progression is defined in OM#2 and CR and PR are defined in OM#3.

    Measured: Up to 129 weeks

  7. All Phase 2 Cohorts: Overall Survival (OS)

    OS was defined as the time from the date of randomization (Phase 2 Cohorts 1) or time from the date of dose initiation (Phase 2) to death from any cause. KM estimates were used in outcome measure analysis.

    Measured: Up to 129 weeks

  8. Phase 2 Cohorts: Change From Baseline in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Core Questionnaire (EORTC QLQ-C30) Score

    EORTC QLQ-C30 is a quality of life (QOL) questionnaire for cancer participants, that has 30 items. 5 functional scales (physical, role, emotional, cognitive, and social functioning), 1 global health status scale, 3 symptom scales (fatigue, nausea and vomiting, and pain), and 6 single items (dyspnea, insomnia, loss of appetite, constipation, diarrhea, and financial difficulties). Scoring of the QLQ-C30 was performed according to QLQ-C30 Scoring manual. All of the scales and single-item measures range in score from 0 to 100. Higher score for the functioning scales and global health status denote a better level of functioning (i.e. a better state of the participant), while higher scores on the symptom and single-item scales indicated a higher level of symptoms (i.e. a worse state of the participant).

    Measured: Baseline, Week 3, Week 6, Week 9, Week 12, Week 15, Week 18, Week 21, Week 24, Week 27 and Week 90

  9. Phase 2 Cohorts: Change From Baseline in the European Organisation for Research and Treatment of Cancer Quality of Life - Head and Neck Module (EORTC QLQ-H&N35)

    The H\&N35 is a 35-item questionnaire for participants with H\&N cancer. It includes 7 multi-item scales that assess pain (4 items), swallowing (4 items), senses (2 items), speech (3 items), social eating (4 items), social contact (5 items), and sexuality (2 items). There are also 11 single items: teeth, opening mouth, dry mouth, sticky saliva, coughing, felt ill, pain killers, nutritional supplements, feeding tube, weight loss, weight gain. All symptoms scales, scores were transformed in range of 0 to 100, where higher scores indicated more severe symptoms. A negative change from Baseline indicated improvement.

    Measured: Baseline, Week 3, Week 6, Week 9, Week 12, Week 15, Week 18, Week 21, Week 24, Week 27, and Week 90

  10. Phase 2 Cohorts: Number of Participants With 5-level EuroQol 5 Dimensions Questionnaire (EQ-5D-5L) Score

    EQ-5D-5L was an instrument for use as a measure of health outcome. The EQ-5D-5L consisted of 2 sections: EuroQoL (5 dimensions) (EQ-5D) descriptive system and the EuroQoL visual analogue scale (EQ-VAS). EQ-5D comprised the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension had 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. Number of participants per category are reported.

    Measured: Baseline, Week 3, Week 6, Week 9, Week 12, Week 15, Week 18, Week 21, Week 24, Week 27 and Week 90

  11. Phase 2 Cohorts: Change From Baseline in the EuroQol Visual Analogue Scale (EQ-VAS) Score

    The EQ-VAS recorded the participant's self-rated health on a vertical VAS, where the end points were labeled "the best health you can imagine" and "the worst health you can imagine." The EQ-VAS could be used as a quantitative measure of a health outcome that reflected the participant's own judgment. The EQ-VAS recorded the participant's self-rated health on a vertical VAS, with a score numbered from 0 to 100, where '100 meant the best health you can imagine' and '0 meant the worst health you can imagine".

    Measured: Baseline, Week 3, Week 6, Week 9, Week 12, Week 15, Week 18, Week 21, Week 24, Week 27 and Week 90

Timeline

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

  1. First posted22 Apr 2021
  2. Study start7 Sep 2021
  3. Primary completion2 Oct 2024
  4. Study completion2 Oct 2024

Why it stopped: Sponsor decision to terminate study

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
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
193 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04854499
Sponsor's protocol ID
GS-US-548-5916
Other IDs
2020-005708-20
Acronym
ELEVATE HNSCC
Status last verified
Nov 2025
First submitted
19 Apr 2021
Last updated
19 Nov 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Colevas AD, Dinis J, Chin V, Costa DA, Park JJ, Fang B, et al. A Phase 2 Study of Magrolimab Combination Therapy in Patients with Recurrent or Metastatic Head and Neck Squamous-Cell Carcinoma (ELEVATE HNSCC) [Poster TPS6102]. American Society for Clinical Oncology (ASCO); 2023 June 2-6; Chicago, IL.

  • Colevas AD, Dinis J, Chin V, Costa DA, Park JJ, Fang B, et al. A phase 2 study of magrolimab combination therapy in patients with recurrent or metastatic head and neck squamous cell carcinoma (ELEVATE HNSCC) [Abstract]. American Society for Clinical Oncology (ASCO); 2023 June 2-6; Chicago, IL.

  • Colevas AD, Kerrigan K, Chin V, Rainey N, Park J, Fang B, et al. Safety and Tolerability of Magrolimab Combination Therapy in Patients With Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma (RM-HNSCC) [Poster #675]. SITC: 38th Society for Immunotherapy of Cancer Annual Meeting; 2023 November 3-5, 2023; San Diego, CA.

  • Colevas AD, Kerrigan K, Chin V, Rainey N, Park J, Fang B, et al. Safety and tolerability of magrolimab combination therapy in patients with recurrent or metastatic head and neck squamous cell carcinoma (RM-HNSCC) [Abstract]. SITC: 38th Society for Immunotherapy of Cancer Annual Meeting; 2023 November 3-5, 2023; San Diego, CA.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Magrolimab, Pembrolizumab and Docetaxel in people with Head and Neck Squamous Cell Carcinoma, run by Gilead Sciences at 88 sites in 11 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 7 inclusion and 10 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 19 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 88 sites in United States, Spain, France, Australia, Belgium and 6 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 19 Nov 2025). 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?

Safety Run-in Cohorts 1 and 2: Percentage of Participants Experiencing Dose Limiting Toxicities (DLTs) According to the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), Version 5.0 (time frame: First dose date up to 21 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04854499, which also lists 4 linked publications.

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 19 Nov 2025.

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